4. An adolescent client, admitted for depression due to peer pressures and substance use, is unable to contract for safety. A nurse should recognize that this client is in Erikson's developmental stage of:
Test-Taking Tip
Eliminate Answers 2 and 3 because, according to Erikson, these are not the developmental levels of an adolescent. Eliminate Answer 4 because this is not a developmental level related to Erikson or any other theorist.
Content Area: Mental Health, Child Health, Growth and Development; Integrated Process: Nursing Process, Assessment; Cognitive Level: Application; Client Need/Subneed: Psychosocial Integrity/Mental Health Concepts
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Answer 1 is correct because the adolescent develops intense concern over peer influences and is at risk for developing role diffusion (e.g., acting out with substance abuse). Answer 2 is incorrect because this is a developmental level reflecting later childhood. Answer 3 is incorrect because this is a developmental level experienced by the young adult. Answer 4 is incorrect as this is not a level described by Erikson.