Which adult has transitioned to Erikson’s intimacy vs isolation stage of development?

Correct Answer: D

Rationale: In Erikson's psychosocial theory, the intimacy vs isolation stage typically occurs in early adulthood, around ages 20 to 40. This stage is marked by the struggle to form close, intimate relationships with others while maintaining a sense of independence. Option D, the 26-year-old woman in a long-term relationship, best represents transitioning to the intimacy vs isolation stage as being in a committed, long-term relationship demonstrates the ability to form deep emotional connections and intimacy with another person, which is a key aspect of this stage. Option A, the 21-year-old man with numerous short-term intimate relationships, does not exhibit the depth of intimacy and commitment characteristic of Erikson's intimacy vs isolation stage. This behavior suggests a struggle with forming lasting, meaningful relationships. Option B, the 25-year-old woman focused on peer perception, may indicate a preoccupation with external validation and fitting in rather than developing intimate relationships, which is more characteristic of the identity vs role confusion stage that precedes intimacy vs isolation. Option C, the 30-year-old man looking for his first full-time job, is not directly related to the intimacy vs isolation stage of development. This scenario pertains more to the stage of establishing oneself in the workforce and achieving financial independence. Understanding Erikson's stages of development is crucial for healthcare providers, especially nurses, as it helps them assess and support individuals at different life stages. Recognizing where a person is in their developmental journey can inform nursing interventions aimed at promoting holistic health and well-being.

Correct Answer: C

Rationale: In this question, option C, "Asking for a list of topics," is the most appropriate choice for a person at greatest risk for injury prevention in a work environment. This option indicates a proactive approach to safety in the workplace by seeking relevant information to address potential risks. By asking for a list of topics related to injury prevention, the individual demonstrates a willingness to learn about specific occupational hazards and take necessary precautions to prevent injuries. Option A, "Using a pre-set list of topics," may not be as effective because it implies a passive approach where the topics are already predetermined and may not address the specific needs of the work environment. Relying on printed materials (option B) could also be insufficient as it may not be tailored to the individual's workplace conditions and may lack interactivity or real-time updates. Option D, "Beginning each session with a 2-mile walk," is unrelated to injury prevention in a work environment and does not address the specific needs of occupational safety. It is essential in health promotion to focus on relevant information and strategies that directly impact the individual's well-being in their work setting. Educationally, this question highlights the importance of proactive behavior and knowledge-seeking in ensuring workplace safety. It emphasizes the need for individuals to be informed about potential risks and take appropriate measures to prevent injuries, reflecting the core principles of health promotion and injury prevention in occupational settings.

Correct Answer: C

Rationale: In the context of pharmacology and menopause management, the correct response is option C: "The safety of long-term estrogen therapy is inconclusive. It is primarily used short-term to relieve hot flashes." This answer is appropriate because it reflects the current understanding of estrogen therapy in menopausal women. Option A is incorrect as it oversimplifies the safety and benefits of estrogen therapy, which can have significant risks and benefits that vary depending on the individual's health profile. Option B is also incorrect because it provides a specific time frame (10 years) without considering individualized patient needs or risks. Option D is misleading as it suggests natural products as equivalent alternatives to prescribed medications, which may not be effective or safe. Educationally, it is crucial for nurses to understand the complexities of hormone therapy in menopausal women. They need to be aware of the current recommendations, potential risks, and benefits associated with estrogen therapy. By providing accurate and evidence-based information to patients, nurses can empower them to make informed decisions about their health. This question highlights the importance of ongoing education and staying updated on best practices in pharmacology to deliver high-quality patient care.

Correct Answer: A

Rationale: In this scenario, option A, a 54-year-old couple whose daughter and grandson move back in, is at higher risk for stress related to family dynamics. This is because the sudden increase in household members can disrupt established routines, personal space, and potentially lead to financial strains. The presence of multiple generations under one roof can also bring about conflicts in roles, responsibilities, and expectations, adding to the stress levels within the family. Option B, a 44-year-old single mother raising three children, is also at risk due to the demands of single parenthood and managing a larger family on her own. However, the question specifically focuses on stress related to changes in family dynamics, which is more pronounced in option A. Option C, a 60-year-old couple whose children live in another state, may experience emotional stress due to physical separation from their children. However, this situation does not involve the immediate impact of changing family dynamics as seen in option A. Option D, a 36-year-old couple whose child plays competitive tennis, does not inherently suggest a significant change in family dynamics that would lead to heightened stress levels as compared to the situation described in option A. Educationally, this question highlights the impact of family dynamics on stress levels and the importance of understanding how changes in family structure can affect individuals differently. It underscores the need for nurses to assess not just individual patients but also the broader context of their families to provide holistic care.

Correct Answer: A

Rationale: In the context of self-care in long-term care, the nurse should encourage participation in activities like Scrabble™ and bingo (Option A) for several reasons. Engaging in stimulating activities promotes cognitive function, social interaction, and emotional well-being among residents. These activities help maintain or improve mental acuity, prevent social isolation, and enhance overall quality of life. Encouraging residents to participate in such activities fosters a sense of purpose, accomplishment, and enjoyment, which are essential for their holistic well-being. Options B, C, and D are incorrect choices for various reasons. Dressing residents before breakfast (Option B) may promote dependence rather than independence in self-care activities. Residents should be encouraged to dress themselves whenever possible to maintain their autonomy and self-esteem. Filling in missing words during conversation (Option C) can undermine residents' communication skills and may lead to decreased confidence in their abilities. Lastly, getting residents ready for breakfast quickly (Option D) focuses on efficiency rather than promoting individualized care and respecting residents' preferences and routines. In summary, the correct answer emphasizes the importance of promoting residents' engagement in meaningful activities that support their cognitive, social, and emotional well-being. This approach aligns with person-centered care principles and enhances residents' overall quality of life in long-term care settings.