Erik Erikson
Which response is the most therapeutic to help an older adult who is struggling to achieve her/his developmental task?
"Tell me about your past accomplishments"
Which activities would the nurse recommend to a middle age adult client to find a sense of fulfillment?
- attending church functions -becoming involved at a local hospital -volunteering to coach for a grandchild's soccer team
Place levels of development in their order of achievement?
1. Trust vs Mistrust 2. Autonomy vs Shame & Doubt 3. Initiative vs Guilt 4. Industry vs Inferiority 5. Identity vs Role Confusion 6. Intimacy vs Isolation 7. Generativity vs Self-absorption & Stagnation 8. Integrity vs Despair
Which is the correct order of a child's behavior as he/she ages?
1. child develops autonomy by making choices 2. child develops feelings of superego or conscience 3. child concentrates on work and play 4. child is concerned about appearance & body image
A person is badly disfigured by the lawnmower blade when mowing a lawn. Based on Erikson's psychosocial stages of development, which stage, at the time of injury, will be associated with the greatest risk of long-term psychological effects?
12 years old
A family member reports, he wears eccentric clothing. (what age would he most likely be?)
17 years old
According to Erikson's theory, at which age would a child develop self-control and independence?
18 months to 3 years old
Which age group is in Freud's phallic stage of psychosexual development & Erikson's psychosocial phase of initiative vs guilt?
3 to 5 years
The RN is teaching a nursing student about Erikson's theory of psychosocial development. To which age group does industry vs inferiority apply?
6 to 11 years
A client who retired a year ago says, "I don't have any hobbies or interests." (what should you do?)
Ask the client to identify past achievments
In which stage would toilet training be achieved?
Autonomy vs Shame
According to Erikson's stages of life, which is the stage of development when a child begins walking, feeding, and using the toilet?
Autonomy vs Shame & Doubt
In which stage of Erikson's theory does the child initiate self care activities?
Autonomy vs Shame & Doubt
Which stage of life does the child dressing on his/her own & self feeding belong to?
Autonomy vs Shame & Doubt
Which stage must a 3 year old accomplish?
Autonomy vs Shame & Guilt
Which member of the wedding party shows failure to meet their developmental crisis?
Bride, aged 25, abruptly leaves the church just before the marriage ceremony starts
Which school aged child is at risk for failing his developmental task?
Child B waits for his mother to finish his school science project
A 70 year old man with a history of depression has few interests since retirement. He says, "i feel useless & unneeded." Based on Erikson's psychosocial stages of development, which outcome is occuring?
Despair
According to Erikson's theory of psychosocial development, which task does the nurse recognize as the chief psychosocial task of preschoolers?
Development of a sense of initiative
Which result would the nurse anticipate when providing care to a preschooler age child who successfully completes tasks w/in this stage?
Direction & purpose
An older adult says, "I regret so many of the choices I've made during my life." Which developmental conflict has the client failed to accomplish?
Ego Integrity vs Despair
An older adult was admitted to a long term care facility for difficulties with activities of daily living. Which intervention would the nurse use to assist the client to fulfill her/his developmental task?
Engage the client in reminiscence about past achievements
Which opposing conflict would a middle aged adult face?
Generativity vs Self-absorption & Stagnation
Which parental behavior is interfering w/ a 9 year old's achievement of her/his developmental task?
Gives excessive negative feedback about quality of school project
Which would the nurse anticipate when assessing a preschool age child, according to Erikson's developmental stages?
Having highly imaginative thoughts
A person's adjustment to the period of adolescence will depend largely on the adjustment the individual made to which developmental stage?
Identity vs Role Confusion
Which developmental conflict is a college student attempting to resolve as he struggles w/ indecision about an academic major?
Identity vs Role Confusion
Which stage describes the will of an adolescent to achieve a goal?
Identity vs Role Confusion
A 10 year old child has been working on earning all of the scouting badges. Which of Erikson's stage of psychosocial development is this child achieving?
Industry
A 68 year old client with a new ileostomy remarks to the nurse, "it will be difficult for my wife to care for a helpless old man." Which conflict according to Erikson does this comment exhibit?
Integrity vs Despair
An older adult retired client tell the nurse about the great life he has lived & the activities that he enjoys at the senior center. Which developmental conflict has the client resolved?
Integrity vs Despair
Which opposing conflict is an older adult likely to face?
Integrity vs Despair
Which stage in a young adult describes the development of the sense of caring for others?
Intimacy vs Isolation
Which age group would the nurse expect to experience the initiative vs guilt stage?
Preschoolers
According to Erikson, which need would nurses focus care on for the middle-aged adult?
Productive
Which activity would the nurse encourage for a 75 year old adult?
Reflecting on past achievements w/ a sense of satisfaction
According to Erikson's psychosocial stage of development for toddlers, which safety measure would the nurse recommend to the parents?
