341 Ch 5

The caregiver of a 6-year-old expresses concern that the child cannot yet print the first and last name. The caregiver is wondering if this is normal. Which response by the nurse would be most appropriate? "It is not unusual for children of this age to be writing their first name in cursive." "Usually by the age of 6, most children can write numbers up to nine, but no letters." "By the age of 6, most children can print some letters and maybe their first name." "Some children this age cannot hold a pencil or crayon well enough to write legibly."

"By the age of 6, most children can print some letters and maybe their first name."

The nurse is conducting a well-child exam of a 4-year-old boy. Which statement would alert the nurse that the child is at risk for iron deficiency? "He eats a well-balanced diet." "He enjoys eggs and fortified cereal for breakfast." "He does not like spinach, but he does like chicken and beef." "He loves milk and drinks it every time he is thirsty."

"He loves milk and drinks it every time he is thirsty."

While the nurse is talking with a 6-year-old who has been a client of the clinic since birth, the child begins to tell the nurse that he is the star of a popular children's television program. What is the nurse's best response? "You are only 6 years old so I don't think you are the star of that show quite yet." "What makes you think you are the star of the show?" "I bet you like that show a lot. Which character is your favorite?" "I don't think your mother would like you telling people that."

"I bet you like that show a lot. Which character is your favorite?"

The mother of a 4-year-old reports using time-outs as a means for disciplining the child. Which statement by the mother would require the nurse to provide additional teaching? "I usually have him in time-out for about 10 minutes." "I put him in time-out when the problem occurs." "He is allowed out of time-out when he is calm." "The time-out doesn't just have to be in his room."

"I usually have him in time-out for about 10 minutes."

The father of a 4½-year-old boy has contacted the nurse because he is concerned that his son is frequently touching his genitals. The nurse explains that this is normal during the preschool years. Which statement by the father would indicate a need for further teaching? "I should teach him certain rules about this activity." "I have heard that both boys and girls often touch themselves at this age." "This is probably a good time to talk about safety and who can touch him." "I will need to find an appropriate punishment for him if this continues."

"I will need to find an appropriate punishment for him if this continues."

The nurse has completed an education program on normal communication abilities in the preschool-age child. Which statement by a participant indicates a need for further education? "I am glad to know that my 4-year-old child asking so many questions is normal." "My child is finally talking in a way that most of my friends can understand her speech." "When my child counts numbers, it is only to 10 and we are slowing working on counting higher." "Stating his name and address is too hard for my 5-year-old child; it will be another year before he can do that."

"Stating his name and address is too hard for my 5-year-old child; it will be another year before he can do that."

The father of a 4-year-old is concerned his child is not telling the truth and blaming others for things that have happened. Which response should the nurse prioritize after the father shares that the child is blaming someone named "Andrew" for a broken tool, and they have no idea who this is? "Your son may have a friend named Andrew, but it could be an imaginary friend." "You should punish your son because no child should be telling lies at this age." "You need to show your child the broken tool since at this age they must see something in order to understand." "You should watch this type of behavior closely since most children this age tell the truth."

"Your son may have a friend named Andrew, but it could be an imaginary friend."

The mother of a 4-year-old boy reports her son has voiced curiosity about her breasts. She asks the nurse what she should do. Which information is best for the nurse to give the parent? Advise the parent to explain to the child that he is too young to discuss such things. Encourage the parent to determine what the child's specific questions are and answer them briefly. Advise the parent that sexual curiosity is unusual at this age. Encourage the parent to provide a detailed discussion about human sexuality with the child.

Encourage the parent to determine what the child's specific questions are and answer them briefly.

