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
Explanation
A. Acknowledging the child's fear and helping her develop coping strategies is a supportive approach to address the fear of cats and dogs.
B. Avoiding the playground may reinforce the fear rather than helping the child overcome it.
C. Forcing the child to face her fears may exacerbate her anxiety and is not recommended.
D. Minimizing the child's fears and insisting that she go to the park may invalidate her feelings and increase her distress.
Correct Answer is D
Explanation
A. Hearing is not directly related to the risk of accidental ingestion.
B. Touch is not typically involved in the identification of substances for ingestion.
C. Visual acuity plays a role in identifying substances but may not directly influence the risk of accidental ingestion.
D. At the age of 3, children may have a less discriminating sense of taste, making them more likely to put potentially harmful substances in their mouths.
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