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NurseDive Free Nursing Practice Question
A pediatric nurse is explaining Erickson's stages to a nursing student. Which of the following behaviors would indicate a four-year-old has successfully mastered the initiative vs guilt stage?
A. Demonstrating a strong fear of making mistakes and avoiding new tasks
A strong fear of making mistakes suggests a child may be experiencing guilt rather than initiative.
B. Frequently seeking approval from adults before engaging in any activity
While seeking approval is important, excessive reliance on adult validation can indicate guilt and fear of taking initiative.
C. Preferring to play alone rather than with other children
Preferring solitary play at this age may suggest difficulty with social interactions and a lack of initiative, which is typical for this developmental stage.
D. Initiating make-believe play with peers and creating imaginative scenarios
A four-year-old who initiates make-believe play and engages in imaginative scenarios demonstrates a healthy sense of initiative, which is a hallmark of successfully mastering the initiative vs guilt stage.
This question is an excerpt from Nurse Dive's nursing test bank - Ati paediatrics Proctored Exam 1. Take the full exam now
Full Explanation
A. A strong fear of making mistakes suggests a child may be experiencing guilt rather than initiative.
B. While seeking approval is important, excessive reliance on adult validation can indicate guilt and fear of taking initiative.
C. Preferring solitary play at this age may suggest difficulty with social interactions and a lack of initiative, which is typical for this developmental stage.
D. A four-year-old who initiates make-believe play and engages in imaginative scenarios demonstrates a healthy sense of initiative, which is a hallmark of successfully mastering the initiative vs guilt stage.
Similar Questions
A nurse is assessing a 3 year-old-child at a routine wellness checkup. Which of the following findings should the nurse expect?
A. Has a vocabulary of 1,500 words
A vocabulary of 1,500 words is more characteristic of a 5-year-old; by age 3, a child usually has a vocabulary of about 200 to 1,000 words.
B. Skips and hops on one foot
Skipping and hopping on one foot typically develops around ages 4 to 5, so it would not be expected of a 3-year-old.
C. Walks backwards heel to toe
Walking backwards heel to toe is a skill that develops later, generally around age 4 or 5, rather than being typical at age 3.
D. Stands on one foot for a few seconds
A 3-year-old typically can stand on one foot for a few seconds, demonstrating developing balance and coordination skills that are characteristic of this age group.
Full Explanation
A. A vocabulary of 1,500 words is more characteristic of a 5-year-old; by age 3, a child usually has a vocabulary of about 200 to 1,000 words.
B. Skipping and hopping on one foot typically develops around ages 4 to 5, so it would not be expected of a 3-year-old.
C. Walking backwards heel to toe is a skill that develops later, generally around age 4 or 5, rather than being typical at age 3.
D. A 3-year-old typically can stand on one foot for a few seconds, demonstrating developing balance and coordination skills that are characteristic of this age group.
A nurse is teaching parents of infants about the concept of object permanence in infants. Which statements should the nurse include in the teaching? (Select all that apply.)
A. “Object permanence is fully developed by 6 months of age.”
Object permanence starts to develop around 4 to 7 months and is not fully developed by 6 months; this statement is inaccurate.
B. "Understanding object permanence is a key milestone in cognitive development."
Understanding object permanence is indeed a significant milestone in cognitive development, indicating that the infant can comprehend that objects continue to exist even when not seen.
C. “Playing peek-a-boo can help reinforce the concept of object permanence.”
Playing peek-a-boo is an excellent way to reinforce the concept of object permanence, as it helps infants learn that people or objects can reappear after being hidden.
D. “Before developing object permanence, infants believe that objects cease to exist when out of sight."
Before developing object permanence, infants do think that objects cease to exist when out of sight, which demonstrates their cognitive limitations at that stage.
E. "Object permanence typically begins to develop around 12 months of age.”
Object permanence typically begins to develop around 4 to 7 months, not at 12 months, making this statement incorrect.
Full Explanation
A. Object permanence starts to develop around 4 to 7 months and is not fully developed by 6 months; this statement is inaccurate.
B. Understanding object permanence is indeed a significant milestone in cognitive development, indicating that the infant can comprehend that objects continue to exist even when not seen.
C. Playing peek-a-boo is an excellent way to reinforce the concept of object permanence, as it helps infants learn that people or objects can reappear after being hidden.
D. Before developing object permanence, infants do think that objects cease to exist when out of sight, which demonstrates their cognitive limitations at that stage.
E. Object permanence typically begins to develop around 4 to 7 months, not at 12 months, making this statement incorrect.
A nurse in a pediatric clinic is caring for a child who has iron deficiency anemia and a new prescription for ferrous sulfate tablets. Which of the following instructions should the nurse provide the parents regarding administration of this medication?
A. Administer at bedtime.
Administering iron at bedtime may not be ideal as it can cause gastrointestinal discomfort and should be monitored.
B. Give with orange juice.
Giving ferrous sulfate with orange juice is recommended because vitamin C enhances the absorption of iron, making the treatment more effective.
C. Give with a 240 mL (8 oz) glass of milk.
Milk can inhibit the absorption of iron, so it should not be given with iron supplements.
D. Administer at mealtimes.
While administering at mealtimes can help with tolerance, it’s more effective to give it with vitamin C for better absorption.
Full Explanation
A. Administering iron at bedtime may not be ideal as it can cause gastrointestinal discomfort and should be monitored.
B. Giving ferrous sulfate with orange juice is recommended because vitamin C enhances the absorption of iron, making the treatment more effective.
C. Milk can inhibit the absorption of iron, so it should not be given with iron supplements.
D. While administering at mealtimes can help with tolerance, it’s more effective to give it with vitamin C for better absorption.