Which statement suggests a struggle with Erikson's phase of Identity vs. role confusion? Select one:

“I’m so sad and I feel I haven't accomplished much in my life.”

“I’m so anxious, can't seem to trust anyone."

"I'm so tired after work that I just want to watch TV and be alone.”

"I'm so confused about what my goals are.”

Answer and Explanation

The Correct Answer is D

Choice A Reason:

"I’m so sad and I feel I haven't accomplished much in my life." This statement may relate more to feelings of despair and a sense of unfulfilled purpose, which could be associated with Erikson's stage of Integrity vs. Despair (late adulthood).

Choice B Reason:

"I’m so anxious, can't seem to trust anyone. “This statement may indicate difficulties with trust and may be more aligned with Erikson's stage of Trust vs. Mistrust (infancy).

Choice C Reason:

"I'm so tired after work that I just want to watch TV and be alone. “This statement may reflect fatigue or a desire for solitude and may not directly represent the identity development struggles associated with Erikson's Identity vs. Role Confusion stage.

Choice D Reason:

"I'm so confused about what my goals are.” Erikson's phase of Identity vs. Role Confusion occurs during adolescence, and individuals in this stage are exploring and forming their own identity. The statement "I'm so confused about what my goals are" suggests a struggle with establishing a clear sense of identity and future direction, which is characteristic of the challenges faced during this developmental stage.

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Free Nursing Study Resources

Correct Answer is ["A","B","D"]

Explanation

Choice A Reason:

Grooming is correct. Grooming assesses the client's personal care and hygiene, providing insight into their ability to perform self-care activities.

Choice B Reason:

Long-term memory is correct. Evaluating long-term memory helps assess the client's ability to recall past events and information, which can be affected in individuals with dementia.

Choice C Reason:

Support systems is incorrect. While support systems are crucial in the overall care of individuals with dementia, they are not typically assessed in a traditional MSE.

Choice D Reason:

Affecting is correct. Affect refers to the client's emotional expression. Assessing affect helps in understanding the client's emotional state, which can be important in diagnosing and managing dementia.

Choice E Reason:

Presence of pain is incorrect. While assessing pain is essential in clinical care, it may be more pertinent to a physical assessment than a mental status examination specifically focused on cognitive functioning.

A. Diffuse B. Clear C. Differentiation D. Rigid

Correct Answer is A

Explanation

Choice A Reason:

Diffuse is correct. In a diffuse or permeable family boundary, there is a lack of clear separation between family members. Decisions and responsibilities may be shared extensively, and individual autonomy is limited. The patient's behavior of consulting with family members before making treatment decisions suggests a diffuse boundary where decision-making involves significant input from various family members.

Choice B Reason:

Clear is incorrect. - In a clear or rigid boundary, there is a distinct separation between family members, and individual autonomy is highly emphasized. The described behavior does not align with a clear boundary.

Choice C Reason:

Differentiation is incorrect. Differentiation refers to the ability of family members to maintain their individuality while remaining emotionally connected. The behavior described is more indicative of a diffuse boundary than a differentiation issue.

Choice D Reason:

Rigid is incorrect. A rigid boundary is characterized by strict rules and limited flexibility. The described behavior does not align with a rigid boundary where decision-making might be more centralized and less consultative.

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Which statement suggests a struggle with Erikson's phase of Identity vs. role confusion? Select one:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing a mental status examination (MSE) on a client who has a new diagnosis of dementia. Which of the following components should the nurse include? (Select all that apply.)

Correct Answer is ["A","B","D"]

Explanation

The nurse is caring for a patient who consults with family members before making every treatment decision. Based on the nurse's observation. which type of boundary exists within the family structure?

Correct Answer is A

Explanation

Which is a characteristic of therapeutic milieu when caring for a patient in the psychiatric healthcare setting?

Peplau's Interpersonal Theory of Nursing: Select one:

Which action would the nurse include when beginning a relationship with a new patient? Select all that apply. (Select All that Apply.)

A nurse observes that a client who has depression is sitting alone in the room crying. As the nurse approaches, the client states. "I'm feeling really down and don't want to talk to anyone right now." Which of the following responses should the nurse make?

A nurse working in a psychiatric unit plans to apply milieu therapy on a patient. Which intervention would the nurse include in the therapy?

A nurse is caring for an older adult client who had a cerebrovascular accident and has right-sided paralysis and aphasia. The client's son tells the nurse it is his fault because he did not insist that his mother live with him. Which of the following responses should the nurse make?

Which cause is responsible for a patient reacting to the nurse by saying, "You are indifferent and cold, just like my mother"?

A nurse is caring for a client who has cancer and is scheduled for immediate chemotherapy. The client tells the nurse that she wants to try nontraditional treatments first. Which of the following responses should the nurse make?