CCRN Critical Care Nursing

Category - Pediatrics

A mother brings her 26 month-old to the well-child clinic. She expresses frustration due to her baby’s constantly saying "NO" and his refusal to follow her directions. The nurse explains this is normal for his age, as negativism is attempting to meet which developmental need:
  1. independence
  2. initiative
  3. self-esteem
  4. role confusion
Explanation
Answer: A - According to Erick Erikson’s developmental theory, toddlers struggle to assert independence. They often use the word “no” even when they mean yes. This stage is called autonomy vs. shame and doubt.
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