Author Question: A 17-year-old tells the nurse that he is not having sex because it would make his parents very ... (Read 104 times)

LaDunn · **on:** Jun 27, 2018

A 17-year-old tells the nurse that he is not having sex because it would make his parents very angry. This response indicates that the adolescent has a developmental lag in which area?

a. Cognitive development
b. Moral development
c. Psychosocial development
d. Psychosexual development

Question 2

An infant has been diagnosed with a mild cyanotic heart defect. Surgery to correct the defect will not be performed for at least 2 years. Which of the following would be included in discharge teaching for this child? The child should:

1. Maintain normal activity.
2. Be placed on bedrest.
3. Not be given antipyretics.
4. Have a low-grade fever until the defect is repaired.

jasonq · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B
Feedback
A Cognitive development is related to moral development, but it is not the pivotal
point in determining right and wrong behaviors.
B The appropriate moral development for a 17-year-old would include evidence
that the teenager has internalized a value system and does not depend on parents
to determine right and wrong behaviors. Adolescents who remain concrete
thinkers may never advance beyond conformity to please others and avoid
punishment.
C Identity formation is the psychosocial development task. Energy is focused
within the adolescent, who exhibits behavior that is self-absorbed and egocentric.
D Although a task during adolescence is the development of a sexual identity, the
teenager's dependence on the parents' sanctioning of right or wrong behavior is
more appropriately related to moral development.

Answer to Question 2

1
Rationale:
1. A child with a mild cyanotic heart defect should be treated as normally as possible, without activity adjustment.
2. A child with a mild cyanotic heart defect should be treated as normally as possible, without activity adjustment. Bedrest would not be recommended.
3. A child with a mild cyanotic heart defect should be treated as normally as possible, without activity adjustment. Fevers are treated with antipyretics, so that dehydration is avoided.
4. A child with a mild cyanotic heart defect should be treated as normally as possible, without activity adjustment. Low-grade fever is not a normal finding in a child with a mild cyanotic heart defect, and could be a sign of infective endocarditis.