Page 573 - Saunders Comprehensive Review For NCLEX-RN

d. Physiological changes often

have an impact on self-concept and
body image.
e. Physiological concerns include stress,
level of wellness, and the formation of
positive health habits.
3. Cognitive changes
a. Person may be interested in learning
new skills.
b. Person may become involved in
educational or vocational programs for
entering the job market or for changing
careers.
4. Psychosocial changes

a. Changes may include expected

events, such as children moving away
from home (postparental family stage),
or unexpected events, such as the
death of a close friend.
b. Time and financial demands decrease
as children move away from home,
and couples face redefining their
relationship.
c. Adults may become grandparents.
d. Adults are achieving generativity.
5. Sexuality
a. Many couples renew their relationships
and find increased marital and sexual
satisfaction.
b. The onset of menopause and climacteric
may affect sexual health.
c. Stress, health, and medications can
affect sexuality.
H. Later adulthood (period between 65 years and death): Refer to
Chapter 19.
XII. Gender Dysphoria Across the Life Span
A. The following section was adapted from Keltner, Steele (2015),
pp. 371-372, DSM-5 Criteria
B. Children
1. Description: An incongruence between one’s
experienced and expressed gender and assigned
gender of a duration of at least 6 months and at least
two of the following assessment findings; results in
clinically significant distress in social, school, or other
important areas of functioning.

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