C7 - NUR1023C Exam 1 latest 2026 update
/verified solu on
Trust vs. Mistrust
Occurs from Birth to 18 months; Erikson's 1st stage of Development; Caregiver must provide
basic needs. To resolve this stage needs must be met.
Birth to 6 months old
Makes reflex movements like sucking and startling.
I should remove extra blankets, toys, and pillows from my baby's crib
A nurse is teaching about crib safety with the parent of a newborn. Which of the following
statements by the client indicates understanding of the teaching?
Ini,a,ve vs. Guilt
Age: 3-6 years old; Child explores the world and their abili,es; Posi,ve reinforcement leads
to a sense of purpose.
A,B,C,E
Clapping, offering praise, and giving rewards are all posi,ve reinforcements that are likely to
increase desired behavior(s). Time-out is a type of nega,ve punishment used to discourage
unwanted behavior.
Which of the following would be examples of posi,ve reinforcers? (Select all that apply.)
A. Clapping for a child who successfully used the toilet
B. Offering praise for a child who behaved in a store
C. Taking a child to the playground a5er a posi,ve teacher report
D. Placing a child in ,me-out for misbehavior.
E. S,ckers for posi,ve play with peers.
Autonomy vs. Shame and Doubt
Age: 18 months - 3 years; Erikson's 2nd stage of Development; Child strive to make decisions
for themselves; Providing guidance, safety and security; Overly restric,ve parents will cause
the child to feel shame and doubt in their own abili,es
,C. Allowing the child limited choices
The toddler's need for autonomy can best be supported by allowing the child choices within
limits. Parents consistently meet the child's needs during the infant period. In later
developmental stages, imagina,ve play is encouraged, and experimenta,on is promoted to
determine cause and effect.
How is the toddler's need for autonomy best met?
A. The parents' consistently mee,ng the child's needs
B. Encouraging imagina,ve play
C. Allowing the child limited choices
D. Promo,ng experimenta,on to determine cause and effect
3-6 years old
A child having an imaginary friend or companion is perceived as normal at this age/stage of
childhood development; Should be encouraged.
Iden,ty vs. role confusion
Age: 12-18 years; Erikson's 5th Stage of Development; Teens develop of sense of who they
are (individuality); Decisions about their educa,on/career choices along with physical
changes occur at this stage. If needs are not met at this stage self doubt emerges.
Suicide
Between ages 12-19 (adolescents); _______________ may be the result of feelings of
inadequacy, depression over bullying or breaking up with a boyfriend or girlfriend, or mental
illness; _____________ is more common in this age group because their impulse control has
not fully developed; thus, they may act on an impulse without considering the
consequences.
Industry vs. Inferiority
Age: 6-12 years; Erikson's 4th Stage of Development; Refining previously acquired skills and
developing a peer social network; Develops a sense of self-worth based on accomplishments
while avoiding feelings of failure.
C. Iden,ty vs. role confusion
Ra,onale: This child's statement indicates a struggle to establish a sense of iden,ty, which is
characteris,c of the iden,ty vs. role confusion stage. The in,macy vs. isola,on stage is
characterized by establishing in,mate bonds of love and friendship. Looking back over one's
life and accep,ng its meaning are observed in the ego integrity vs. despair stage of
,psychosocial development. The genera,vity vs. stagna,on stage is seen in middle adulthood,
where fulfilling life goals that involve family, career, and society plays an important role.
A 13-year-old child states, "I don't know if I want to go to college or start working a5er high
school." Which stage of psychosocial development is indicated by this child's uncertainty?
A. In,macy vs. isola,on
B. Ego integrity vs. despair
C. Iden,ty vs. role confusion
D. Genera,vity vs. stagna,on
6-12 years old
Child is now entering school, bones lengthening and slimming down. Children start
par,cipa,ng more frequently in sports and ac,vi,es.
In,macy vs. Isola,on
Age: 18-40; Erikson's 6th Stage of Development; Young adults have achieved a sense of
iden,ty and have set a path for where they are going. The main task of this phase is to
develop an in,mate and trus,ng rela,onship with another person (Physical and emo onal
in macy); People who fail at developing such a rela,onship may retreat into isola,on.
18-40 years old
At which age would assessment of lifestyle including sensi,ve issues such as sexual
orienta,on, safe-sex prac,ces, sexually transmiFed diseases (STDs), pregnancy preven,on,
domes,c and in,mate partner violence, and substance use and abuse be appropriate?
In,mate Partner Violence
Any violence occurring between in,mate partners who are living together or separated.
