A is a 55-year-old retiree who volunteers 5 days a week helping with Meals on Wheels, coaching
teen sports, and doing church visitation. B is a 58-year-old retiree who laughs at A and says, "I'm
too busy taking care of myself to volunteer.
I don't care much about doing good for others.". These
behaviors can be assessed as showing the difference between
a. trust and mistrust.
b. industry and inferiority.
c. intimacy and isolation.
d. generativity and self-absorption.
ANS: D
Both men are in middle adulthood, when the developmental crisis to be resolved is generativity
versus self-absorption. A exemplifies generativity; B embodies self-absorption. Option A: This
developmental crisis would show a contrast between relating to others in a trusting fashion or being
suspicious and lacking trust. Option B: Failure to negotiate this developmental crisis would result in
a sense of inferiority or difficulty learning and working as opposed to the ability to work
competently. Option C: Behaviors that would be contrasted would be emotional isolation and the
ability to love and commit oneself.
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Nurses who wish to use hypnosis in their practice:
1. Recognize that hypnosis is an advanced intervention that requires specialized training in hypnotherapy. 2. Are qualified to do so if they can effectively use guided meditation. 3. Do not need special training in hypnosis. 4. Do not need to be concerned with whether or not hypnosis is within the scope of nursing practice.
Which of the following is a holistically based nursing intervention for the nursing diagnosis Impaired Gas Exchange related to immobility?
A) Teach and encourage turning B) Feed in the sitting position C) Apply oxygen as needed D) Demonstrate signs of adequate respiration
The nurse has recently set limits for a client with borderline personality disorder. The client tells the
nurse "You used to care about me. I thought you were wonderful. Now I can see I was mistaken. You're hateful.". This outburst can be assessed as a. splitting. b. denial. c. reaction formation. d. separation-individuation strategies.
Nurses working on an ICU are showing signs of severe stress following several months of high census with many patient deaths and negative outcomes. What interventions should the nurse manager implement?
1. Make certain staff members are taking lunch and rest breaks throughout the shift. 2. Do an audit on the medical records of patients with negative outcomes to identify which nurses have provided much of their care. 3. Use unit discretionary funds to purchase healthy snacks for the unit breakroom. 4. Ask nurses to develop a new staffing system to allow more time off. 5. Provide coverage so that staff can attend regular debriefing sessions.