A 40-year-old man tells his wife he thinks he is having a midlife crisis. In which Erikson stage does the midlife crisis occur?
This is not addressed by Erikson
Integrity vs. Despair
Industry vs. Inferiority
Generativity vs. Stagnation
The Correct Answer is D
Choice A reason: This is incorrect because Erikson's psychosocial theory does address developmental challenges that correspond to life stages, including midlife concerns.
Choice B reason: Integrity vs. Despair occurs in late adulthood and involves reflecting on life with satisfaction or regret. It is not associated with the midlife period.
Choice C reason: Industry vs. Inferiority occurs during childhood, focusing on developing competence in skills and work, and is unrelated to midlife development.
Choice D reason: This is correct. Generativity vs. Stagnation occurs during middle adulthood, typically ages 40–65. Individuals focus on contributing to society, guiding the next generation, and finding meaning in productivity. A midlife crisis can arise if individuals feel unfulfilled or stagnant in these roles.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Bedwetting at this age, particularly triggered by stress such as a new sibling, is not abnormal in frequency and timing, but labeling it simply as "normal behavior" overlooks the clinical terminology and potential interventions.
Choice B reason: This is correct. Nocturnal enuresis is the medical term for involuntary urination during sleep in children aged 5 or older. Stressors such as new family dynamics can precipitate episodes. Reassurance and behavioral interventions are typically appropriate.
Choice C reason: Diabetes mellitus may cause polyuria, but in a child with isolated bedwetting without other symptoms (excessive thirst, weight loss, polyphagia), this is unlikely.
Choice D reason: Neurogenic bladder is associated with neurological conditions affecting bladder control, often presenting with daytime incontinence or other neurologic deficits, which are absent here.
Correct Answer is D
Explanation
Choice A reason: OCD involves obsessions and compulsions that are distressing and recognized as excessive by the patient. While the patient collects tapes, he does not report intrusive obsessions or ritualized behaviors associated with anxiety reduction, so OCD is less likely.
Choice B reason: Delusional disorder involves fixed, false beliefs without insight. The patient does not demonstrate a fixed false belief about the nature of reality; he acknowledges the tapes may be ruined.
Choice C reason: Normal collecting behavior involves collecting items without causing significant distress or impairment. In this case, the patient’s hoarding is leading to functional impairment, such as lack of space and potential damage to items, so normal collecting does not fit.
Choice D reason: Hoarding disorder is characterized by persistent difficulty discarding possessions, resulting in clutter that disrupts living spaces or functioning. This patient exhibits classic signs: inability to discard items of limited utility, accumulation causing functional impairment, and distress/impairment recognized by family.
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