NCLEX · Growth and Development

According to Piaget's theory of cognitive development, what is characteristic of the preoperational stage (ages 2-7)?

Correct answer

Egocentric thinking — inability to take another's perspective; magical thinking; difficulty understanding that quantity stays the same even if appearance changes (lack of conservation)

  1. A Ability to think abstractly and hypothetically
  2. B Fully logical and systematic thinking
  3. C Understanding of abstract moral philosophy
  4. D Egocentric thinking — inability to take another's perspective; magical thinking; difficulty understanding that quantity stays the same even if appearance changes (lack of conservation)

Why this is the answer

Jean PIAGET's theory describes four stages of cognitive development. The PREOPERATIONAL STAGE (approximately ages 2-7) is characterized by: EGOCENTRISM — the child cannot take another's perspective; believes others see, think, and feel exactly as they do; demonstrated by Piaget's 'three mountains' task; MAGICAL THINKING — animism (attributing life to inanimate objects), belief that thoughts can cause events; SYMBOLIC/LANGUAGE THINKING — beginning to use symbols (words, pictures) to represent objects; dramatic play; LACK OF CONSERVATION — does not understand that quantity stays the same when appearance changes (pouring water from a short, wide glass to a tall, narrow glass — child says the tall glass has 'more' water); CENTRATION — focuses on only one dimension at a time; IRREVERSIBILITY — cannot mentally reverse actions; TRANSDUCTIVE REASONING — reasoning from specific to specific (if A caused B once, A always causes B). Piaget's full stages: SENSORIMOTOR (birth to 2 years) — learns through senses and motor action; object permanence develops; PREOPERATIONAL (2-7 years) — symbolic thought, egocentrism; CONCRETE OPERATIONAL (7-11 years) — logical thinking with concrete materials, conservation, decentration, reversibility; FORMAL OPERATIONAL (12+ years) — abstract, hypothetical reasoning.

Nursing application: preoperational children may think their illness is punishment for bad thoughts (magical thinking); medical procedures should be explained simply and concretely; allow them to handle equipment when safe; don't assume they understand explanations aimed at adults; they may not report symptoms accurately because of egocentrism; school-age/concrete operational children benefit from logical explanations and hands-on demonstration.

Source: NCLEX-PN Test Plan: Health Promotion — Growth and Development, Piaget

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About this topic: Growth and Development

Growth and development questions cover developmental milestones from infancy to adolescence, Erikson's stages, and the anticipatory guidance an LPN/LVN gives parents at each age. This is one of 13 PN: Health Promotion and Maintenance questions on growth and development, each with a full explanation on a single study page.

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