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. Stimulation methods may be used to engage the child's senses, but they are not primarily focused on keeping the child safe during a procedure like a lumbar puncture.
B. Therapeutic hugging can provide comfort and emotional support but may not directly address the safety needs of the child during the procedure.
C. Distraction methods, such as providing toys, games, or music, help divert the child's attention away from the procedure, reducing anxiety and promoting a sense of safety.
D. Therapeutic touch can be comforting but may not specifically address safety concerns during the procedure.

A. Enriched bread B. White beans C. Fortified cereal D. Spinach

Correct Answer is B

Explanation

A. Enriched bread may contain some calcium, but it's not as rich a source as other options.
B. White beans are a good source of calcium, which is important for bone health in preschoolers.
C. Fortified cereal may contain added calcium, but it may not be as naturally rich as other food sources.
D. While spinach contains calcium, it also contains oxalates, which can inhibit calcium absorption, making it a less effective source of dietary calcium.

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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 preparing a child and his family for a lumbar puncture. Which would be a primary intervention instituted to keep the child safe?

Correct Answer is C

Explanation

Which food suggestion would be most appropriate for the mother of a preschooler to ensure an adequate intake of calcium?

Correct Answer is B

Explanation

A nurse is providing care to a newborn. The nurse suspects that the newborn is developing sepsis based on which assessment finding?

The nurse observing toddlers in a daycare center notes that they may be happy and pleasant one moment and overreact to limit setting the next minute by throwing a tantrum. What is the focus of the toddler's developmental task that is driving this behavior?

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?

The nurse is counseling parents of a picky eater on how to promote healthy eating habits in their child. Which intervention would be appropriate advice?

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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The school nurse is teaching parents about the effects of bullying on school children. What accurately describes this developmental concern?