Problems of Adulthood.

Problems of Adulthood.
MULTIPLE CHOICE
1. The nurse is caring for an adult male client who lacks a strong sense of personal identity. With
which area of development will this client most likely struggle the most?
a. Social
b. Intellectual
c. Emotional
d. Vocational
ANS: A
If an individual has little or no sense of identity, it is difficult to establish relationships with
others. Lack of personal identitywill not affect the other areas of development asstrongly as
it does social development. Vocation is not one of the areas of development; choosing a
vocation or career is a core task of young adulthood.
DIF: Cognitive Level: Comprehension REF: p. 170 OBJ: 2
TOP: Adult Growth and Development KEY: Nursing Process Step: Evaluation
MSC: Client Needs: Psychosocial Integrity
2. is a major challenge for adults because energies are not concentrated on the self,
and the demands can create feelings of anxiety, isolation, inadequacy, and helplessness.
a. Adulthood
b. Adolescence
c. Childhood
d. Parenting
ANS: D
Most of a parent’s energy is focused on the child or children every minute of every day. The
responsibility is immense and can cause various emotions, especially if the parent works
outside the home. Adulthood, adolescence, and childhood do not have a primary focus on
others as parenting does.
DIF: Cognitive Level: Comprehension REF: p. 170 OBJ: 3
TOP: Adult Growth and Development KEY: Nursing Process Step: Evaluation
MSC: Client Needs: Psychosocial Integrity
3. An adult male client is admitted to a mental health facility with the diagnosis of depression
following the breakup of a long-term engagement. He states that he couldn’t ―commit to
marriage.ǁ In conducting his admission assessment, the nurse learns that during his childhood
he did not feel guided, nurtured, or accepted by his parents. One of the goals for this client is
to help him develop a positive personal identity. Which intervention should the nurse
implement to meet this goal?
a. Improve his strength in the ability to adapt to new situations.
b. Develop the ability to establish and maintain an intimate relationship.
c. Discern his feelings about relationship choices and level of commitment.
d. Outline his life’s dream.

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