A 6-year-old child is showing behaviors such as excessive handwashing and reluctance to use the bathroom independently. According to Freud’s psychosexual theory, fixation at which stage is most likely contributing to these behaviors?
Phallic stage
Oral stage
Latency stage
Anal stage
The Correct Answer is D
Choice A reason: The phallic stage (ages 3–6) involves focus on genital awareness and resolving the Oedipus/Electra complex. This stage does not explain compulsive cleanliness or bathroom avoidance.
Choice B reason: The oral stage (birth–1 year) relates to feeding and oral gratification. Fixation here leads to dependency or oral habits such as smoking, not excessive handwashing.
Choice C reason: The latency stage (ages 6–12) emphasizes social development, friendships, and learning rather than obsessive cleanliness. It does not explain the observed behaviors.
Choice D reason: The anal stage (ages 1–3) centers around toilet training and control over elimination. Fixation here may cause compulsive behaviors like cleanliness, orderliness, or avoidance of bathroom-related tasks, making it the best explanation for the child’s behavior.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This describes tactile hallucinations, a false sensory experience, not a delusion of reference.
Choice B reason: This reflects a persecutory delusion, where the client believes they are being harmed or targeted, not a delusion of reference.
Choice C reason: This illustrates an auditory hallucination with command-type voices, not a delusion of reference.
Choice D reason: Believing that unrelated environmental cues (like a song) carry special, hidden meaning specifically for the client is the hallmark of a delusion of reference.
Correct Answer is ["B","D","E"]
Explanation
Choice A reason: Sharing personal loss shifts the focus away from the patient, which is not therapeutic. Self-disclosure in this way can hinder supportive communication.
Choice B reason: Suggesting a grief support group acknowledges the patient’s feelings while offering a constructive coping resource. It validates distress and provides support.
Choice C reason: Leaving the patient when they are emotionally vulnerable conveys abandonment instead of support, which is not therapeutic.
Choice D reason: Normalizing grief as a process that takes time offers reassurance without minimizing the client’s emotions. It helps the patient understand that healing is gradual.
Choice E reason: Encouraging the patient to share coping strategies promotes expression of feelings and helps the nurse assess adaptive versus maladaptive coping mechanisms.
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