A child who is able to use a systematic scientific problem-solving approach is in which of the Piaget's stages of cognitive development?
- A. Sensorimotor
- B. Preoperational thought
- C. Formal operational thought
- D. Concrete operational thought
Correct Answer: C
Rationale: The Piaget's formal operational stage of cognitive development includes the ability to use a systematic, scientific problem-solving approach.
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The nurse discovers during the intake assessment of a 5-year-old child that the child lives with his biological parents and siblings. How would the nurse categorize this family type?
- A. Extended family
- B. Blended family
- C. Social family
- D. Nuclear family
Correct Answer: D
Rationale: The nuclear family is considered the traditional family pattern.
Which of the following measures would be included in a teaching plan to instruct new parents on reducing the incidence of sudden infant death syndrome?
- A. Bottle-feed an infant at night.
- B. Place infants on their stomach to sleep.
- C. Keep an infant's room well ventilated.
- D. Place soft bedding and pillows in an infant's crib.
Correct Answer: C
Rationale: Steps to reduce the incidence of sudden infant death syndrome include placing infants on their back to sleep, avoiding exposure to cigarette smoke, avoiding using soft bedding or pillows, keeping rooms well ventilated, breastfeeding if possible, and maintaining regular medical checkups for infants.
A 58-year-old male is concerned about some hearing loss he is experiencing. The nurse recognizes that this might be due to a sensory change of this age group known as which of the following?
- A. Presbycusis
- B. Otitis externa
- C. Presbyopia
- D. Otitis media
Correct Answer: A
Rationale: Presbycusis is a normal age-related loss of hearing. Otitis externa and otitis media are infections of the ear. Presbyopia is a condition in which it becomes difficult to focus on objects nearby.
When a mother asks the nurse about introducing solid foods into the child's diet which of the following would be the best answer?
- A. "Introduce meat first."
- B. "Introduce one solid food at a time several days apart."
- C. "Introduce solid foods by mixing two or three foods together."
- D. "Introduce solid foods by adding strained food to the infant's bottle."
Correct Answer: B
Rationale: The best advice is to introduce one solid at a time, allowing several days between. Cereals should be introduced first, followed by fruits and vegetables. Meats should be introduced last. Avoid mixing foods to allow the infant to develop an interest in different tastes. Strained foods should not be added to a bottle.
Separation anxiety includes which stages?
- A. Detachment
- B. Protest
- C. Anger
- D. Despair
- E. Withdrawal
Correct Answer: A,B,D
Rationale: The phases of separation anxiety are protest, despair, and detachment.
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