A nurse has accepted a position on a pediatric unit and is learning about psychosocial development. Place Erikson's stages of psychosocial development in order from birth to adolescence. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

A. A client requests extra blankets when the thermostat in the room indicates 25.6° C (78° F): This behavior does not necessarily indicate delirium. It could be a response to feeling cold or a preference for additional warmth. While it may warrant further assessment, it is not a classic manifestation of delirium.

B. A client wants to know the current time while there is a clock on the wall: Asking about the time does not specifically indicate delirium. The client may simply want confirmation or may not have noticed the clock on the wall. This behavior is more likely related to memory or orientation than delirium.

C. A client refuses to get out of bed and has no motivation to attend to daily hygiene: This behavior may be concerning and could indicate depression or another mental health issue, but it is not a classic manifestation of delirium. Delirium typically involves acute changes in mental status, including confusion, disorientation, and fluctuating levels of consciousness.

D. A client attempts to climb out of bed and repeatedly states she must get home: This behavior is indicative of delirium. Attempting to leave the bed or facility and expressing a strong desire to go home, especially when it is not feasible or safe to do so, is a classic manifestation of delirium. Delirium often involves confusion, agitation, and impaired judgment, leading the individual to act in ways that are out of character or irrational.

A. Negative Chvostek's sign: Chvostek's sign is a clinical sign of hypocalcemia, characterized by twitching of the facial muscles elicited by tapping over the facial nerve. A negative Chvostek's sign means that there is no twitching response, which is expected in individuals with normal calcium levels or hypercalcemia. Therefore, a preschooler with a calcium level of 8.0 mg/dL would likely not exhibit a negative Chvostek's sign.

B. Polyuria: Polyuria, or increased urine output, is not typically associated with hypocalcemia. Instead, it may be seen in conditions such as diabetes mellitus or diabetes insipidus, which affect water balance and urine production.

C. Dry, sticky mucous membranes: Dry, sticky mucous membranes are not characteristic findings of hypocalcemia. Instead, hypocalcemia may manifest with symptoms such as numbness or tingling around the mouth, hands, and feet; muscle cramps; and seizures. Mucous membrane changes are not typically specific to calcium levels.

D. Muscle tremors: Muscle tremors are a common manifestation of hypocalcemia. Low calcium levels can lead to increased neuromuscular irritability, resulting in muscle twitching or tremors. Other neuromuscular symptoms of hypocalcemia may include muscle cramps, tetany (prolonged muscle spasms), and seizures. Therefore, a preschooler with a calcium level of 8.0 mg/dL is more likely to exhibit muscle tremors as a result of hypocalcemia.