The nurse is interviewing the mother of a toddler who verbalizes ...

[Kikoku]

The nurse is interviewing the mother of a toddler who verbalizes concerns that her child uses the toilet to void, but refuses to use the toilet for bowel movements, and often hides to defecate.
 
  Which stage of Freud's psychologic development is this toddler experiencing?
  1. Genital.
  2. Phallic.
  3. Anal.
  4. Latency.

Question 2

The nurse working at an assisted living facility has just counseled a client experiencing a crisis in Erickson's developmental stage of integrity versus despair. Which suggestion by the nurse would be most appropriate to assist this client?
 
  1. You should consider buying a bigger house so that your divorced son can come and live with you.
  2. You should consider getting a job to fill your time.
  3. You should organize your family photos into an album
  4. You should consider playing a sport.

[debra928]

Answer to Question 1

Correct Answer: 3
Freud's anal phase follows the oral phase and continues through age 3. The anus becomes the focus for gratification and the child experiences conflict when expectations about toileting are presented. The genital phase occurs during puberty through adulthood; the individual experiences sexual urges stimulated by hormonal influences and sexual development. The phallic phase occurs during years 4 to 6; pleasure is focused on the genital area. The latency phase occurs during years 5 to 6 when energy is focused on intellectual and physical activities and a time to work on unresolved conflicts.

Answer to Question 2

Correct Answer: 3

During the stage of integrity versus despair an individual reviews life experiences and will either feel contentment and satisfaction with life or feel sadness and a sense of loss. Reviewing life through photos and organizing them into an album may bring a sense of satisfaction to the individual. Buying a bigger house in order to help an adult child may place a financial burden on an older adult, causing resentment and dissatisfaction with life. Older adults may have physical limitations related to the normal aging process or health problems that may interfere with their abilities to work. This may actually exacerbate a sense of loss, sadness, and despair. While older adults are encouraged to remain active, playing sports may be limited in the older adult due to the normal physiologic changes that occur with aging.