The nurse in a pediatric health care setting is using Kohlberg's developmental theory for patient assessment, and has evaluated a child as having reached level I, the preconventional level

Which of the following assessments supports this interpretation? a. Makes sure not to be late for school
b. Cleans the blackboards after school for the teacher
c. Runs for school council to change policies
d. Stays away from gangs at school that harass other children


A

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A According to Kohlberg's developmental theory of moral development, at level I, the preconventional level, the child's reasoning is based on personal gain. The moral reason for acting relates to the consequences the person believes will occur. The child who makes sure not to be late for school may do so out of fear of punishment.
B Cleaning the blackboards after school for the teacher is an example of Kohlberg's stage 3, good boy–nice girl orientation. The child desires to win the teacher's approval.
C Running for school council to change policies is an example of Kohlberg's stage 5, social contract orientation.
D Staying away from school gangs that harass other children is an example of Kohlberg's stage 4, society-maintaining orientation.

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The nurse is planning care for a preschool-age child and family. In order to assess the family, what should the nurse plan to do during each health supervision visit?

1. Discuss of the child's developmental status 2. Observe interactions among the family members 3. Discuss concerns with the parents 4. Administer age appropriate vaccinations 5. Record height and weight

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