The nurse is contributing to a staff education program about Erikson's developmental stages. Which should the nurse present as the developmental stage for a middle-aged adult?
a. Integrity versus despair
b. Intimacy versus isolation
c. Identity versus role confusion
d. Generativity versus self-absorption
ANS: D
Between ages 45 to 65, the psychological developmental task of this age group is developing generativity versus self-absorption. Generativity includes a sense of productivity and creativity and is demonstrated by a concern and support for others, along with a vision for future generations. Unresolved conflict could be seen as preoccupation with personal needs or self-absorption. A. B. C. These are developmental stages for other age groups.
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The nurse is caring for a patient admitted to the intensive care unit with a subarachnoid bleed. Vital signs are as follows: blood pressure (BP) 120/74 mm Hg, pulse 70 beats/min, and respirations 16 breaths/min
Several hours later, the patient requests help to have a bowel movement. The patient refuses a bedpan and asks to use a bathroom. When told that this is not possible, the patient becomes angry and belligerent and starts yelling at the nurse. Vital signs are now BP 160/60 mm Hg, pulse 48 beats/min, and respirations 12 breaths/min. The neurosurgeon has been paged but has not yet responded. With which of the following actions should the LPN anticipate assisting the RN? a. Waiting for the neurosurgeon to call back with orders b. Administering an as-needed dose of a sedative that is ordered c. Helping the patient to get up on a bedside commode d. Paging security to restrain the patient from harming the nurse
Which child in a family is most likely to be abused?
a. The son who looks just like his father b. The son who is handicapped c. The daughter who is very personable d. The daughter who is beautiful and brilliant
While counseling a patient about bexarotene, the nurse should include which information?
1. There is an increased risk of clotting. 2. There is a need to monitor for lipid abnormalities. 3. There is a need to take vitamin A supplements with this agent. 4. It is important to avoid exertional activities.
The nurse is providing care for a newly admitted patient. The patient has many questions about the admission diagnosis and medication. What should be the highest priority nursing action for this patient?
A. Determine the patient's coping skills for dealing with his diagnosis. B. Reassure the patient that nurses will monitor for adverse effects to medication. C. Evaluate the patient's overall knowledge related to the diagnosis and medication. D. Document that the patient displays a risk for medication noncompliance due to knowledge deficit.