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?
"I like to collect rocks.”.
"I really want to do well in school.”.
"I can do simple math problems in my head.”.
"My parents set rules that I need to follow.”. .
The Correct Answer is A
Choice A rationale
Collecting objects like rocks reflects the interest in categorizing and organizing, which aligns with the industry vs. inferiority stage for school-age children.
Choice B rationale
Wanting to do well in school also fits with the industry vs. inferiority stage, where children gain pride from achieving tasks and being competent.
Choice C rationale
Doing simple math problems in one's head indicates cognitive development but doesn't directly align with the psychosocial development focus.
Choice D rationale
Following rules set by parents is important, but it's more about conforming to authority rather than indicating psychosocial development specific to industry vs. inferiority.
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Correct Answer is B
Explanation
Choice A rationale
Learning to use creative energies relates to the initiative vs. guilt stage, aimed at preschool children, where they begin asserting power and control over their world through play and social interactions.
Choice B rationale
Defining a sense of self is a task during the identity vs. role confusion stage in adolescence. Adolescents work on discovering who they are by exploring beliefs, values, and goals to create a consistent and unique identity.
Choice C rationale
Building a sense of trust is a task during the trust vs. mistrust stage of infancy. Infants need reliable caregiving to develop trust in their environment and the people around them.
Choice D rationale
Learning to perform tasks independently occurs in the autonomy vs. shame and doubt stage, which is observed in toddlers. This stage is about children gaining confidence in their abilities to perform basic tasks on their own.
Correct Answer is B
Explanation
Choice A rationale
Headache could indicate various conditions but is not immediately life-threatening post-surgery. It may be due to medication or anesthesia but is not the priority.
Choice B rationale
Altered level of consciousness (LOC) is a critical finding. It may indicate complications such as hemorrhage, fat embolism, or hypoxia, which require urgent assessment and intervention.
Choice C rationale
Muscle spasms can be a common symptom post-surgery due to pain or positioning. While they need management, they do not take precedence over LOC changes.
Choice D rationale
An oral temperature of 37.7°C is slightly elevated but not alarming. It may be due to the body's normal inflammatory response post-surgery.