Psychosocial Needs and Development Flashcards
7 cards from real NACE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Psychosocial Needs and Development flashcards as text
A client with a new colostomy refuses to look at the stoma and says, 'I'm disgusting.' Which nursing diagnosis is the priority?
Answer: Disturbed body image
Refusal to look at the stoma and negative self-statements indicate disturbed body image as the priority psychosocial diagnosis.
According to Erikson, a 70-year-old who expresses regret about life choices and feels despair is experiencing failure of which developmental stage?
Answer: Ego integrity vs. despair
Ego integrity vs. despair is Erikson's stage for late adulthood (65+), where failure results in despair over an unfulfilling life.
A nurse is caring for a client experiencing anticipatory grief. Which intervention is most therapeutic?
Answer: Provide a quiet environment and allow the client to express feelings freely
Allowing free expression of feelings in a supportive environment is the most therapeutic approach to anticipatory grief.
A client states, 'My doctor says I have cancer, but I know the lab results are wrong.' This is an example of which defense mechanism?
Answer: Denial
Denial involves refusing to acknowledge a painful reality, such as rejecting a cancer diagnosis.
Which behavior best demonstrates a client successfully resolving Erikson's stage of 'Industry vs. Inferiority'?
Answer: A school-age child completing projects and feeling competent
Industry vs. Inferiority occurs during school age (6–12 years) and is resolved by developing a sense of competence through completing tasks.
A nurse notices a client has been isolating herself and crying frequently since her husband's death two weeks ago. The nurse's best initial action is to:
Answer: Sit with the client and offer presence without pressure to talk
Offering therapeutic presence acknowledges the client's grief and communicates support without imposing expectations.
A client who recently lost a limb says, 'I know I'll never be normal again, but I'm learning to adapt.' This statement reflects which phase of Kübler-Ross's grief model?
Answer: Acceptance
Acceptance is characterized by acknowledging the loss and beginning to adapt to a new reality.