The nurse is performing a cognitive assessment on a 16-year-old client. Which behaviors demonstrated will the nurse identify as middle formal operational, according to Piaget's theory? Select all that apply.
Wanting their friends to visit them in the hospital more than their parents
Being very concerned with implications of the Affordable Care Act regarding healthcare benefits
Wanting to make decisions about health care independently
Difficulty understanding the implications their diagnosis might present
Reporting that he smokes marijuana occasionally.
Correct Answer : A,B,C
A. Wanting friends to visit more than parents is more indicative of this stage, as they reflect the client's interest in social relationships.
B. Being very concerned with implications of laws or regulations demonstrates abstract thinking and consideration of complex societal issues, characteristic of middle formal operational thinking.
C. Wanting to make decisions about healthcare independently reflects increasing autonomy and ability to think abstractly.
D. Difficulty understanding implications of a diagnosis may indicate cognitive limitations rather than middle formal operational thinking.
E. Reporting occasional marijuana use may indicate behavior but does not necessarily reflect cognitive development according to Piaget's theory.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E","F"]
Explanation
A. Health supervision includes optimizing the child's physical, emotional, and developmental well-being to ensure the child reaches their maximum level of functioning.
B. This involves evaluating the effectiveness and safety of the care delivered by the healthcare team and ensuring that it meets the standards and guidelines of evidence- based practice.
C. Making referrals for all healthcare needs may not be feasible or necessary for every child in a healthcare provider's office.
D. Monitoring disease incidence is part of public health surveillance but may not be a primary focus of health supervision within a healthcare provider's office.
E. Teaching parents to prevent injury is an important aspect of health supervision, promoting safety and well-being for children.
F. Providing care developed from national guidelines ensures evidence-based practice and standardization of care across healthcare settings.
Correct Answer is A
Explanation
A. Correct. Temperature instability, including fever or hypothermia, can be a sign of sepsis in newborns, as it reflects the body's response to infection.
B. Increased urinary output is not typically associated with sepsis in newborns and may have other causes, such as adequate fluid intake or renal function.
C. Wakefulness is a normal behavior in newborns and is not specific to sepsis.
D. Interest in feeding is a positive sign and indicates the newborn's responsiveness to hunger cues, but it is not specific to sepsis.
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