Psychosocial Needs and Development Flashcards
7 cards from real NACE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Psychosocial Needs and Development flashcards as text
A nurse is assessing a 3-year-old who insists on doing tasks 'by myself.' According to Erikson, this behavior reflects which developmental stage?
Answer: Autonomy vs. shame and doubt
Autonomy vs. shame and doubt occurs from ages 1–3 and is characterized by the toddler's drive for independence.
A client with schizophrenia tells the nurse, 'The FBI is putting thoughts in my head.' The nurse's best response is:
Answer: 'That sounds frightening. Tell me more about what you're experiencing.'
Acknowledging the client's feelings and exploring the experience is therapeutic; arguing about the delusion reinforces it or damages trust.
Which assessment finding best indicates that a client is at risk for complicated grief?
Answer: Inability to function after six months with persistent denial of loss
Complicated grief is indicated by prolonged, impairing symptoms (>6 months) including persistent denial and inability to function.
A nurse uses a therapeutic communication technique when responding to an anxious client. Which response demonstrates the technique of 'focusing'?
Answer: 'Let's talk specifically about what triggered your anxiety this morning.'
Focusing directs the conversation to a specific topic, helping the client explore a particular concern in depth.
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?
Answer: Bargaining
Bargaining involves making deals or conditions in hopes of postponing death or loss.
According to Maslow's hierarchy, which client need must be addressed before focusing on self-esteem needs?
Answer: Safety and security needs
Maslow's hierarchy requires physiological and safety needs to be met before higher-level needs such as belonging and self-esteem.
A client who was just informed of a terminal diagnosis begins yelling at the nurse, 'This is your fault! You didn't push for more tests!' The nurse recognizes this response as:
Answer: Displacement of anger as part of the grief process
Displacement of anger onto the nurse is a normal and expected part of the anger stage of grief following a devastating diagnosis.