The child's ability to understand abstract thinking develops during
- A. Sensorimotor
- B. Preoperational
- C. Concrete operational
- D. Formal operational
Correct Answer: D
Rationale: Abstract thinking, like hypothetical reasoning, develops in the formal operational stage (Piaget).
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A parent says, My son and I argue constantly since he started using drugs. When I talk to him about not using drugs, he tells me to stay out of his business. What is the nurses first most appropriate action?
- A. Educate the parent about stages of family development.
- B. Report the son to law enforcement authorities.
- C. Refer the son for substance abuse treatment.
- D. Make a referral for family therapy.
Correct Answer: D
Rationale: Family therapy is indicated, and the nurse should provide a referral. Reporting the child to law enforcement would undermine trust and violate confidentiality. The other distracters may occur later.
In what stage of development do individuals identify with same-sex parents?
- A. Phallic stage
- B. Anal stage
- C. Oral stage
- D. Latency stage
Correct Answer: A
Rationale: In the phallic stage (3-6 years), children identify with same-sex parents (Freud).
The child's ability to understand perspective develops during
- A. Sensorimotor
- B. Preoperational
- C. Concrete operational
- D. Formal operational
Correct Answer: C
Rationale: Perspective-taking, overcoming egocentrism, develops in the concrete operational stage (Piaget).
An anonymous and voluntary survey in 2007 was conducted for GP's in Singapore. Which of the following result is CORRECT?
- A. The overall response rate was above 90%.
- B. Only one third of GP respondents were treating mental illness in the survey.
- C. Anxiety and stress disorders were the commonest mental illnesses seen.
- D. GPs were seeing 20 cases of mental illnesses every week.
Correct Answer: C
Rationale: Anxiety and stress disorders are commonly seen in primary care, consistent with survey findings.
Frank is a Latino American who has an appointment at the community health center for 1:00 p.m. The nurse is angry when Frank shows up at 3:30 p.m. stating, 'I was visiting with my brother.' How must the nurse interpret this behavior?
- A. Frank is being passive-aggressive by showing up late.
- B. This is Frank's way of defying authority.
- C. Frank is a member of a cultural group that is present-time oriented.
- D. Frank is a member of a cultural group that rejects traditional medicine.
Correct Answer: C
Rationale: Frank's lateness, explained by visiting his brother, reflects a cultural orientation common in some Latino communities where present-time social interactions may take priority over strict punctuality, aligning with option c.