A nurse is caring for an 11-month-old toddler who has been hospitalized for 10 days. After the toddler's mother leaves the room, the nurse observes the toddler sitting quietly in the corner of the crib, sucking her thumb. When the nurse approaches the crib, the toddler turns away from the nurse. The nurse should understand that these behaviors indicate which of the following developmental reactions?

Developing autonomy

Regression

Resentment toward the mother

An anxiety reaction

Answer and Explanation

The Correct Answer is B

Incorrect:

A. Developing autonomy:

Rationale: Developing autonomy typically involves a toddler's exploration of their environment and assertion of independence. While seeking comfort in familiar behaviors like thumb-sucking can be a part of autonomy development, the behavior described in the scenario is more indicative of regression, which involves returning to earlier, more infantile behaviors rather than progressing towards independence.

B. Regression:

Rationale: Regression refers to reverting to behaviors characteristic of an earlier stage of development. In this scenario, the toddler's behavior of sitting quietly in the corner of the crib and sucking her thumb, as well as turning away from the nurse, suggests a regression to earlier comforting behaviors that are typical of younger infants. This regression may be a response to the stress and anxiety of being hospitalized and separated from the mother, seeking comfort in familiar behaviors.

C. Resentment toward the mother:

Rationale: There is no evidence in the scenario to suggest resentment toward the mother. The toddler's behavior of seeking comfort in thumb-sucking and turning away from the nurse is more indicative of distress or regression in response to the hospitalization and separation from the mother rather than directed resentment toward her.

D. An anxiety reaction:

Rationale: The toddler's behavior of sitting quietly in the corner of the crib, sucking her thumb, and turning away from the nurse suggests a response to stress or anxiety rather than an anxiety reaction per se. While anxiety may be a component of the toddler's emotional state, the behavior aligns more closely with regression as a coping mechanism in response to the stressors of hospitalization and separation from the mother.

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Free Nursing Study Resources

Correct Answer is A,B,C,D,E

Explanation

Here is the correct order of Erikson's stages of psychosocial development from birth to adolescence:

A. Trust vs. mistrust

B. Autonomy vs. shame and doubt

C. Initiative vs. guilt

D. Industry vs. inferiority

E. Identity vs. role confusion

A. Safety plan B. Behavioral contract C. Dialectical behavior therapy D. Bibliotherapy

Correct Answer is C

Explanation

C. Dialectical behavior therapy (DBT):

Rationale: This is the correct intervention. Dialectical behavior therapy (DBT) is a type of psychotherapy that is specifically designed to treat borderline personality disorder (BPD). It focuses on teaching clients skills to manage their emotions, improve relationships, and cope with distressing situations effectively. Including DBT in the discharge plan for a client with BPD can help them continue their therapeutic progress after leaving the hospital or clinical setting.

Incorrect:

A. Safety plan:

Rationale: While a safety plan may be appropriate for some clients with borderline personality disorder, it is not specific to DBT and may not address the broader range of issues that DBT aims to target. Safety plans typically focus on identifying triggers for self-harm or suicidal ideation and outlining steps for managing crises, whereas DBT encompasses a more comprehensive approach to managing emotions and behaviors.

B. Behavioral contract:

Rationale: Behavioral contracts are agreements between individuals and their treatment providers that outline specific behaviors, consequences, and rewards. While behavioral contracts may be used as part of a comprehensive treatment plan for clients with BPD, they do not specifically address the skills-based approach of DBT.

D. Bibliotherapy:

Rationale: Bibliotherapy involves the use of written materials, such as self-help books or educational resources, to support therapeutic goals. While reading materials may complement DBT and other therapeutic approaches, bibliotherapy alone is not considered a primary intervention for treating borderline personality disorder.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A,B,C,D,E

Explanation

A nurse is planning discharge for a client who has borderline personality disorder. Which of the following interventions should be included for this client?

Correct Answer is C

Explanation

A nurse is providing teaching to a parent of a child who has Hirschsprung disease is scheduled for initial surgery. Which of the following statements by the parent indicates an understanding of the teaching?

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A charge nurse is discussing suicide interventions with nursing staff. Which of the following should the nurse identify as an example of secondary Intervention?

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A nurse is caring for a client who has severe manifestations of schizophrenia and is medicated PRN for agitation with haloperidol. The nurse should assess the client for which of the following adverse effects?

A nurse is assessing a preschooler. Which of the following findings should indicate to the nurse a need for speech therapy? (Select all that apply.)

A nurse is preparing to assist with applying a cast to a preschooler's arm. Which of the following actions should the nurse take?

A nurse caring for a client who has depression observes the client comes to breakfast freshly bathed, wearing clean clothes, and with combed and styled hair. Which of the following responses by the nurse is therapeutic?