The nurse is assessing a 4-year-old child. The child tells the nurse about her friend, Nancy, who lives in her room at home. The mother tells the nurse that Nancy is not a real person. The nurse would use which term when documenting this assessment finding? Preoperational thought Animism Magical thinking Imaginary friend

Imaginary friend

Parents tell the nurse their 3½-year-old refuses to eat meat but are pleased she drinks "lots of milk." What risk does the nurse identify? Iron deficiency Interference with growth Obesity Dental caries

Iron deficiency

Nursing students are reviewing information about the cognitive development of preschoolers. The students demonstrate understanding of the information when they identify that a 3-year-old is in what stage as identified by Piaget? Primary circular reaction Coordination of secondary schema Tertiary circular reaction Preoperational thought

Preoperational thought

A parent tells a nurse that the child has recently established some friendships for the first time. In which age group do you expect this child to be? School age Adolescence Toddler Preschool

Preschool

The nurse is conducting a well-child assessment of a 4-year-old. Which assessment finding warrants further investigation? Presence of 19 deciduous teeth Presence of 20 deciduous teeth Presence of 10 deciduous teeth Absence of dental caries

Presence of 10 deciduous teeth

The parents of a 5-year-old tell the nurse that it "seems like our child is afraid of everything from fireworks to butterflies." What actions should the nurse take? Select all that apply. Suggest to the parents to talk with their child about his fears. Work with the parents and child to devise strategies to help deal with the fears. Encourage the parents to just ignore the fears since this is common behavior with the preschool-aged child. Ask the parents if they can identify anything that may be causing their child be fearful. Advise the parents to help the child understand that the fears are irrational.

Suggest to the parents to talk with their child about his fears. Work with the parents and child to devise strategies to help deal with the fears. Ask the parents if they can identify anything that may be causing their child be fearful.

A 4-year-old is going to finger paint for the first time. What is the best action for the adult supervisor of this activity? Tell the child that it will be fun but that he or she should not make a mess. Support whatever the child paints. Make a model for the child to follow so it will be easy to copy. Draw a picture first for the child to see how to do it.

Support whatever the child paints.

The clinic nurse is collecting vital signs on a 4-year-old client being seen for a yearly well check-up. Which measurements should the nurse collect? height, weight, and abdominal girth height, weight, abdominal girth, and head circumference height, weight, and head circumference height and weight

height and weight

When planning how to respond to a 3-year-old child about telling stories ("tall tales"), the nurse would base the statement on the fact that: a 3-year-old knows the word two but not the concept of two. preschoolers have a limited vocabulary. a preschooler is in an insecure period. imagination in a 3-year-old is at its peak.

imagination in a 3-year-old is at its peak.

At a physical examination, a nurse asks the father of a 4-year-old how the boy is developing socially. The father sighs deeply and explains that his son has become increasingly argumentative when playing with his regular group of three friends. The nurse recognizes that this phenomenon is most likely due to: testing and identification of group role. preschoolers having a harder time sharing than toddlers. playing in an even-number group of children (four). regression.

testing and identification of group role.

The nurse is caring for a 4-year-old girl following an appendectomy. The girl becomes fearful and starts to cry as soon as the nurse walks into the room. When the nurse asks about the crying, the girl says, "Nurses who wear shirts with flowers give shots." The nurse understands that this statement is an example of: animism. magical thinking. transduction. beginning empathy.

transduction.

The parents of a 4-year-old child tell the school nurse that they are worried that their child will fall behind other children academically because they are not able to afford expensive toys like computer games and handheld electronic devices. Which are acceptable response(s) by the nurse? Select all that apply. "Why are you not financially able to provide these toys and games for your child?" "All of these expensive toys that are advertised and purchased by some people are not necessary for preschoolers. Simple toys like chalk and Legos are great." "Are there any family members who can help you get these games for your child?" "I understand how this can be frustrating, but rest assured this does not place your child at a disadvantage academically." "Do you play with your child and provide means of play through things like dolls, puzzles, crayons, and child-safe modeling clay? These are the types of toys suggested for preschoolers."

"All of these expensive toys that are advertised and purchased by some people are not necessary for preschoolers. Simple toys like chalk and Legos are great." "I understand how this can be frustrating, but rest assured this does not place your child at a disadvantage academically." "Do you play with your child and provide means of play through things like dolls, puzzles, crayons, and child-safe modeling clay? These are the types of toys suggested for preschoolers."

