A nurse is assessing the psychosocial development of a toddler. The nurse should recognize that this stage is characterized by which of the following?

Imaginary playmates

Negative behaviors characterized by the need for autonomy

Demonstrations of sexual curiosity

Erikson's stage of initiative versus guilt

Answer and Explanation

The Correct Answer is B

a. Imaginary playmates are more common in the preschool years, typically around ages 3 to 5, rather than during the toddler stage.

b. Toddlers are in Erikson's stage of autonomy versus shame and doubt. During this stage, they strive for independence and autonomy, often exhibiting negative behaviors such as saying "no" frequently as they assert their independence. They are often in the stage of asserting their independence, leading to behaviors like tantrums, stubbornness, and defiance.

c. Sexual curiosity is more commonly seen in preschool and school-age children, not typically in toddlers.

d. This stage applies to preschool-aged children (approximately 3 to 6 years old), where they begin to assert power and control over their environment through directing play and other social interactions.

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Correct Answer is C

Explanation

A. It’s usually best to build trust and rapport first with non-invasive assessments. Starting with a potentially uncomfortable procedure like looking in the ears may cause distress and make the rest of the exam more difficult.

B.Examining the tympanic membrane before the head and neck might still be too early in the assessment and could cause the child to become uncooperative for subsequent steps. If the child becomes upset, it could complicate the rest of the physical exam, making it harder to complete.

C.Performing the ear examination at the end allows the nurse to build trust and rapport throughout the visit. The child is less likely to become distressed too early in the exam, which helps maintain cooperation for as long as possible.If the child does become upset, it is at the end of the visit, and the more critical assessments have already been completed.

D.If the ear exam causes distress, it may make the child uncooperative for important assessments like auscultating the heart and lungs.

A. Walks backwards heel to toe B. Stands on one foot for a few seconds C. Skips and hops on one foot D. Has a vocabulary of 1500 words

Correct Answer is B

Explanation

At the age of 3, children typically start to develop better balance and coordination. They may be able to stand on one foot for a short period of time, although their ability to maintain balance may vary.

Walking backward heel to toe, skipping, and hopping on one foot are typically achieved around the age of 4-5 years.

As for vocabulary, a 3-year-old child may have a vocabulary of approximately 300-500 words, although the exact number can vary. A vocabulary of 1500 words is more commonly seen in older children.

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A nurse is assessing the psychosocial development of a toddler. The nurse should recognize that this stage is characterized by which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is B

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