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Erikson's Psychosocial StagesNCLEX cheat sheet

Erikson described 8 psychosocial stages across the lifespan, each with a developmental conflict that must be resolved for healthy ego development.

15 key facts 3 practice questions Reviewed Oct 2026
The 1-minute sheetCinnaRN

Early

  • Infant — Trust vs Mistrust
  • Toddler — Autonomy vs Shame
  • Preschool — Initiative vs Guilt

School/Teen

  • School-age — Industry vs Inferiority
  • Adolescent — Identity vs Role confusion

Adult

  • Young adult — Intimacy vs Isolation
  • Middle — Generativity vs Stagnation
  • Older — Integrity vs Despair
Key takeaway

Infant (0-1 yr) faces Trust vs Mistrust; consistent caregiving builds hope and trust.

Before you read

Test yourself first: 3 questions

Question 1 of 3

According to Erikson, which psychosocial task is the central developmental challenge for a toddler between 1 and 3 years of age?

What is erikson's psychosocial stages?

Successful resolution builds a virtue; failure leads to difficulty in later stages. Memory aid: Try Always Inviting Interesting Individuals Into Good Discussions (Trust, Autonomy, Initiative, Industry, Identity, Intimacy, Generativity, Integrity).

Key points to remember

  • Infant (0-1 yr) faces Trust vs Mistrust; consistent caregiving builds hope and trust.
  • Toddler (1-3 yr) faces Autonomy vs Shame/Doubt; toilet training and saying 'no' build will.
  • Preschool (3-6 yr) faces Initiative vs Guilt; play and curiosity build purpose.
  • School-age (6-12 yr) faces Industry vs Inferiority; accomplishment and peer comparison build competence.
  • Adolescent (12-18 yr) faces Identity vs Role Confusion; peer groups and self-concept build fidelity.
  • Young adult faces Intimacy vs Isolation, middle adult Generativity vs Stagnation, older adult Integrity vs Despair (life review).

Nursing priorities

  1. Provide consistent caregivers and routines for infants to foster trust.
  2. Allow toddlers safe choices and autonomy during care (which arm for the injection).
  3. Encourage school-age children to complete tasks and praise effort to build industry.
  4. Support adolescents' need for privacy, peer contact, and identity exploration.
  5. Facilitate life review and reminiscence with older adults to promote ego integrity.

Patient teaching

  • Tailor explanations to the child's stage: concrete and play-based for preschoolers, fact-based and privacy-respecting for adolescents.
  • Encourage parents to allow age-appropriate independence rather than doing everything for the child.

Red flags: report now

  • Regression in a hospitalized child (loss of toilet training, thumb-sucking) signals stress and needs support, not punishment.
  • Older adult expressing hopelessness or that life was meaningless during life review may indicate despair and depression risk; assess for suicide.

References

Clinical references for this topic

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