B, D
Screening for domes,c violence with all pa,ents and asking about abuse will help iden,fy
pa,ents who may be vic,ms. Calling the police is a step that may be taken when abuse is
confirmed but is not a step in iden,fying vic,ms. Taking this step will be decided on with the
involvement of both health care providers and the pa,ent. Asking for proof may cause the
vic,m to mistrust the health care provider. Never disregard a report of abuse. Abusers o5en
are related to or married to the vic,m.
Which step(s) can nurses and health care providers take to remove barriers to iden,fying
and trea,ng vic,ms of domes,c violence? (Select all that apply.)
A. Call the police.
B. Ask about abuse.
, C. Ask for proof of domes,c violence.
D. Screen for domes,c violence with all pa,ents.
E. Disregard reported abuse in spouses.
Genera,vity vs. Stagna,on
Age: 40-65; Erikson's 7th Stage of Development; More concerned with leaving behind a
legacy that'll con,nue a5er their death; If the person fails to grow during this phase, the
result may be stagna,on with self-absorp,on (egocentric behavior) and self-indulgence.
Depression
How many ,mes do you get up too urinate at night and how much? When was your last
prostate exam?
For men aged 40-65, what are some important ques,ons to ask during a health assessment?
Respite Care
Provides parents and other caregivers with short-term child care services that offer
temporary relief, improve family stability, and reduce the risk of abuse or neglect. Important
for the "Sandwich Genera on".
Integrity vs. Despair
Age: 65-Death; It is either they are happy with their life, or they are upset about it? Person
reviews life events and accepts the finality of death.
True
T or F: Many older adults are s,ll sexually ac,ve, so as a nurse you should counsel and
educate on safe sex prac,ces.
Polypharmacy (1)
____________ is defined as the simultaneous use of mul,ple drugs by a single pa,ent, for
one or more condi,ons.
Polypharmacy (2)
_______________ is a primary cause for delirium, it is important for the nurse to thoroughly
assess the pa,ent's medica,on list. As a nurse it may be helpful to educate the member to
keep RX's filled with the same pharmacy for fill history and RX log.
C. Giving grades and gi5s for sa,sfactory performances.
Ra,onale: During the psychosocial development of school-age children, reinforcement in the
form of grades, material rewards, addi,onal privileges, and recogni,on provides
encouragement and s,mula,on. A sense of accomplishment also involves the ability to
/verified solu on
Trust vs. Mistrust
Occurs from Birth to 18 months; Erikson's 1st stage of Development; Caregiver must provide
basic needs. To resolve this stage needs must be met.
Birth to 6 months old
Makes reflex movements like sucking and startling.
I should remove extra blankets, toys, and pillows from my baby's crib
A nurse is teaching about crib safety with the parent of a newborn. Which of the following
statements by the client indicates understanding of the teaching?
Ini,a,ve vs. Guilt
Age: 3-6 years old; Child explores the world and their abili,es; Posi,ve reinforcement leads
to a sense of purpose.
A,B,C,E
Clapping, offering praise, and giving rewards are all posi,ve reinforcements that are likely to
increase desired behavior(s). Time-out is a type of nega,ve punishment used to discourage
unwanted behavior.
Which of the following would be examples of posi,ve reinforcers? (Select all that apply.)
A. Clapping for a child who successfully used the toilet
B. Offering praise for a child who behaved in a store
C. Taking a child to the playground a5er a posi,ve teacher report
D. Placing a child in ,me-out for misbehavior.
E. S,ckers for posi,ve play with peers.
Autonomy vs. Shame and Doubt
Age: 18 months - 3 years; Erikson's 2nd stage of Development; Child strive to make decisions
for themselves; Providing guidance, safety and security; Overly restric,ve parents will cause
the child to feel shame and doubt in their own abili,es
,C. Allowing the child limited choices
The toddler's need for autonomy can best be supported by allowing the child choices within
limits. Parents consistently meet the child's needs during the infant period. In later
developmental stages, imagina,ve play is encouraged, and experimenta,on is promoted to
determine cause and effect.
How is the toddler's need for autonomy best met?
A. The parents' consistently mee,ng the child's needs
B. Encouraging imagina,ve play
C. Allowing the child limited choices
D. Promo,ng experimenta,on to determine cause and effect
3-6 years old
A child having an imaginary friend or companion is perceived as normal at this age/stage of
childhood development; Should be encouraged.
Iden,ty vs. role confusion
Age: 12-18 years; Erikson's 5th Stage of Development; Teens develop of sense of who they
are (individuality); Decisions about their educa,on/career choices along with physical
changes occur at this stage. If needs are not met at this stage self doubt emerges.
