Chapter 15: Problems of Adulthood Morrison-Valfre: Foundations of Mental Health Care, 7th Edition 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 identity will not affect the other areas of development as strongly 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. 171 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. 171 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.” 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.
NURSING TEST BANK
