A 78-year-old woman reflects back on her life and has few regrets. According to Erikson, she has accomplished which of the following?
Ego integrity
Erikson's stages end before age 70
Egocentrism
Advanced ego defense mechanisms
The Correct Answer is A
Choice A reason: Ego integrity involves the ability to reflect on one’s life with a sense of fulfillment and acceptance, characteristic of late adulthood according to Erikson’s psychosocial developmental stages.
Choice B reason: Erikson’s stages continue throughout the lifespan; late adulthood involves the stage of ego integrity versus despair.
Choice C reason: Egocentrism refers to a preoccupation with oneself and limited perspective-taking, typically associated with early developmental stages, not late adulthood.
Choice D reason: Advanced ego defense mechanisms describe coping strategies rather than a developmental stage and do not specifically define Erikson’s concept of ego integrity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Delayed puberty with features such as lack of secondary sexual characteristics, short stature, and physical anomalies such as extra neck folds may indicate Turner syndrome. Estrogen therapy is essential to induce the development of secondary sexual characteristics and support bone health.
Choice B reason: Testosterone is indicated for male hypogonadism or delayed puberty in boys. It is not appropriate for a female patient with delayed puberty.
Choice C reason: Doing nothing delays sexual development, potentially affects bone health, and does not address underlying endocrine issues. This is not appropriate management.
Choice D reason: Synthetic thyroid addresses hypothyroidism, but this patient presents with delayed puberty and physical features consistent with Turner syndrome rather than thyroid deficiency. Thyroid therapy alone will not initiate puberty.
Correct Answer is B
Explanation
Choice A reason: Discontinuing an antidepressant after only two weeks with minimal improvement is premature; SSRIs often require 4–6 weeks for full efficacy.
Choice B reason: Making no changes is appropriate at this stage, as early treatment response is modest. The clinician should continue monitoring and reassess after sufficient treatment duration.
Choice C reason: Adding an augmenting agent is not indicated yet, given the patient has only had two weeks of therapy and lacks significant side effects.
Choice D reason: Switching antidepressants is premature at this early stage of treatment; efficacy assessment requires adequate duration.
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