You are observing a 70-year-old patient. Which statement would indicate to you that the patient has achieved the developmental stage of ego integrity? Select all that apply.

According to Erik Erikson's psychosocial theory, the final stage of development is ego integrity versus despair, which typically occurs in late adulthood. Ego integrity is achieved when an individual looks back on life with a sense of fulfillment, acceptance, and wisdom — feeling that their life had meaning and purpose. The statement 'I learned quite a bit from so many experiences' reflects a positive acceptance of both successes and challenges, viewing life's events as meaningful learning opportunities rather than regrets. The statement 'I had a successful career and marriage' reflects satisfaction and pride in major life accomplishments, which aligns with achieving ego integrity. In contrast, the statements 'My family tells me I'm an angry old person,' 'There's so much I should have done with my life,' and 'I wish I could redo some parts of my life' all reflect unresolved regret, bitterness, and a sense that life lacked meaning — these are characteristic of despair, the opposite pole of this developmental stage. Despair emerges when individuals feel they have not lived a meaningful life and fear that it is too late to make changes. Distinguishing ego integrity from despair requires recognizing that acceptance of the whole life experience — including imperfections — is central to achieving this final developmental milestone.