An 18-month-old patient is brought into the clinic for evaluation because the mother is concerned. The 18-month-old child hits her siblings and says only "No" when communicating verbally
According to Piaget's theory, what recommendation should the nurse make a priority?
a. Consult the social worker because the child is hitting other children.
b. Reassure the mother that the child is developmentally within specified norms.
c. Encourage the mother to seek psychological counseling for the child.
d. Remove all toys from the child's room until this behavior ceases.
ANS: C
At 18 months, the child is in the sensorimotor period of development. Piaget describes hitting, looking, grasping, and kicking as normal schemas to deal with the environment. The social worker does not need to be consulted in this case, nor is psychological counseling warranted, because the child is exhibiting normal behaviors. Play is an important part of all children's development. Removing the toys is not necessary because this child is exhibiting normal behaviors. Removing toys and the opportunity to play with them may actually hinder the child's development.
You might also like to view...
The nurse is caring for four patients. Which patient would flavoxate (Urispas), a urinary tract medication, be indicated for?
A) A 1-year-old girl B) A 6-year-old boy C) A 10-year-old boy D) A 14-year-old girl
Janet knows that as a nurse she will be expected to guide clients through personal decisions regarding their care. An activity to help Janet with difficult ethical decisions is:
a. to engage in personal meditation. b. to enroll in an ethico-legal class. c. to engage in personal mediation daily. d. values clarification.
A client was initially prescribed lithium for treatment of bipolar disorder. Recently the client has begun to cycle rapidly between mood states. Which therapy, if any, is indicated?
1. No therapy is necessary. 2. Change to an anticonvulsant such as carbamazepine. 3. Discontinue all medications and allow the client a drug holiday. 4. Change to an H2 blocker.
In atrial fibrillation, the AV node attempts to protect the ventricles from the hundreds of impulses bombarding it per minute by blocking many of the impulses generated by the irritable sites in the atria
Indicate whether the statement is true or false