Which of the following assessments indicates positive growth and development for a 30-year-old adult?
Is dissatisfied with body image.
Enjoys social activities with three or four close friends.
Frequently changes jobs to find the right one.
Plans to move from parental home in the near future.
The Correct Answer is B
Choice A reason: Dissatisfaction with body image may reflect unresolved developmental issues or poor self-esteem. It is not a marker of positive psychosocial development in adulthood.
Choice B reason: Having close friendships and engaging in social activities reflects healthy interpersonal relationships and emotional maturity. This aligns with Erikson’s stage of intimacy vs. isolation, where forming meaningful connections is a key developmental task.
Choice C reason: Frequent job changes may indicate instability or lack of career direction. While exploration is normal, repeated changes without satisfaction may suggest difficulty with commitment or identity formation.
Choice D reason: Planning to move from the parental home at age 30 may indicate delayed independence. While circumstances vary, adult development typically includes establishing autonomy earlier.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Violating a nurse’s boundaries may be inappropriate or unethical, but it does not legally justify breaching confidentiality. Legal obligations are based on safety and risk, not interpersonal dynamics.
Choice B reason: Nurses are mandated reporters and must breach confidentiality when a client threatens harm to an identifiable third party. This is based on the duty to warn and protect others from foreseeable danger, as established in legal precedent.
Choice C reason: Aggression alone does not warrant breaching confidentiality unless it includes specific threats to others. General aggression may be managed within the therapeutic setting without violating privacy.
Choice D reason: Threatening behavior must be assessed for specificity and risk. Not all threats justify breaching confidentiality. Only threats to identifiable individuals or groups with a credible risk require legal action.
Correct Answer is C
Explanation
Choice A reason: Attention-seeking behavior is typically deliberate and goal-oriented. In this case, the client is alone and speaking to unseen stimuli, which is more consistent with psychotic symptoms than manipulative behavior.
Choice B reason: While schizophrenia may be the underlying diagnosis, the nurse cannot confirm this based on one observation. The behavior described is a symptom, not a diagnosis.
Choice C reason: Auditory hallucinations involve hearing voices or sounds that are not present. The client’s statement suggests he is responding to internal stimuli, which is a hallmark of auditory hallucinations and common in psychotic disorders.
Choice D reason: Multiple personality disorder, now known as dissociative identity disorder, involves distinct identity states, not necessarily talking to oneself in response to hallucinations. This diagnosis is rare and cannot be inferred from the described behavior.
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