The parents of a 4-year-old ask the nurse when their child will be able to differentiate right from wrong and develop morals. What would be the best response of the nurse?
“The preschooler is developing a conscience."
"The preschooler's morals are his or her own, right or wrong."
"The preschooler sees morality as internal to self."
“The preschooler has no sense of right and wrong."
The Correct Answer is A
A. “The preschooler is developing a conscience": This response acknowledges the ongoing development of morality in preschoolers. During the preschool years, children begin to
internalize rules and develop a sense of right and wrong, guided by their emerging conscience. They may start to show guilt or remorse when they do something wrong and may seek approval from adults.
B. "The preschooler's morals are his or her own, right or wrong": While preschoolers are
beginning to form their own sense of morality, it is not accurate to suggest that their morals are inherently right or wrong. Rather, they are in the process of learning and developing moral understanding.
C. "The preschooler sees morality as internal to self": This statement highlights the emerging understanding of morality as an internal guide for behavior. Preschoolers begin to recognize that certain actions are considered right or wrong, although their understanding may still be somewhat egocentric.
D. “The preschooler has no sense of right and wrong": This statement is incorrect. Preschoolers do start to develop a sense of right and wrong, although their understanding may be limited and influenced by their stage of cognitive and moral development.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Controls impulsive feelings: Preschoolers are still developing their ability to control impulses. While they may begin to understand the concept of rules and consequences, complete control over impulsive feelings is not typically expected at this stage.
B. Expresses need for privacy: Preschoolers may begin to show a growing awareness of privacy but may not consistently express this need or fully understand its implications. This is more commonly seen in older children and adolescents.
C. Builds a collection of cards: Building a collection of cards is not a typical developmental task for preschoolers. While they may engage in collecting objects, the items they collect are often related to their interests and may vary widely.
D. Participates in imaginary play: Imaginary play is a significant aspect of preschoolers' development. They often engage in make-believe scenarios, role-playing, and using objects symbolically to represent other objects. This type of play fosters creativity, social skills, and cognitive development in preschool-aged children.

Correct Answer is A
Explanation
A. Myelination of the brain and spinal cord is a continuous process that begins during fetal development and continues through childhood and adolescence. While significant myelination
occurs during infancy and toddlerhood, it is not complete by 24 months. However, substantial progress in myelination does occur during the toddler years, contributing to the development of motor and cognitive skills.
B. Alveoli reach adult numbers by 3 years of age. This statement is incorrect. Alveoli continue to develop and increase in number after birth, reaching adult numbers around adolescence, not by 3 years of age.
C. Urine output in a toddler typically averages approximately 30 mL/hour. This statement is incorrect. Toddlers typically have higher urine output rates than adults due to their smaller
bladder capacity and higher metabolic rate. The average urine output for a toddler is around 1-2 mL/kg/hour, which varies depending on factors such as hydration status and activity level.
D. Toddlers typically have strong abdominal muscles by the age of 2. This statement is incorrect. While toddlers may develop some abdominal muscle strength through activities such as walking and climbing, their muscle tone and strength are still developing and may not be as strong as in older children or adults.
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