NUR 213 Health Assessment Prep U Ch. 7 Questions and Answers_ NURSING 213 Health Assessment: Jersey College, School of Nursing

Question 1 See full question 2m 19s A 3-year-old boy walks into an examination room with his mother and sees a tongue depressor. He points to it and says, “popsicle!” The nurse recognizes this as which adaptive process, as described by Piaget? You Selected: • Assimilation Correct response: • Assimilation Explanation: A schema is a unit of thought and a classification for a phenomenon, behavior or event. Assimilation is an adaptive process whereby a stimulus or information is incorporated into an already existing schema. Accommodation is the creation of a new schema or the modification of an old one to differentiate more accurately a stimulus or a behavior from an existing schema. Equilibration is the balance between assimilation and accommodation. Reference: • Weber, J.R., & Kelley, J.H., Health Assessment in Nursing, 6th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 7: Assessing Psychosocial, Cognitive, and Moral Development, p. 102. Chapter 7: Assessing Psychosocial, Cognitive, and Moral Development - Page 102 Add a Note Question 2 See full question 2m 50s The nurse is assessing a toddler and observes the toddler removing clothing and partially dressing himself. What is the nurse's best action based on this finding? You Selected: • Document the finding. Correct response: • Document the finding. Explanation: A toddler may be able to remove clothing and partially dress himself. However, the nurse should not expect the toddler to completely dress himself without help. The nurse should document the expected finding. The child is not exhibiting a developmental delay. Tying shoes should not be expected of a toddler; this activity is more appropriate for an older child. Reference: • Weber, J.R., & Kelley, J.H., Health Assessment in Nursing, 6th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 7: Assessing Psychosocial, Cognitive, and Moral Development, p. 100. Chapter 7: Assessing Psychosocial, Cognitive, and Moral Development - Page 100 Add a Note Question 3 See full question 2m 28s During this stage of Erikson, the nurse will find the client to be suspicious and fearful. You Selected: • Trust vs. basic mistrust Correct response: • Trust vs. basic mistrust