The nurse is performing a cognitive assessment on a 16 year-old ...

[09madisonrousseau09]

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.
 
  A) Reporting that he smokes marijuana occasionally.
  B) Wanting to make decisions about health care independently
  C) Being very concerned with implications of the Affordable Care Act regarding health care benefits
  D) Wanting their friends to visit them in the hospital more than their parents
  E) Difficulty understanding the implications their diagnosis might present

Question 2

A 12-year-old boy reports to the nurse that he is one of the shortest kids in his class. He asks the nurse if he will ever grow. What response by the nurse is most appropriate?
 
  A) At your age you are largely done growing taller.
  B) Since you are the shortest now, you will likely always be the shortest in the class.
  C) Boys do not have their growth spurt until about age 17.
  D) There is no way to know how tall you will grow because you are still well within the window for growth.

[eliasc0401]

Answer to Question 1

Ans: A, B, C
During the middle years (age 14 to 17), Piaget recognizes that the adolescent has increased ability to think abstractly or in more idealistic terms, thinks he or she is invincible (leading to risky behaviors), and becomes involved/concerned with society and politics. In the early stages of formal operational reasoning, the adolescent's thinking is egocentric and lacks abstract thinking, as noted in the patient being more concerned with peers than parents, and not understanding the implications of their diagnosis.

Answer to Question 2

Ans: D
Boys' growth spurt occurs later than girls' and usually begins between the ages of 10.5 and 16 years and ends sometime between the ages of 13.5 and 17.5 years.