NACE Psychosocial Needs and Development 5

Question 1

A nurse is assessing a 3-year-old who insists on doing tasks 'by myself.' According to Erikson, this behavior reflects which developmental stage?

Accepted Answer

Autonomy vs. shame and doubt

Answer

Autonomy vs. shame and doubt occurs from ages 1–3 and is characterized by the toddler's drive for independence.

Question 2

A client with schizophrenia tells the nurse, 'The FBI is putting thoughts in my head.' The nurse's best response is:

Accepted Answer

'That sounds frightening. Tell me more about what you're experiencing.'

Answer

Acknowledging the client's feelings and exploring the experience is therapeutic; arguing about the delusion reinforces it or damages trust.

Question 3

Which assessment finding best indicates that a client is at risk for complicated grief?

Accepted Answer

Inability to function after six months with persistent denial of loss

Answer

Complicated grief is indicated by prolonged, impairing symptoms (>6 months) including persistent denial and inability to function.

Question 4

A nurse uses a therapeutic communication technique when responding to an anxious client. Which response demonstrates the technique of 'focusing'?

Accepted Answer

'Let's talk specifically about what triggered your anxiety this morning.'

Answer

Focusing directs the conversation to a specific topic, helping the client explore a particular concern in depth.

Question 5

A nurse is caring for a terminally ill client who states, 'If I can just live until my daughter's wedding, then I'll be ready to go.' This is an example of which stage of grief?

Accepted Answer

Bargaining

Answer

Bargaining involves making deals or conditions in hopes of postponing death or loss.

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

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

NACE Psychosocial Needs and Development 5