A 76-year-old client who recently lost his wife is admitted for surgery. Which of the following behaviours would alert the nurse that the client has an alteration in the integrity stage of his psychosocial development?
a. Accepting his own limitations
b. Verbalizing fear about the surgery
c. Expressing his thoughts about his care
d. Demanding excessive assistance from his daughter
D
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A Accepting one's limitations is not consistent with a disturbance in the integrity stage of psychosocial development.
B Verbalizing fear about the surgery is not consistent with a disturbance in the integrity stage of psychosocial development.
C Expressing thoughts about one's care is not consistent with a disturbance in the integrity stage of psychosocial development.
D Being angry, being excessively dependent, and having a passive attitude are all behaviours suggestive of an altered self-concept. The older client, who has lost a spouse and is now demanding excessive assistance from a child, is demonstrating an alteration in the integrity stage of his psychosocial development.
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