Nursing Acceleration Challenge Exam I PN-RN Psychosocial Needs and Development Questions and Answers

Question 1

A 72-year-old client is admitted to a long-term care facility.
The client expresses feelings of sadness and states, 'I feel like my life has had no purpose.' According to Erik Erikson's stages of psychosocial development, which of the following is the client experiencing?

Accepted Answer

Despair

Answer

Stagnation

Answer

Isolation

Answer

Role Confusion

Question 2

A nurse is caring for a 45-year-old client who recently received a diagnosis of a chronic illness. The client is withdrawn and has not been adhering to the treatment plan. Which of the following psychosocial needs is the highest priority for the nurse to address?

Accepted Answer

Coping and adaptation

Answer

Self-actualization

Answer

Esteem and recognition

Answer

Love and belonging

Question 3

Which of the following interventions by a nurse best promotes the psychosocial well-being of a hospitalized adolescent client?

Accepted Answer

Allowing friends to visit and providing access to social media.

Answer

Encouraging frequent family visits to reduce feelings of loneliness.

Answer

Providing detailed medical information to increase their sense of control.

Answer

Scheduling structured quiet time for rest and reflection.

Question 4

A 30-year-old client is recovering from a major surgery that has resulted in a significant change in body image. The client refuses to look at the surgical site. This behavior is an example of which defense mechanism?

Accepted Answer

Denial

Answer

Projection

Answer

Sublimation

Answer

Rationalization

Question 5

A nurse is developing a plan of care for a client who has recently lost their spouse. According to the principles of psychosocial care, which action should the nurse take first?

Accepted Answer

Assess the client's personal coping mechanisms and support systems.

Answer

Refer the client to a bereavement support group.

Answer

Encourage the client to focus on positive memories.

Answer

Provide education on the normal stages of grief and loss.

Question 6

According to Erikson's stages of development, a 25-year-old client who expresses difficulty forming meaningful relationships with others is likely struggling with which psychosocial crisis?

Accepted Answer

Intimacy vs. Isolation

Answer

Trust vs. Mistrust

Answer

Initiative vs. Guilt

Answer

Identity vs. Role Confusion