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 ["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.

A. Ask other Asians to explain their culture. B. Hire an interpreter to explain the family culture. C. Just ask the family about their culture and listen. D. Research the culture and base care on findings.

Correct Answer is C

Explanation

A. Assuming all Asians have the same culture is a generalization and may not accurately represent the specific cultural background of the family in question.
B. Hiring an interpreter may be helpful for language translation but may not provide insights into the nuances of the family's cultural beliefs and practices.
C. Directly engaging with the family and listening to their perspectives allows for a better understanding of their specific cultural beliefs and preferences.
D. While research can provide valuable information, direct communication with the family is essential for truly understanding their cultural needs and preferences.

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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 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 nurse is performing a cultural assessment of an Asian family that has a child hospitalized for leukemia. What is the best technique for providing culturally competent care for this family?

Correct Answer is C

Explanation

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