What does the nurse recognize as an example of Piaget's concrete operational thinking?
a. 2-year-old says, "It's nighttime" when his room is darkened.
b. 4-year-old refers to the hospital as "my house."
c. 5-year-old coloring a picture of a puppy says, "This is my puppy."
d. 7-year-old says, "I am sick because I have germs in my chest."
ANS: D
The 7-year-old's remark reflecting the cause and effect of germs and illness is an example of operational thinking. All other options are examples of preoperational thought, which is egocentric and symbolic.
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