A nurse is collecting data from a 10-year-old child during a well-child visit.
Which of the following statements by the child indicates he is meeting the psychosocial development expectations of a school-age child?

Choice A rationale

Ensuring the client's weights are hanging freely from the bed is crucial in maintaining the proper amount of traction force. This prevents complications and ensures that the traction is effective in reducing the fracture and alleviating pain.

Choice B rationale

Checking the client's bony prominences every 12 hours is important for preventing pressure ulcers and skin breakdown. However, the timing might need to be more frequent depending on the client's overall health and risk factors.

Choice C rationale

Cleansing the client's pin sites with povidone-iodine is a common practice to prevent infection. However, current guidelines often recommend alternative cleaning solutions, such as chlorhexidine, due to better evidence of efficacy.

Choice D rationale

Loosening the knots on the ropes if the client is experiencing pain can compromise the effectiveness of the traction. Adjustments should be made by a healthcare professional to ensure the correct amount of force is applied without causing additional harm.

Choice A rationale

Learning to use creative energies is associated with the initiative vs. guilt stage, typically seen in preschool-aged children. During this stage, children assert control and power over their environment through directing play and other social interactions.

Choice B rationale

Defining a sense of self pertains to the identity vs. role confusion stage, which occurs in adolescence. This stage focuses on developing a personal identity and a sense of self. Adolescents explore different roles, beliefs, and values to form a unique identity.

Choice C rationale

Building a sense of trust is linked with the trust vs. mistrust stage, experienced in infancy. In this stage, infants learn to trust their caregivers and environment if their needs are consistently met, establishing a foundation for future relationships.

Choice D rationale

Learning to perform tasks independently corresponds to the autonomy vs. shame and doubt stage, typical of toddlers. In this stage, children develop a sense of personal control over physical skills and a sense of independence.