Author Question: An older adult client is admitted to the hospital with terminal cancer. The client expresses ... (Read 144 times)

mp14 · **on:** Jul 8, 2018

An older adult client is admitted to the hospital with terminal cancer. The client expresses acceptance of impending death and states, I am very satisfied with the life I had.

The nurse recognizes the client is in Erikson's stage of psychosocial development known as which of the following?

a. Integrity vs. Despair
b. Autonomy vs. Shame and Doubt
c. Intimacy vs. Isolation
d. Identity vs. Identity Diffusion

Question 2

Which of the following represents the role of the nurse in helping a client reframe a potentially incapacitating sense of self into one with more hope and broader options when faced with a health-related difficulty?

a. They can take a passive approach.
b. They can negate potential possibilities.
c. They can focus on personal weaknesses.
d. They can reframe the client's sense of self.

carolinefletcherr · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

ANS: A
In this stage, the focus is the meaning of life and worth. It includes acceptance of growing limitations while maintaining a maximum productivity. Expression of acceptance of certitude of death as well as satisfaction with one's contributions to life are also characteristics of this stage. Autonomy versus Shame and Doubt occurs during the toddler stage of development. Intimacy versus Isolation occurs during the young adult stage. Identity versus Identity Diffusion occurs during adolescence.

Answer to Question 2

ANS: D
When life throws a health-related curve ball, nurses play a critical role in helping clients reframe a potentially incapacitating sense of self into one with more hope and broader options. They can help clients revisit personal strengths, consider new possibilities, incorporate new information, and seek out appropriate resources as a basis for making good clinical decisions and taking constructive actions. Even a nurse's supportive presence can give a client a reason to hope.