The nurse is assessing the moral development of several ...

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The nurse is assessing the moral development of several school-age children. According to Kohlberg, this age group is mainly concerned with which of the following steps in moral development?
 
  1. Fear of punishment
   2. A feeling of justice
   3. Belief in due process
   4. Wanting the approval of others

Question 2

The nurse is helping in discharge planning for a client who needs extensive rehabilitation and is on a complicated medication schedule. The nurse would want to coordinate the client's care by including which person in this client's plan?
 
  1. Client's spouse
   2. Physician
   3. Pharmacist
   4. Social worker

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Answer to Question 1

4. Wanting the approval of others

Rationale:
Kohlberg believes that school-age through adult moral development begins with wanting the approval of others in stage 1 of conventional level. Fear of punishment is characteristic of the toddler through age 7. Feeling of justice and belief in due process are experienced in post-conventional development, at stage 5.

Answer to Question 2

1. Client's spouse

Rationale:
Effective discharge planning necessitates health team conferences and family conferences and gives the client, family, and health care professionals the opportunity to plan care and set goals. Involving the client's spouse would be important in this situation because of the complexity of the client's situation. The physician, pharmacist, and social worker may also be included, but by their own decision, not necessarily by the nurse's invitation, as is the case with coordination.

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