The nurse working in an adult medical clinic wishes to learn more ...

[jho37]

The nurse working in an adult medical clinic wishes to learn more about a developmental theory that focuses on the adult years. The nurse investigates different possibilities and selects the theo-ry proposed by which of the following theorists?
 
  a. Gould
  b. Piaget
  c. Freud
  d. Chess and Thomas

Question 2

When asked about his religious affiliation, a client responds, That's personal; why do you want to know? Which of the following is the most appropriate nursing response?
 
  a. You need not answer my question if you prefer not to share that information.
  b. By knowing your religious preferences, I can best meet your spiritual needs.
  c. All information that you provide will be kept in strict confidence.
  d. I did not mean to offend you; we ask that question of all of our new admis-sions.

[voltaire123]

Answer to Question 1

A
Gould's theory of psychosocial development specifically focuses on the adult years.
Piaget's theory focuses on cognitive development throughout the lifespan.
Freud's psychosexual theory focuses on personality development throughout the lifespan.
Chess and Thomas's theory focuses on development from childhood to early adulthood.

Answer to Question 2

B
Information about religious and spiritual beliefs and practices should be obtained from clients when they enter health care facilities. Nursing care should take into account the biological, psy-chological, social, cultural, and spiritual needs of clients.
Applying knowledge of spiritual concepts and using therapeutic communication skills will help the nurse recognize and understand the client's spiritual beliefs, soYou need not answer my question if you prefer not to share that information is not an appropriate response.
While it is true that client information is kept confidential, it is important to gain an understand-ing of the client's belief system to treat the client with dignity and respect.
In the assessment of spiritual caregiving, it is important for the nurse to inform the client that he or she is obtaining information to ensure sensitivity to the client's needs and give the client the opportunity to communicate his spiritual needs.