A nurse is conducting parenting classes for parents of children ranging in ages 2 to 7 years. The parents understand the term egocentrism when they indicate it means:

a. selfishness.
b. self-centeredness.
c. preferring to play alone.
d. unable to put self in another's place.


ANS: D
According to Piaget, children ages 2 to 7 years are in the preoperational stage of development. Children interpret objects and events not in terms of their general properties but in terms of their relationships or their use to them. This egocentrism does not allow children of this age to put themselves in another's place. Selfishness, self-centeredness, and preferring to play alone do not describe the concept of egocentricity.

Nursing

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A patient with paranoid schizophrenia tells the nurse, "The FBI is listening through fluorescent lights in this room. Be careful what you say." Which response by the nurse would be most therapeutic?

a. "Let's talk about something other than the FBI." b. "It sounds like you're concerned about your privacy." c. "The FBI is prohibited from operating in health care facilities." d. "You have lost touch with reality, which is a symptom of your illness."

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In caring for a client with rheumatic heart disease, the nurse knows that priority interventions will be to:

1. Administer cardiotonic and diuretic medications. 2. Schedule regular exercise periods and administer narcotics as ordered. 3. Promote bedrest and administer scheduled antibiotics. 4. Administer oxygen and tranquilizers as ordered.

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The nurse instructs the new orientee to care for the gastrostomy site. Which items should the nurse include in her teaching? (Select all that apply.)

a. Cleanse the site with Betadine. b. Place the dressing under the external bar. c. Assess the site for evidence of drainage or infection. d. Apply a thin layer of skin barrier to exit site.

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A nurse has developed a plan of care with nursing interventions designed to meet specific patient outcomes. The outcomes are not met by the time specified in the plan. What should the nurse do now in terms of evaluation?

A) Continue to follow the written plan of care. B) Make recommendations for revising the plan of care. C) Ask another healthcare professional to design a plan of care. D) State "goal will be met at a later date."

Nursing