Suicide
Between ages 12-19 (adolescents); _______________ may be the result of feelings of
inadequacy, depression over bullying or breaking up with a boyfriend or girlfriend, or mental
illness; _____________ is more common in this age group because their impulse control has
not fully developed; thus, they may act on an impulse without considering the
consequences.
Industry vs. Inferiority
Age: 6-12 years; Erikson's 4th Stage of Development; Refining previously acquired skills and
developing a peer social network; Develops a sense of self-worth based on accomplishments
while avoiding feelings of failure.
C. Iden,ty vs. role confusion
Ra,onale: This child's statement indicates a struggle to establish a sense of iden,ty, which is
characteris,c of the iden,ty vs. role confusion stage. The in,macy vs. isola,on stage is
characterized by establishing in,mate bonds of love and friendship. Looking back over one's
life and accep,ng its meaning are observed in the ego integrity vs. despair stage of
,psychosocial development. The genera,vity vs. stagna,on stage is seen in middle adulthood,
where fulfilling life goals that involve family, career, and society plays an important role.
A 13-year-old child states, "I don't know if I want to go to college or start working a5er high
school." Which stage of psychosocial development is indicated by this child's uncertainty?
A. In,macy vs. isola,on
B. Ego integrity vs. despair
C. Iden,ty vs. role confusion
D. Genera,vity vs. stagna,on
6-12 years old
Child is now entering school, bones lengthening and slimming down. Children start
par,cipa,ng more frequently in sports and ac,vi,es.
In,macy vs. Isola,on
Age: 18-40; Erikson's 6th Stage of Development; Young adults have achieved a sense of
iden,ty and have set a path for where they are going. The main task of this phase is to
develop an in,mate and trus,ng rela,onship with another person (Physical and emo onal
in macy); People who fail at developing such a rela,onship may retreat into isola,on.
18-40 years old
At which age would assessment of lifestyle including sensi,ve issues such as sexual
orienta,on, safe-sex prac,ces, sexually transmiFed diseases (STDs), pregnancy preven,on,
domes,c and in,mate partner violence, and substance use and abuse be appropriate?
In,mate Partner Violence
Any violence occurring between in,mate partners who are living together or separated.
B, D
Screening for domes,c violence with all pa,ents and asking about abuse will help iden,fy
pa,ents who may be vic,ms. Calling the police is a step that may be taken when abuse is
confirmed but is not a step in iden,fying vic,ms. Taking this step will be decided on with the
involvement of both health care providers and the pa,ent. Asking for proof may cause the
vic,m to mistrust the health care provider. Never disregard a report of abuse. Abusers o5en
are related to or married to the vic,m.
Which step(s) can nurses and health care providers take to remove barriers to iden,fying
and trea,ng vic,ms of domes,c violence? (Select all that apply.)
A. Call the police.
B. Ask about abuse.
, C. Ask for proof of domes,c violence.
D. Screen for domes,c violence with all pa,ents.
E. Disregard reported abuse in spouses.
Genera,vity vs. Stagna,on
Age: 40-65; Erikson's 7th Stage of Development; More concerned with leaving behind a
legacy that'll con,nue a5er their death; If the person fails to grow during this phase, the
result may be stagna,on with self-absorp,on (egocentric behavior) and self-indulgence.
Depression
How many ,mes do you get up too urinate at night and how much? When was your last
prostate exam?
For men aged 40-65, what are some important ques,ons to ask during a health assessment?
Respite Care
Provides parents and other caregivers with short-term child care services that offer
temporary relief, improve family stability, and reduce the risk of abuse or neglect. Important
for the "Sandwich Genera on".
Integrity vs. Despair
Age: 65-Death; It is either they are happy with their life, or they are upset about it? Person
reviews life events and accepts the finality of death.
True
T or F: Many older adults are s,ll sexually ac,ve, so as a nurse you should counsel and
educate on safe sex prac,ces.
Polypharmacy (1)
____________ is defined as the simultaneous use of mul,ple drugs by a single pa,ent, for
one or more condi,ons.
Polypharmacy (2)
_______________ is a primary cause for delirium, it is important for the nurse to thoroughly
assess the pa,ent's medica,on list. As a nurse it may be helpful to educate the member to
keep RX's filled with the same pharmacy for fill history and RX log.
C. Giving grades and gi5s for sa,sfactory performances.
Ra,onale: During the psychosocial development of school-age children, reinforcement in the
form of grades, material rewards, addi,onal privileges, and recogni,on provides
encouragement and s,mula,on. A sense of accomplishment also involves the ability to
