A nurse is assisting in the care of a client who has a long-term suprapubic catheter in place and is eager to learn how to care for the catheter. The nurse recognizes that a child in which of the following psychosocial developmental stages may be ready for this education?
Autonomy vs. Shame and Doubt
Trust vs. Mistrust
Initiative vs. Guilt
Industry vs. Inferiority
The Correct Answer is D
A. Autonomy vs. Shame and Doubt. This stage (ages 1–3 years) is when toddlers begin to assert independence by making simple choices and attempting self-care. However, they lack the cognitive ability and motor skills to manage a suprapubic catheter independently.
B. Trust vs. Mistrust. This stage (birth to 1 year) focuses on developing trust in caregivers. Infants are entirely dependent on others for care and are not developmentally capable of learning catheter care.
C. Initiative vs. Guilt. This stage (ages 3–6 years) involves children exploring their environment and developing a sense of initiative. While they may be curious, they are not developmentally ready to take responsibility for complex self-care tasks like catheter maintenance.
D. Industry vs. Inferiority. This stage (ages 6–12 years) is when children develop a sense of competence and responsibility. They are eager to learn new skills, follow instructions, and take part in their own care, making this the appropriate stage for teaching suprapubic catheter care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Collect data on physical examination. The first priority in managing a suspected head injury is assessing the adolescent's neurological status, airway, breathing, circulation, and level of consciousness. A physical examination helps determine the severity of the injury and guides further interventions.
B. Administer pain medication to the adolescent. While pain management is important, administering medication before assessing neurological status could mask symptoms of worsening intracranial pressure, making it difficult to monitor changes in the adolescent’s condition.
C. Notify the adolescent's primary care provider. Informing the provider is necessary, but it should be done after an initial assessment to provide accurate information about the adolescent’s condition and guide appropriate interventions.
D. Collect a detailed past medical history. While medical history is valuable, it is not the immediate priority in an emergency. The primary concern is assessing the adolescent’s current condition to determine if there are signs of increased intracranial pressure or other serious complications.
Correct Answer is B
Explanation
A. Frequent assessments of blood glucose levels. While hypothyroidism can affect metabolism, levothyroxine does not typically require frequent blood glucose monitoring unless the client has diabetes or another metabolic condition.
B. Routine monitoring of thyroid-stimulating hormone (TSH) levels. TSH is the primary indicator used to assess whether levothyroxine dosage is effective. Routine TSH monitoring ensures that thyroid hormone levels remain within the target range, preventing complications such as under-treatment (persistent hypothyroid symptoms) or over-treatment (hyperthyroid symptoms like palpitations and weight loss).
C. Regular monitoring of blood pressure. While thyroid dysfunction can affect blood pressure, routine BP monitoring is not the primary focus of hypothyroidism management unless the client has additional risk factors for hypertension.
D. Continuous monitoring of body temperature. Hypothyroidism can cause cold intolerance, but continuous body temperature monitoring is not necessary unless the client is at risk for severe hypothyroidism complications such as myxedema coma.
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