MCN REVIEWER PDF
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This document discusses various theories of growth and development, including those by Sigmund Freud and Erik Erikson. It covers different stages of development, the major question, and the basic virtues associated with each stage. Examples of nurse assessments and interventions are also included.
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MCN REVIEWER Erogenous: bowel and bladder - conflict: toilet training Growth and development - developing this control leads to Sigmund Freud- Theories focus on a sense of accomplishment libido...
MCN REVIEWER Erogenous: bowel and bladder - conflict: toilet training Growth and development - developing this control leads to Sigmund Freud- Theories focus on a sense of accomplishment libido and independence - positive experience: Levels of consciousness competent, productive and Id (instincts) creative adults - demands immediate - messy, wasteful or destructive satisfaction personality - pleasure principle - fixation: obsession with - center of wants on primal cleanliness, sexual anxiety desires - born with it Phallic (3-6 yrs) - entirely unconscious Erogenous: genitals - children begin to discover the differences bet males and Ego (reality) females. - conscious self, controls the - OEDIPUS COMPLEX- feelings pleasure principle of the id by of wanting to possess the delaying the instincts mother and desire to replace - rationality the father - wants to be accepted in the - ELECTRA COMPLEX- a similar real world set of feelings experienced by - moderator bet ID and young girls. SUPEREGO - fixation: difficulty with intimate relationship Superego (morality) Latency (6-puberty) - conscience or parental value Erogenous: Sexual feelings are system. inactive - sense of right and wrong - superego continues to develop - moral aspects of personality while the id’s energies are - standards of judgements suppressed. - Children develop social skills, Freud’s Psychosexual values and relationships with Oral Stage (birth - 1yr) the peers and adults outside Erogenous: Mouth the family. - tasting and sucking - begins around when the child - conflict: weaning process enters school and becomes - oral fixation: drinking, eating, more concerned with peer smoking or nail-biting relationships, hobbies, and other interests. Anal Stage (1-3 yrs) - fixation: immaturity and Major Question: “how can I be good?” inability to form fulfilling basic virtue: COMPETENCE relationships as an adult. important event: SCHOOL Genital stage (puberty- death) IDENTITY VS. CONFUSION (12-18 Erogenous zone: Maturing sexual yrs) interest Major Question: “Who am I?” - develops a strong sexual basic virtue: FIDELITY interest in the opposite sex important event: SOCIAL - begins during puberty but lasts RELATIONSHIP throughout the rest of the person’s life. INTIMACY VS. ISOLATION (19-40 yrs) Major Question: “will I be loved or will Erikson’s Psychosocial Developmental I be alone?” Theory basic virtue: love - 8 stages describes growth and important event: romantic change throughout life, relationships focusing on social interaction and conflicts that arise during GENERATIVITY VS. STAGNATION different stages of (40-65 yrs) development. Major Question: “How can I contribute to the world” TRUST VS. MISTRUST (birth - 1yr) basic virtue: care major question: “ Can I trust the important event: parenthood and work people around me?” Basic virtue: HOPE INTEGRITY VS. DESPAIR (65+ yrs. old Important event: FEEDING - death) Major Question:”Did I live a AUTONOMY VS. SHAME AND meaningful life?” DOUBT basic virtue: Wisdom (1-3 yrs) important event: Reflecting back on Major Question:” Can I do things life myself? / Am I reliant on the help of others?” 1. Synonymous to speech; best basic virtue: WILL indicator of intellect important event: TOILET TRAINING -> LANGUAGE 2. Sway-back INITIATIVE VS GUILT (3-5 yrs) -> LORDOSIS Major Question: “ Am I good or bad?” 3. Most influential cognitive basic virtue: PURPOSE development important event: EXPLORATION , -> Jean Piaget PLAY 4. Final stage of Jean; increase in logic INDUSTRY VS. INFERIORITY -> FORMAL OPERATIONAL 5. Child is fearful and nervous 19. Relationship develops social when away from home relationship; productivity -> SEPARATION ANXIETY increases 6. Behavior that attempts to hurt -> INDUSTRY VS INFERIORITY -> AGGRESSION 20. At what stage recognize 7. Most unstable; personal identity differences in skin color -> ADOLESCENCE STAGE -> PRESCHOOL 8. Group would have the most 21. Concerned about self-image in tendency for earring disorder reacting to pain -> ADOLESCENTS -> SCHOOL AGE 9. Evaluating 2-yr old; nurse 22. May take several years expects -> CAREER DECISIONS -> USES A CUP TO DRINK 23. When should infant start walking 10. 16-yr old hospitalized; -> 22 MONTHS appropriate intervention 24. Nurse is planning to care for a -> TELL FRIENDS TO VISIT 18-mos old; child care include THE CHILD -> ENCOURAGE TO EAT 11. Assessing 6-mos; normal 25. Assessing 4-mos; nurse development skill anticipates -> SITS ALONE -> HOLD A RATTLE 12. 6-yr old doesn’t recognize 26. Similar set of feelings; penis objects outside; what nursing envy intervention -> ELECTRA COMPLEX -> REPORT TO HEALTH PRACTITIONER 13. 3rd stage (Initiative vs. Guilt) success will make the children -> CAPABLE TO LEAD OTHERS 14. Identity vs. Confusion basic virtue -> FIDELITY 15. Major question of middle adulthood -> HOW CAN I CONTRIBUTE TO THE WORLD? 16. Major question of adolescent -> WHO AM I? 17. Appearance of average infant except -> HEART RATE SLOWS TO 120-140 18. What kind of toy for 15 mos old -> BALL AND PUFFER (?) TOYS