A 52-year-old woman says to the nurse, "I should have accomplished more in life, what was I thinking?" Which psychosocial crisis is she experiencing?

Trust versus mistrust

Generativity versus stagnation

Integrity versus despair

Industry versus inferiority

Answer and Explanation

The Correct Answer is C

Choice A reason: Trust versus mistrust occurs in infancy (0–1 year), focusing on trust in caregivers. Failure leads to suspicion, not regret over life accomplishments. This stage is irrelevant to a 52-year-old’s reflections on life achievements, making this choice incorrect for the described crisis.

Choice B reason: Generativity versus stagnation (middle adulthood, 40–65 years) involves contributing to society versus feeling unproductive. While related, the woman’s regret over past accomplishments aligns more with reflecting on life’s meaning, typical of a later stage, making this choice less precise.

Choice C reason: Integrity versus despair (late adulthood, 65+ years, but relevant in late middle age) involves reflecting on life’s achievements. Failure leads to despair and regret, matching the woman’s statement about unaccomplished goals, making this the correct choice for her psychosocial crisis.

Choice D reason: Industry versus inferiority (6–12 years) focuses on competence in tasks. Failure leads to feelings of inadequacy in skills, not regret over life’s broader accomplishments. This stage is irrelevant to the woman’s current reflections, making this choice incorrect.

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Correct Answer is A

Explanation

Choice A reason: HIPAA requires signed patient consent for releasing medical information to third parties, ensuring patient autonomy and confidentiality. This legal standard applies to mental health records, protecting sensitive data, making this the correct choice for information release.

Choice B reason: Verbal consent, even with a guardian, is insufficient under HIPAA, which mandates written authorization for protected health information. This ensures clear documentation, making this choice incorrect, as written consent is the legal standard.

Choice C reason: Psychiatrist approval does not replace patient consent for releasing information. HIPAA prioritizes patient authorization, and provider approval alone violates privacy regulations, making this choice incorrect for legal information release protocols.

Choice D reason: Health care team permission is irrelevant to releasing information, as only the patient’s signed consent is legally required. Team collaboration does not override HIPAA’s patient-centered consent rules, making this choice incorrect.

A. A patient that fraudulently files for bankruptcy B. A patient that threatens harm to self and others C. A patient involved in selling and distributing illegal drugs D. A patient noncompliant with their treatment regimen

Correct Answer is B

Explanation

Choice A reason: Fraudulent bankruptcy is a legal or ethical violation, not a psychiatric emergency. Involuntary hospitalization requires evidence of imminent danger to self or others due to a mental disorder. This behavior, while illegal, does not inherently indicate a mental health crisis necessitating forced psychiatric intervention, making this choice incorrect.

Choice B reason: Threatening harm to self and others meets legal and clinical criteria for involuntary hospitalization, as it indicates imminent danger due to a psychiatric condition. Mental health laws, such as the Baker Act, prioritize safety when a patient’s mental state poses significant risk, making this the correct choice for forced admission.

Choice C reason: Selling and distributing illegal drugs is a criminal act, not necessarily linked to a mental health crisis requiring involuntary hospitalization. While substance use disorders may involve psychiatric issues, this behavior alone does not demonstrate imminent danger due to mental illness, making it inappropriate for forced treatment.

Choice D reason: Noncompliance with treatment, while concerning, does not inherently indicate imminent danger or severe mental instability requiring involuntary hospitalization. It may reflect patient autonomy or other factors, not acute psychiatric risk. This choice fails to meet the legal or clinical threshold for forced admission, making it incorrect.

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A 52-year-old woman says to the nurse, "I should have accomplished more in life, what was I thinking?" Which psychosocial crisis is she experiencing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What must the nurse obtain from the patient in order for medical information to be released to another health care facility or third party regarding a patient diagnosed with a mental illness?

Correct Answer is A

Explanation

Which patient meets criteria for involuntary hospitalization for psychiatric treatment?

Correct Answer is B

Explanation

Which scenario best depicts a behavioral crisis?

A patient was hospitalized for 24 hours after a reaction to a psychotropic medication. While planning discharge, the nurse learned the patient received a notice of eviction immediately prior to admission. Select the nurse’s most appropriate action.

Which comments by a nurse demonstrate the use of therapeutic communication techniques? (Select all that apply)

A nurse is assessing a newly hospitalized patient. Select the best example of the communication technique of "offering self."

Which individual diagnosed with a mental illness may require an emergency or involuntary admission?

A patient has acute anxiety related to a car accident. The nurse knows the patient will need teaching about which medication category?

Hildegard Peplau came up with the phases of the nurse-patient relationship. What does the nurse address during the orientation phase with a patient diagnosed with a psychiatric disorder?

A nurse is conducting a mental health assessment for a patient reporting persistent feelings of hopelessness. Which intervention best aligns with evidence-based practice for addressing this symptom?