Theories of Human Development: Erikson, Piaget, Kohlberg, Freud | Chapter 19 from Saunders Comprehensive Review for the NCLEX-PN Examination (7th Edition)

Theories of Human Development: Erikson, Piaget, Kohlberg, Freud | Chapter 19 from Saunders Comprehensive Review for the NCLEX-PN Examination (7th Edition)

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Welcome to Chapter 19 of the Saunders Comprehensive Review for the NCLEX-PN Examination (7th Edition) by Linda Anne Silvestri and Angela E. Silvestri. This chapter presents the core psychological and developmental theories every nurse needs to understand the growth and care of clients across the lifespan. By mastering the stages and tasks described by Erikson, Piaget, Kohlberg, and Freud, you’ll be equipped to answer NCLEX-PN questions and provide holistic, age-appropriate nursing care.

Watch the full chapter video summary below, and subscribe to Last Minute Lecture for in-depth NCLEX-PN breakdowns and theory explanations:

Erikson’s Psychosocial Development Stages

  • Eight Stages: Trust vs. Mistrust (infancy), Autonomy vs. Shame/Doubt (toddler), Initiative vs. Guilt (preschool), Industry vs. Inferiority (school-age), Identity vs. Role Confusion (adolescence), Intimacy vs. Isolation (young adult), Generativity vs. Stagnation (middle adult), Integrity vs. Despair (older adult).
  • Nursing Application: Recognize age-appropriate crises, support trust-building in infants, autonomy in toddlers, and identity in teens.

Piaget’s Theory of Cognitive Development

  • Stages: Sensorimotor (birth–2 yrs), Preoperational (2–7 yrs), Concrete Operational (7–11 yrs), Formal Operational (12+ yrs).
  • Apply strategies that match developmental capacity (e.g., use play for preschoolers, logic for school-age children).

Kohlberg’s Stages of Moral Development

  • Levels: Preconventional (obedience/punishment, individualism/exchange), Conventional (good boy/girl, law/order), Postconventional (social contract, universal ethics).
  • Anticipate moral reasoning level to shape client education and discipline approaches.

Freud’s Psychosexual Theory & Defense Mechanisms

  • Stages: Oral, Anal, Phallic, Latency, Genital.
  • Key Concepts: Id, ego, superego; unconscious drives and development.
  • Understand the role of defense mechanisms in coping with anxiety or conflict (e.g., denial, repression, regression).

Applying Developmental Theory in Nursing Care

  • Assess and address developmental milestones and normal/abnormal progress by age group.
  • Adapt teaching and discipline methods to stage of psychosocial, cognitive, and moral development.
  • Provide family education and intervention based on unique needs in infancy, childhood, adolescence, adulthood, and older age.
  • Incorporate cultural and social context into developmental assessment and care planning.

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Conclusion: Bringing Theory to Bedside Nursing Care

Chapter 19 of Saunders Comprehensive Review for the NCLEX-PN Examination (7th Edition) ensures you’re ready to recognize and support clients’ developmental needs at every life stage. By connecting theory with practical interventions, you’ll elevate your nursing care and succeed on NCLEX-PN questions involving growth and development.

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