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 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.

A. asymmetrical movement B. bruising over area C. edema present D. facial grimacing with movement E. positive Babinski reflex

Correct Answer is ["A","B","C","D"]

Explanation

A. Asymmetrical movement may indicate discomfort or restricted mobility due to a fractured clavicle.
B. Bruising over the area of the clavicle may suggest trauma and could be associated with a fracture.
C. Edema (swelling) over the fractured clavicle may be present due to inflammation and tissue injury.
D. Facial grimacing with movement could indicate pain or discomfort associated with a fractured clavicle.
E. A positive Babinski reflex is unrelated to a fractured clavicle and would not be directly assessed for this condition.

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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

The nurse is providing teaching about accidental poisoning to the family of a 3-year-old. The nurse understands that a child of this age is at increased risk of accidental ingestion due to which sensory alteration?

Correct Answer is D

Explanation

A macrosomic infant in the newborn nursery is being observed for a possible fractured clavicle. For which would the nurse assess? Select all that apply.

Correct Answer is ["A","B","C","D"]

Explanation

The parents of a 5-year-old are concerned that their son is too short for his age. The nurse measures the child's height at 40 in (101.6 cm). How should the nurse respond?

A neonate is diagnosed with Erb's palsy after birth. The parents are concerned about their neonate's limp arm. The nurse explains the neonate will be scheduled to receive what recommended treatment for this condition first?

The nurse is consulting with a child life specialist (CLS) to help minimize the stress of hospitalization for a child. Which services would the CLS provide? Select all that apply.

The nurse is conducting a well-child examination of a 5-year-old girl, who was 40 in tall at her last examination at age 4. Which height measurement would be within the normal range of growth expected for a preschooler?

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A large portion of the nurse's efforts is dedicated to health supervision for children who use the facility as their primary medical contact. At which facility does the nurse work?

The nurse is caring for a 5-year-old girl posttonsillectomy. The girl looks out the window and tells the nurse that it is raining and says. The sky is crying because it is sad that my throat hurts." The nurse understands that the girl is demonstrating which mental process?