Practice Quiz

NCLEX-PN

Category - Psychosocial Integrity

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The nurse is caring for a 2-year-old boy who is undergoing a series of gentle manipulations and casting due to clubfoot of the left foot. To accomplish the developmental task of this stage, the following nursing actions are appropriate except:
  1. Instructing the child’s parents to choose which toys should the child play with to ensure safety
  2. Allowing the child to select his jellybean out of the container
  3. Having the child choose his clothes before taking a bath
  4. Encouraging the parents to schedule outdoor play
Explanation
Answer: A - In toddlers, the developmental task is learning autonomy versus shame or doubt. The nurse should encourage the child’s parents to provide opportunities for decision-making, such as offering choices of toys to play with and clothes to wear. Failure to resolve the conflict enforces a sense of shame and doubt.
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