Nokea
The child's ability to understand abstract reasoning develops during
- A. Sensorimotor
- B. Preoperational
- C. Concrete operational
- D. Formal operational
Correct Answer: D
Rationale: Abstract reasoning, like hypothetical thinking, develops in the formal operational stage (Piaget).
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Based on the information in Question 1, Anna's grieving behavior would most likely be considered to be
- A. delayed.
- B. inhibited.
- C. prolonged.
- D. distorted.
Correct Answer: C
Rationale: Anna's grief has persisted for three years since her dog's death, with significant impact on her daily life, which indicates prolonged grief, as it exceeds the typical duration expected for mourning a pet, aligning with option c.
You are caring for a hospice client who is at the end of life. Based on this client's signs and symptoms, the client is comatose, dehydrated, free of pain, constipated, without distress and expected to die in a day or two. Which of the following is an appropriate client outcome or an appropriate intervention for this client?
- A. The client will be free of constipation
- B. The client will remain free of pain and distress
- C. The administration of an antiemetic to prevent vomiting and further dehydration
- D. The administration of an enema to correct the constipation
Correct Answer: B
Rationale: Maintaining comfort (B) is appropriate given the client's state and prognosis.
Karen Horney was a follower of Sigmund Freud. Dr. Horney believed that the abnormal behavior experienced by her patient was the result of ineffective:
- A. Parenting.
- B. Mother-child bonding.
- C. Environmental stressors.
- D. Genetic markers.
Correct Answer: B
Rationale: Horney believed abnormal behaviors were related to ineffective mother and child bonding.
A terminally ill patient says, I know I'm not going to get well, but still and the patients voice trails off. Which response by the nurse would be therapeutic?
- A. What do you hope for?
- B. No, you're not going to get well.
- C. Do you have questions about what is happening?
- D. I'm happy you are being realistic about your future.
Correct Answer: A
Rationale: This open-ended response is an example of following the patients lead. It provides an opportunity for the patient to speak about whatever is on his or her mind. The incorrect options are not therapeutic; they block further communication, refocus the conversation, give advice, or suggest the nurse is uncomfortable with the topic.
Establishing is the first step to make plans for any program
- A. Goals
- B. Objectives
- C. Aims
- D. None of these
Correct Answer: A
Rationale: Goals provide the foundational direction for planning.