The nurse is caring for a patient who has been working on issues related to the developmental stage of young adulthood. Which of the following, if documented about the patient, would indicate to the nurse resolutions of the developmental task issues?
(Select all that apply.)
a. Has large network of family and friends at bedside
b. Verbalizes sense of productivity at work
c. Expresses concern for future generations
d. Verbalizes acceptance of life decisions
e. Expresses concern illness will cause strain on spouse and children
f. Requests visit from chaplain to discuss multiple losses and sense of isolation
ANS: A, E
A and E. Developing intimacy versus isolation is the sixth psychological developmental stage. The young adult's task is to develop relationships with a spouse, family, or friends which are warm, affectionate, and developed through fondness, understanding, caring, or love. F. When this stage is not successfully resolved, the individual often experiences isolation from others. B and C. In the middle adult years, the psychological developmental stage 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. D. The developmental stage for older adults is integrity versus despair. In this stage, the older adult looks back and evaluates what has been done with his or her life. Integrity refers to accepting responsibility for one's life so far and reflecting on it in a positive way.
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