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. Surgery may be considered in severe cases or if conservative treatments fail, but it is not typically the first-line treatment for Erb's palsy.
B. Immobilization may be part of the treatment plan in some cases, but it is usually accompanied by physical therapy rather than being the sole treatment.
C. Physical therapy is often the initial treatment for Erb's palsy, focusing on gentle stretching exercises, range of motion activities, and strengthening exercises to improve muscle function and joint mobility.
D. While Erb's palsy may improve over time for some infants, early intervention with physical therapy is generally recommended to optimize outcomes and prevent long- term complications.

A. The mother rarely looks at her infant when the nurse is assessing the child. B. The mother voices pride in the academic accomplishments of her 7-year-old child. C. The mother utilizes the correct size of infant car seat for her 3-month-old child. D. The mother asks if the nurse has suggestions on ways to potty train her toddler. E. The mother becomes very frustrated and tells the nurse she can't handle her toddler's temper tantrum.

Correct Answer is ["A","D","E"]

Explanation

A. The mother is experiencing multiple stressors that may affect her parenting abilities and emotional well-being. She may show signs of depression, such as lack of interest, detachment, irritability, or hopelessness.
B. Voicing pride in the academic accomplishments of her child suggests is highly unlikely. She will not be engaged with her children.
C. Utilizing the correct size of infant car seat is a basic safety measure and may not necessarily indicate the impact of recent stressors on parenting behaviors.
D. This is a possible effect of stress, as the mother may be more likely to seek help or advice from others due to her feeling overwhelmed and incompetent as a parent. Asking for suggestions is a way of showing openness, curiosity, and learning, which are important for the parent's growth and adaptation.
E. Becoming very frustrated and expressing difficulty handling her toddler's temper tantrum may be indicative of increased stress and reduced coping abilities due to recent stressors.

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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.

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

A mother of three brings her children in for their vaccinations. The mother tells the nurse that her mother recently died and her husband just lost his job due to his company downsizing. Which parenting behaviors is the nurse likely to observe? Select all that apply.

Correct Answer is ["A","D","E"]

Explanation

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