During a well-child visit, the mother of a preschooler tells the nurse that her daughter is "daddy's girl." She says, "It seems like I don't exist." Which response by the nurse would be most appropriate? "Did you do something to make your daughter angry with you?" "Your daughter is showing normal behavior for her age." "Why do you think she is doing this?" "This might be a problem because your daughter is obviously alienating you."

"Your daughter is showing normal behavior for her age."

When assessing a preschool-aged child, which activity is most closely associated with the primary psychosocial task of this age group? Making friends with other children of the same age group Self-soothing when upset Attempting to dress oneself Trying not to cry when upset

Attempting to dress oneself

While the nurse is taking a blood pressure on a 4-year-old, the child states that the blood-pressure cuff is too tight and angrily says, "That hurt, you big poo-poo head." What is the most appropriate response by the nurse? Scold the child for the insult while apologizing for hurting her, and loosen the cuff. Calmly explain that you don't mean to hurt her, loosen the cuff, and tell her that is isn't nice to call you names. Ask the child's caregiver to please hold the child on their lap until she calms down. Explain that the cuff will only hurt for minute and ask the child's caregiver to please tell the child not to speak to you that way.

Calmly explain that you don't mean to hurt her, loosen the cuff, and tell her that is isn't nice to call you names.

The nurse is organizing an indoor play area for preschoolers. What play materials are least important? Cut, paste, drawing, and painting materials Dress-up clothes and hats and puppets CD player with music and musical instruments Balls, blocks, and puzzles Electronic teaching toys

Electronic teaching toys

The nurse is presenting an in-service on the types of playing that children may engage in. The nurse determines the session is successful when the attending nurses correctly choose which example as representing cooperative play? Playing apart from others without being part of a group. Playing in an organized group with each other. Playing together in an activity without organization. Playing independently and are side-by-side.

Playing in an organized group with each other.

The nurse has brought a group of preschoolers to the playroom to play. Which activity would the nurse predict the children to become involved in? Playing a board game Pretending to be mommies and daddies in the playhouse Watching a movie with other children their age Painting pictures in the art corner of the room

Pretending to be mommies and daddies in the playhouse

A nurse is caring for a 4-year-old child. The parents indicate that their child often reports that objects in the house are his friends. The parents are concerned because the child says that the grandfather clock in the hallway smiles and sings to him. Which response by the nurse is best? "Has your child suffered any type of physical trauma lately?" "Attributing lifelike qualities to inanimate objects is quite normal at this age." "Is there any family history of mental health disorders?" "Your child is demonstrating animism which is common."

"Attributing lifelike qualities to inanimate objects is quite normal at this age."

Parents of a preschooler tell the nurse that their child often refuses to go to sleep at night. Which suggestion by the nurse would be helpful? Select all that apply. "Avoid having your child watch frightening shows on TV before bedtime." "Try using a night light in the child's room." "Keep the door closed and the lights off so that your child can fall asleep faster." "Try reading a favorite story before bedtime." "Set up some familiar bedtime rituals for your child."

"Avoid having your child watch frightening shows on TV before bedtime." "Try using a night light in the child's room." "Try reading a favorite story before bedtime." "Set up some familiar bedtime rituals for your child."

Parents say they have been using measures to lessen the struggle of getting their preschooler to bed at night and to sleep. Which practice will the nurse suggest they discontinue? Planning for the child to get 12 hours of sleep daily Taking the TV set out of the child's room Providing a nightlight Allowing the preschooler to fall asleep wherever and whenever the child is tired enough Eliminating caffeine sources beginning late afternoon

Allowing the preschooler to fall asleep wherever and whenever the child is tired enough

A nurse instructor is educating the parents about activities preschoolers can successfully perform independently. Which activities would the nurse include? Select all that apply. Brushing teeth Flossing teeth Dressing self Washing hands Playing active games

Brushing teeth Dressing self Washing hands Playing active games