NCLEX · Growth and Development

According to Erikson's theory, what is the primary developmental task of a toddler (ages 1-3)?

Correct answer

Autonomy vs. Shame and Doubt

  1. A Autonomy vs. Shame and Doubt
  2. B Trust vs. Mistrust
  3. C Industry vs. Inferiority
  4. D Initiative vs. Guilt

Why this is the answer

Erik Erikson's psychosocial stages identify AUTONOMY vs. SHAME AND DOUBT as the primary conflict of toddlerhood (approximately ages 1-3). During this stage the child is developing a sense of personal control and independence. Key behaviors include: insisting on doing things independently ('me do it'); negativism and oppositional behavior ('no'); parallel play (alongside but not yet cooperative with peers); developing self-feeding, walking, and early language skills. Nursing implications: encourage independence within safe limits; offer limited, simple choices ('Do you want the red cup or the blue cup?'); avoid shaming the child for accidents or failures; recognize that toddler negativism is developmentally normal. TRUST vs. MISTRUST is the infant stage (birth to 18 months) — centered on whether the caregiver is reliable and nurturing. INITIATIVE vs. GUILT is the preschool stage (ages 3-6) — the child explores purpose and pursues goals. INDUSTRY vs. INFERIORITY is the school-age stage (ages 6-12) — centered on competence and achievement. LPN/LVNs are expected to understand normal developmental milestones to recognize deviations and provide anticipatory guidance to families. Toddler safety concerns include: choking hazards (foods must be cut small, small toys avoided), falls, poisoning (medications must be locked away), drowning (never leave unattended near water).
Source: NCLEX-PN Test Plan: Health Promotion — Growth and Development

Practice more questions

This question is from our NCLEX Practice Tests practice test. Take the full practice test to test your knowledge across all Growth and Development and other topics.

Take the PN: Health Promotion and Maintenance practice test →

About this topic: Growth and Development

Growth and development questions cover developmental milestones from infancy to adolescence, Erikson's stages, and the anticipatory guidance an LPN/LVN gives parents at each age. This is one of 13 PN: Health Promotion and Maintenance questions on growth and development, each with a full explanation on a single study page.

New to this exam? Our NCLEX exam guide explains the format, scoring, and how to prepare.

Related questions

State-specific guides

Need information for your state? Our state guides cover local requirements, fees, and what to expect on exam day.