A nurse is caring for an infant whose caregiver comforts them as soon as they cry. The nurse should identify that the client is experiencing which of the following stages of Erikson's theory of psychosocial development?
Trust vs. Mistrust
Autonomy vs. Shame and Doubt
Identity vs. Role Confusion
Integrity vs. Despair
The Correct Answer is A
Choice A reason : Trust vs. Mistrust.The stage of Trust vs. Mistrust is the first stage of Erikson's theory of psychosocial development, occurring from birth to approximately 18 months of age. In this stage, the infant is uncertain about the world and looks towards their primary caregiver for stability and consistency of care. If the caregiver is reliable, consistent, and nurturing, the child will develop a sense of trust, believing that the world is safe and that people are dependable and affectionate. This sense of trust allows the child to feel secure even when threatened and extends into their other relationships, maintaining their sense of security amidst potential threats.
Choice B reason : Autonomy vs. Shame and Doubt.The stage of Autonomy vs. Shame and Doubt is the second stage of Erikson's theory, spanning the toddler years from 18 months to three years. In this stage, toddlers begin to assert their independence by making choices and taking control over their actions. Success in this stage leads to feelings of autonomy, while failure results in feelings of shame and doubt. However, this stage is not applicable to the scenario described, as it involves an infant, not a toddler.
Choice C reason : Identity vs. Role Confusion.Identity vs. Role Confusion is the fifth stage, occurring during the teen years from 12 to 18. This stage is characterized by the exploration of personal identity and the development of a sense of self. The scenario provided does not pertain to an adolescent, so this stage is not relevant to the infant's experience.
Choice D reason : Integrity vs. Despair.The stage of Integrity vs. Despair is the eighth and final stage of Erikson's theory, occurring in older adulthood from 65 to death. This stage involves reflecting on one's life and either concluding it with a sense of integrity and fulfillment or with a sense of despair over a life misspent. This stage is not applicable to the infant described in the scenario.
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Correct Answer is B
Explanation
Choice A reason : Determining the success of coping strategies is an important part of the nursing process, but it is not the first step when caring for a client experiencing grief. The initial step should be to assess the client's current state, including their grieving process, before evaluating the effectiveness of past coping strategies.
Choice B reason : Establishing whether the client's grieving is healthy or complicated is the first action the nurse should take according to the nursing process. This assessment helps to identify the client's needs and guides the subsequent planning of care. Healthy grieving is a natural response to loss, whereas complicated grief may require more intensive intervention and support.
Choice C reason : Developing client-specific goals and outcomes is a crucial part of the nursing process but should come after the nurse has established a clear understanding of the client's grieving process. Goals and outcomes should be based on the initial assessment and tailored to the client's individual situation.
Choice D reason : Incorporating the treatment into the client's care is part of the implementation phase of the nursing process. This step occurs after the nurse has assessed the client, established goals, and planned interventions. Treatment should be based on a thorough understanding of the client's grieving process.
Correct Answer is D
Explanation
The correct answer is: d. Formal operational
Choice A: Concrete operational
During the concrete operational stage, which typically occurs between the ages of 7 and 11, children develop logical thinking skills. They begin to understand the concept of conservation, the idea that quantity remains the same despite changes in shape or appearance. However, their thinking is still very concrete and tied to tangible objects and real events. Abstract thinking is not yet developed at this stage.
Choice B: Sensorimotor
The sensorimotor stage spans from birth to about 2 years of age. In this stage, infants learn about the world through their senses and actions. They develop object permanence, the understanding that objects continue to exist even when they cannot be seen, heard, or touched. Abstract thinking does not occur in this stage as infants are focused on immediate sensory experiences and motor activities.
Choice C: Preoperational
The preoperational stage occurs between the ages of 2 and 7. During this stage, children begin to engage in symbolic play and learn to manipulate symbols, but they do not yet understand concrete logic. Their thinking is still egocentric, meaning they have difficulty seeing things from perspectives other than their own. Abstract thinking is not a characteristic of this stage.
Choice D: Formal operational
The formal operational stage begins around age 12 and continues into adulthood. This stage is characterized by the development of abstract thinking and hypothetical reasoning. Individuals in this stage can think about abstract concepts, consider possible outcomes and consequences of actions, and use systematic ways to solve problems. This stage marks the emergence of scientific reasoning and the ability to think about abstract ideas.
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