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 C
Explanation
Choice A reason: While silence may sometimes convey understanding, its primary therapeutic purpose in communication is to allow the patient time to think or reflect, not simply to indicate understanding.
Choice B reason: Prolonged silence may cause withdrawal in some patients, but this is not the guiding principle in therapeutic communication. The focus should be on the value of reflection.
Choice C reason: Silence provides the patient with opportunities for reflection and processing of thoughts and emotions. It encourages deeper expression and supports therapeutic dialogue.
Choice D reason: The nurse is not always responsible for breaking silence. Sometimes allowing the patient to break the silence themselves is more therapeutic and empowering.
Correct Answer is A
Explanation
Choice A reason: This response acknowledges the patient’s feelings without confirming or denying the delusion. It helps establish trust while maintaining therapeutic communication. By focusing on the patient’s underlying concern, it avoids reinforcing the delusional content.
Choice B reason: Stating that the CIA is prohibited in health care facilities engages with the delusion, which is non-therapeutic because it validates the false belief.
Choice C reason: Redirecting away from the delusion may seem dismissive and does not address the patient’s immediate feelings of fear or concern. This could cause the patient to feel unheard.
Choice D reason: Telling the patient they have “lost touch with reality” is confrontational and could increase defensiveness. It is not supportive or therapeutic in building rapport.
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