Psychiatric Assessment and Fundamentals Q 2
Nurse Tony was caring for a 41-year-old female client. Which behavior by the client indicates adult cognitive development?
A. Generates new levels of awareness.
B. Assumes responsibility for her actions.
C. Has maximum ability to solve problems and learn new skills.
D. Her perception is based on reality.
Correct Answer: A. Generates new levels of awareness
An adult age 31 to 45 generates a new level of awareness. Two forms of intelligence—crystallized and fluid—are the main focus of middle adulthood. Our crystallized intelligence is dependent upon accumulated knowledge and experience—it is the information, skills, and strategies we have gathered throughout our lifetime. This kind of intelligence tends to hold steady as we age—in fact, it may even improve. For example, adults show relatively stable to increasing scores on intelligence tests until their mid-30s to mid-50s (Bayley & Oden, 1955). Fluid intelligence, on the other hand, is more dependent on basic information-processing skills and starts to decline even prior to middle adulthood. Cognitive processing speed slows down during this stage of life, as does the ability to solve problems and divide attention. However, practical problem-solving skills tend to increase. These skills are necessary to solve real-world problems and figure out how to best achieve the desired goal.
Option B: During early adulthood, cognition begins to stabilize, reaching a peak around the age of 35. Early adulthood is a time of relativistic thinking, in which young people begin to become aware of more than simplistic views of right vs. wrong. They begin to look at ideas and concepts from multiple angles and understand that a question can have more than one right (or wrong) answer.
Option C: The need for specialization results in pragmatic thinking—using logic to solve real-world problems while accepting contradiction, imperfection, and other issues. Finally, young adults develop a sort of expertise in either education or career, which further enhances problem-solving skills and the capacity for creativity.
Option D: Since Piaget’s theory, other developmental psychologists have suggested a fifth stage of cognitive development, known as postformal operational thinking (Basseches, 1984; Commons & Bresette, 2006; Sinnott, 1998). In postformal thinking, decisions are made based on situations and circumstances, and logic is integrated with emotion as adults develop principles that depend on contexts. This kind of thinking includes the ability to think in dialectics, and differentiates between the ways in which adults and adolescents are able to cognitively handle emotionally charged situations.