A nurse is assessing the psychosocial development of a toddler following a tonsillectomy. Which of the following findings is a manifestation of this following?
Imaginary playmates
Negative behaviors characterized by the need for autonomy
Demonstrations of sexual curiosity
Erikson's stage of initiative versus guilt
The Correct Answer is B
A. Imaginary playmates are more typical in preschool-aged children and relate to imaginative play, which is not specific to the toddler stage.
B. Negative behaviors characterized by the need for autonomy are common in toddlers, reflecting Erikson's stage of autonomy versus shame and doubt. Toddlers assert independence, often leading to negative behaviors as they test boundaries.
C. Demonstrations of sexual curiosity typically begin in the preschool years and are not characteristic of toddler psychosocial development.
D. Erikson's stage of initiative versus guilt applies to preschool-aged children, who begin to assert power and control through directing play and other social interactions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Obtaining a detailed history is a critical first step to understand the context of the injuries, which may then lead to further actions based on the findings.
B. Asking a psychiatrist to talk with the parents might be helpful, but it is not the first step in managing suspected abuse.
C. Reporting suspected abuse to the authorities is a mandatory action for healthcare providers in cases where child abuse is suspected. However, it should be done after taking a detailed history to understand the context of the injuries.
D. Separating the child from the parents may be necessary in some cases but should be done under the guidance of authorities to ensure proper procedure and safety.
Correct Answer is A
Explanation
A. Placing the child in an upright position helps to maintain an open airway and ease breathing, which is crucial in suspected cases of epiglottitis.
B. Transporting the child to radiology for a throat x-ray could exacerbate the condition by increasing anxiety and causing airway obstruction.
C. Visualizing the epiglottis with a tongue depressor can cause a reflex laryngospasm and complete airway obstruction, which is dangerous in epiglottitis.
D. Obtaining a throat culture is contraindicated as it can provoke laryngospasm and worsen airway obstruction.
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