NACE Psychosocial Needs and Development 4

Question 1

A client with a new colostomy refuses to look at the stoma and says, 'I'm disgusting.' Which nursing diagnosis is the priority?

Accepted Answer

Disturbed body image

Answer

Refusal to look at the stoma and negative self-statements indicate disturbed body image as the priority psychosocial diagnosis.

Question 2

According to Erikson, a 70-year-old who expresses regret about life choices and feels despair is experiencing failure of which developmental stage?

Accepted Answer

Ego integrity vs. despair

Answer

Ego integrity vs. despair is Erikson's stage for late adulthood (65+), where failure results in despair over an unfulfilling life.

Question 3

A nurse is caring for a client experiencing anticipatory grief. Which intervention is most therapeutic?

Accepted Answer

Provide a quiet environment and allow the client to express feelings freely

Answer

Allowing free expression of feelings in a supportive environment is the most therapeutic approach to anticipatory grief.

Question 4

A client states, 'My doctor says I have cancer, but I know the lab results are wrong.' This is an example of which defense mechanism?

Accepted Answer

Denial

Answer

Denial involves refusing to acknowledge a painful reality, such as rejecting a cancer diagnosis.

Question 5

Which behavior best demonstrates a client successfully resolving Erikson's stage of 'Industry vs. Inferiority'?

Accepted Answer

A school-age child completing projects and feeling competent

Answer

Industry vs. Inferiority occurs during school age (6–12 years) and is resolved by developing a sense of competence through completing tasks.

Nursing Acceleration Challenge Exam (NACE) I PN-RN Practice Test