A young adult reports overwhelming guilt about minor social errors, feels self-pity, and says, "I stay on the sidelines of life so I can avoid the embarrassment of being noticed
" The nurse can assess deficits in mastery of critical tasks associated with which developmental stage?
a. Trust versus mistrust
b. Industry versus inferiority
c. Autonomy versus shame and doubt
d. Generativity versus self-absorption
B
Adult behaviors reflecting developmental problems associated with the stage of industry versus inferiority include excessive guilt and embarrassment, passivity, apathy, rumination and self-pity, assumption of the victim role, and underachievement of potential. The behaviors given in the scenario reflect the critical tasks of industry versus inferiority. Tasks of the other stages are entirely different.
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A patient diagnosed with mild diffuse axonal injury is being admitted to the intensive care unit. The nurse would anticipate which assessment findings?
1. The accident causing this injury occurred several weeks ago. 2. There are symptoms that are similar to those demonstrated by a patient who sustained a concussion. 3. There is dilation of the pupils for several hours post injury. 4. There is presence of coma that may last for an extended period of time.
When a nonreassuring pattern of the fetal heart rate is noted and the client is lying on her left side, which nursing action is indicated?
a. Lower the head of the bed. b. Place a wedge under the left hip. c. Change her position to the right side. d. Place the mother in Trendelenburg position.
What is the most likely reason that causes a mother to induce symptoms in her 18-month-old toddler to the point that hospitalizations are necessary?
A) The mother is experiencing burnout and has difficulty controlling her anger. B) This is the mother's indirect way of communicating that she does not want the child. C) This is the mother's way of receiving secondary gains of attention and support from the health care team. D) The mother is using excessive discipline for inappropriate behaviors.
A woman is undergoing a nipple-stimulated contraction stress test (CST). She is having contractions that occur every 3 minutes
The fetal heart rate (FHR) has a baseline of approximately 120 beats/min without any decelerations. The interpretation of this test is said to be: a. Negative. c. Satisfactory. b. Positive. d. Unsatisfactory.