A nurse is planning home care for a school-age child who is awaiting discharge to home following an acute asthma attack.
Which of the following growth and development stages according to Erikson should the nurse consider in the planning?
Autonomy vs. shame and doubt.
Identity vs. role confusion.
Initiative vs. guilt.
Industry vs. inferiority.
The Correct Answer is D
Choice A rationale
Autonomy vs. shame and doubt is the stage for toddlers, where children learn to assert their independence and autonomy. This stage doesn't apply to school-age children.
Choice B rationale
Identity vs. role confusion is the stage for adolescents, where they explore different roles and integrate them into their identity. This is beyond the scope of school-age children.
Choice C rationale
Initiative vs. guilt applies to preschool children, where they begin to assert power and control through directing play and other social interactions. School-age children have moved
past this stage.
Choice D rationale
Industry vs. inferiority is the stage for school-age children according to Erikson's theory. In this stage, children develop a sense of pride and competence in their skills and abilities
through school and social interactions.
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Correct Answer is C
Explanation
Choice A rationale
Performing ROM exercises can cause stress on the infant's developing bones and muscles and is not the priority for spina bifida.
Choice B rationale
Feeding through an NG tube is not necessary unless the infant has feeding difficulties related to spina bifida.
Choice C rationale
Placing the infant in a prone position prevents pressure on the lesion, reducing the risk of injury and infection.
Choice D rationale
Covering the lesion with a dry cloth can cause the area to dry out and is not recommended; sterile, moist dressings are preferred.
Correct Answer is B
Explanation
Choice A rationale
Feet size variations are typically not a focus in adolescent development comparisons between genders.
Choice B rationale
Height differences are significant during puberty, with boys often experiencing growth spurts at different times compared to girls.
Choice C rationale
Eyesight differences are not a common developmental comparison between adolescent boys and girls.
Choice D rationale
Speech development differences exist but are not typically a focal point of peer comparison during adolescence.