Remove cleaning solutions & chemical from lower cabinets
According to Erikson's theory, which behavior would a toddler exhibit?
The child starts performing self-care activities
Which suggestion would the nurse make to the parent of a preschooler who is worried about ongoing conflicts w/ the child because of strict behavior standards?
You could cooperate with the child's desires w/in reason to avoid guilt & frustration for your child
Based on Erikson's theory of development, which would the nurse suggest to a mother of a toddler who harshly diciplines her child?
Your child need support and love or may develop feelings of shame & doubt.
The nurse finds that a mother severely punishes her 2 year old child. Which would the nurse advise the mother, according to Erikson's theory?
Your child needs support and love or else he/she may develop feelings of shame & doubt
Which is the similarity between the stage-crisis theory given by Havighurst & the psychosocial development theory given by Erikson?
based on developmental tasks
A nurse educates a parent about Erikson's theory. At which age would the nurse advise the parent to begin instilling a sense of trust in the child?
birth to 1 year
Which is expected by 20 years of age?
having a coherent sense of self & planning to accomplish future goals
Which statement of a client confirms that he/she has reached the intimacy vs isolation stage?
i did so much for my partner
Which of these actions can predispose an adolescent to being in a state of confusion?
if an adolescent fails to establish a sense of identity
Which statement by the client indicates autonomy vs sense of shame & doubt stage?
my kid has started to walk on his/her toes
Which nursing action would be given to an individual in the initiative vs guilt stage?
nurse should teach parents about a child's impulse control to avoid the risks of altered growth & development
Which would the nurse anticipate when assessing an adolescent?
questioning sexual identity
Which outcome will occur if an individual fails to master the maturational crisis of adolescence?
role confusion
The nurse examines a class of 7 year old students during a school health program. Which behavior would the students display?
students show an eagerness to learn social skills
Which behavior would the nurse expect a preschooler to exhibit?
the child develops a superego
Which would the nurse include in the plan of care for a young adult client who is hospitalized?
the importance of having support from the client's significant other
Mastery of which task increases a child's ability to cope w/ separation or pending separation from significant others?
trust
Which task would the nurse determine that a healthy 9 month old infant is in the process of achieving?
trust
Which behavior is consistent w/ a problem involving trust vs mistrust?
woman whose parents were chronic alcoholics has problems making friends
An 85 year old client is alert and able to participate in care. According to Erikson, which developmental stage will the client need to adjust to?
Generativity vs Stagnation
Which earlier developmental stage most strongly affects a person's adjustment to the period of senescence?
Generativity vs Stagnation
At which stage does a child start to have fantasies & an active imagination?
Initiative vs Guilt
In which stage does the nurse teach the parent about child impulse control & cooperative behaviors?
Initiative vs Guilt
In which stage would the nurse expect a preschooler to start to pretend?
Initiative vs Guilt
Which developmental conflict affects a 4 year old child?
Initiative vs Guilt
An older client states, "I've lived a good life, I don't want to die." (what stage is accomplished?)
Integrity
Which stage of Erikson's theory focuses on the needs of an infant?
Trust vs Mistrust
Which would the nurse anticipate when assessing a school age child?
- being engaged in tasks - wanting to participate in organized activities
Which does the intimacy vs isolation stage include?
- an individual develops a sense of identity & deepens his or her capacity to love others & care for them - an individual searches for meaningful friendships & intimate relationship w/ another person - an individual may develop fears, rejection, & disappointment if unable to establish companionship & intimacy
Which statement made by the client indicates the identity vs role confusion stage of Erikson's theory of psychosocial developmet?
- i like to dress like a boy even though my parents want me to dress like a girl - I want to get clear skin like my best friend - I do not want to become an engineer like my parents want me to be; I dream of becoming a pilot
Which behaviors will the nurse notice in 13 year old students?
- such students want to know Who I am? - such student show a marked preoccupation w/ body appearance
Which psychosocial development changes are observed in middle childhood?
- the child is engaged in tasks & activities - the child can differentiate between industry & inferiority
Which client's statement confirms that he/she has reached the integrity vs despair stage?
-looking back at my entire life -in the twilight of my life -now that I am at the end of the road
Which might an individual experience in Erikson's initiative vs guilt stage?
-Pretents and tries out new roles -May develop a superego or a conscience -Fantasizes and imagines discovering the environment
Which characteristics are found in an adolescent?
-adolescent is concerned about his/her appearance & body image -adolescent acquires a sense of identity by participating in decision making
Which stage would the nurse expect the middle aged client who feels unsuccessful in raising their children to have reached?
Generativity vs Self-absorption & Stagnation
Which task must a 30 year old client work through?
Intimacy vs Isolation
Which opposing conflict does a young adult face?
Intimacy vs isolation
Which statement by the client indicates initiative vs guilt stage?
My child like to fantasize & tries out new characters every day