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    Health and wellness (Pediatrics III) Examplify MCPHS college proctored exam
    Select All That Apply

    The nurse is evaluating a 30-month-old client. Which data would indicate to the nurse that the child is meeting tasks according to Erikson's Stages of Psychosocial Development? Select all that apply.

    Explanation & Rationale

    Choice A rationale This behavior aligns with Erikson's stage of Autonomy versus Shame and Doubt (18 months to 3 years, which includes 30 months). Frequent use of "no" and expressing willfulness, such as stomping one's foot, is characteristic of toddlers striving for independence and self-control. Successfully navigating this stage results in the virtue of Will, demonstrating a sense of self separate from the caregiver. Choice B rationale Limited interaction with siblings or peers is not a typical indicator of psychosocial success in the toddler stage. While toddlers often engage in parallel play rather than cooperative play, complete isolation or lack of interaction could suggest a potential developmental delay or issue rather than a positive mastery of the Autonomy versus Shame and Doubt stage. Choice C rationale Being quiet when parents leave the room is not a normal sign of appropriate psychosocial development in a 30-month-old. Separation anxiety is still common, and a typical toddler reaction to parental absence often involves protest, crying, or searching, which are signs of attachment, rather than being quietly compliant. Choice D rationale Achieving success in toilet training is a major task in the toddler stage (Autonomy versus Shame and Doubt). Smiling in response to this success demonstrates a positive sense of self-control, mastery, and autonomy, reinforcing the development of the virtue of Will, which is the successful outcome of this stage of psychosocial development. Choice E rationale Crying when the mother leaves the room is known as separation anxiety, which is developmentally normal but is more prominent in infancy (Trust versus Mistrust) and early toddlerhood. While it can still occur at 30 months, achieving autonomy and self-control, rather than relying on caregiver presence, is the primary developmental task. Choice F rationale Responding when called by name is a language and cognitive milestone typically achieved much earlier, usually within the first year of life (infancy, Trust versus Mistrust stage), and is not the primary psychosocial task for a child in the Autonomy versus Shame and Doubt stage (18 months to 3 years). —.

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