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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Obtaining a blood culture may be necessary in certain clinical contexts but is not the priority in this situation.
B. While kangaroo care is beneficial for newborns, it is not the priority when a newborn has a low Apgar score and may require immediate interventions.
C. Beginning resuscitative measures is the priority when a newborn has a low Apgar score at 5 minutes, as it indicates the need for interventions to support breathing and circulation.
D. Initiating IV fluid therapy may be necessary in some cases but is not the priority compared to addressing immediate resuscitative needs.

A. The nurse treats all children the same regardless of their culture. B. The nurse researches the child's culture and provides care based on the findings. C. The nurse negotiates a care plan with the child, and family. D. The nurse provides future-based care for culturally diverse children.

Correct Answer is C

Explanation

A. Treating all children the same regardless of their culture may not address the unique needs and preferences of each individual.
B. Researching the child's culture is an important aspect of cultural competence, but providing care solely based on findings may not fully address the individualized needs of the child and family.
C. Negotiating a care plan with the child and family involves collaborative decision- making and respects the cultural beliefs and values of the family.
D. Providing future-based care for culturally diverse children may not be specific to the individual needs and preferences of each child and family.

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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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A newborn has an Apgar score of 6 at 5 minutes. Which action would be the priority?

Correct Answer is C

Explanation

The nurse strives to provide culturally competent care for children in a health clinic that follows the principles of health supervision. Which nursing action reflects this type of care?

Correct Answer is C

Explanation

A nurse is caring for a 4-year-old girl. The mother says that the girl is afraid of cats and dogs and does not like to go to the playground anymore because she wants to avoid the dogs that are often being walked at the park. What should the nurse tell the mother?

The school nurse is conducting vision screening for a 7-year-old girl and documents the condition "amblyopia." What would the nurse tell the parents about this condition?

The nurse working in a community clinic attempts to establish a free vaccination program to refer low-income families. What is the key strategy for success when implementing a health promotion activity?

The nurse is helping parents prepare a healthy meal plan for their toddler. Which guidelines for promoting nutrition should be followed when planning meals? Select all that apply.

The school nurse is preparing a program on sexuality and birth control for a class of 14 to 16 year olds. Which behavior will have the most influence on how the information is presented?

The father of a 13-year-old boy reports his family has a strong history of depression. He questions screening for his son. What information should be provided by the nurse?

A small-for-gestational age infant is admitted to the observational care unit with the nursing diagnosis of ineffective thermoregulation related to lack of fat stores as evidenced by persistent low temperatures. Which are appropriate nursing interventions? Select all that apply.

The nurse is examining a 2-year-old child who was adopted from Guatemala. What would be a priority screening for this child?