Page 543 - Saunders Comprehensive Review For NCLEX-RN

lead to mistrust of others.
Test-Taking Strategy: Eliminate options 2, 3, and 4 because of the closed-ended
words “all,” “immediately,” and “avoid,” in these options.
Level of Cognitive Ability: Applying
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching and Learning
Content Area: Developmental Stages: Infant
Priority Concepts: Client Education; Development
Reference: McKinney et al. (2018), pp. 67, 69.

151. Answer: 1

Rationale: According to Jean Piaget’s theory of cognitive development, it is
normal for the infant or toddler not to recognize that objects continue to be in
existence if out of the visual field; however, this is abnormal for the 6-year-old. If a 6-
year-old child does not recognize that objects still exist even when outside the visual
field, the child is not progressing normally through the developmental stages. The
nurse should report this finding to the pediatrician. Options 2, 3, and 4 delay
necessary follow-up and treatment.
Test-Taking Strategy: Focus on the data in the question. Also, note the age of the
child and think about developmental concepts related to this age. Noting that the
child is not able to recognize that objects continue to be in existence, even if out of
the visual field, will direct you to the correct option. Also, note that options 2, 3, and
4 are comparable or alike and are interventions that will delay follow-up for an
abnormal observation.
Level of Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Implementation
Content Area: Developmental Stages: Preschool and School Age
Health Problem: N/A
Priority Concepts: Clinical Judgment; Development
Reference: McKinney et al. (2018), pp. 67-69.

152. Answer: 1

Rationale: In general, toilet training occurs during the anal stage. According to
Freud, the child gains pleasure from the elimination of feces and from their
retention. Option 2 relates to the oral stage. Option 3 relates to the latency period.
Option 4 relates to the phallic stage.
Test-Taking Strategy: Focus on the subject, the anal stage. Note the relationship
between the words anal in the question and toilet training in the correct option.
Level of Cognitive Ability: Applying
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching and Learning
Content Area: Development Stages: Toddler
Health Problem: N/A
Priority Concepts: Development; Health Promotion

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