341 Ch 6
The nurse is talking with the parents of an 8-year-old child who has been cheating at school. Which comment by the nurse would be appropriate as a first step? "If cheating is noted at this age, referral to a family counselor is highly recommended." "Punishment should be subtle to allow the child to confess to cheating and lessen the behavior." "Be sure the adults in the child's life, including you, as parents, demonstrate positive behavior." "Perhaps the academic environment is too easy for your child, causing the cheating."
"Be sure the adults in the child's life, including you, as parents, demonstrate positive behavior."
The mother of a 7-year-old girl is asking the nurse's advice about getting her daughter a 2-wheel bike. Which response by the nurse is most important? "Teach her where she'll land on the grass if she falls." "She won't need a helmet if she has training wheels." "Be sure to get the proper size bike." "Learning to ride the bike will improve her coordination."
"Be sure to get the proper size bike."
The parents of an 8-year-old boy report their son is being bullied and teased by a group of boys in the neighborhood. Which response by the nurse is best? "Fortunately the scars of being picked on will fade as your son grows up." "Perhaps teaching your son self-defense courses will help him to have a greater sense of control and safety." "Your son is at high risk for bullying other children as a result of this situation." "Bullying can have lifelong effects on the self-esteem of a child."
"Bullying can have lifelong effects on the self-esteem of a child."
The school nurse asks a group of school-age children about pedestrian safety. Which comments by the children should the nurse address with either the child or parents of the child? Select all that apply. "I am 6 years old and I walk my younger brother to the park that is 5 blocks from our house." "I always remind my sister to look right, then left, then right again before we cross the street." "My friends and I like to walk on the side of the road because our sidewalk is very uneven." "I think it is funny to hide behind my dad's car before he leaves for work and scare him." "My mom always says she looks around really well to be sure I'm not playing behind our car before she leaves."
"I am 6 years old and I walk my younger brother to the park that is 5 blocks from our house." "My friends and I like to walk on the side of the road because our sidewalk is very uneven." "I think it is funny to hide behind my dad's car before he leaves for work and scare him."
The nurse is taking a health history for a 12-year-old boy who is seriously overweight. Which general question would the nurse direct to the child's parents? "How important is exercise?" "Is there a family history of hypertension, heart disease, or diabetes?" "Is breakfast eaten regularly?" "What beverages are preferred?"
"Is there a family history of hypertension, heart disease, or diabetes?"
A 10-year-old child tells the school nurse that she is embarrassed that she is afraid of the dark. Which is the best response by the nurse? "It is normal for a 10-year-old to be afraid of the dark so there is no need to be embarrassed. Would you like to talk about it?" "Are you afraid that something is going to happen to you or that something or someone may be outside that you can't see?" "That is so horrible that you are afraid of the dark. Can you sleep at night at all?" "I was afraid of the dark at your age. You will grow out of that fear soon."
"It is normal for a 10-year-old to be afraid of the dark so there is no need to be embarrassed. Would you like to talk about it?"
The nurse is teaching a group of caregivers of school-age children about the importance of setting a consistent bedtime for the school-age child. Which statement made by a caregiver indicates an understanding of the sleep patterns and needs of the school-age child? "My teenage child does not sleep as much as my 9-year-old does." "My child does not even know when he is tired." "My child sleeps between 11 and 12 hours a night." "My child stays up late when she takes a nap after school."
"My child sleeps between 11 and 12 hours a night."
A nurse is assisting in a parent education class on accident prevention. Which statement by a parent indicates that further education is needed? "I will teach my child that policemen are our friends and to they are there to help us." "My son should only wear his helmet when he goes on long rides around the neighborhood." "We will be sure that our child wears a life jacket the next time we go to the lake boating." "I will teach my daughter her full name and phone number."
"My son should only wear his helmet when he goes on long rides around the neighborhood."
The parents of a 10-year-old tell the clinic nurse that they are concerned because they noticed that their child has gained about 10 pounds over the past 2 years. What is the best response by the nurse? "Normal growth and development for this age results in an average weight gain of 7 pounds per year." "Your child doesn't seem to be overweight, so it isn't a concern." "We see most children of this age in our clinic gaining similar amounts." "I understand why you are concerned. Is your child sedentary quite a bit? Encouraging activity may limit weight gain."
"Normal growth and development for this age results in an average weight gain of 7 pounds per year."
During a health history assessment, the mother of a 10-year-old girl tells you that her daughter does not have time to "play" because she is busy going to gymnastics, cheerleading, art class, flute lessons, reading club, and soccer. What should the nurse's response be? "Play helps children to develop cognitively, socially, physically, and emotionally." "Wow, that is a lot of stuff for a girl her age." "It is understandable not playing any more with all these other activities." "All of these other activities teach you as much as traditional play."
"Play helps children to develop cognitively, socially, physically, and emotionally."
The parents of an 8-year-old girl with a slow-to-warm temperament are concerned about their daughter's reaction when she visits the dentist for the first time after having a cavity filled at the last visit. How should the nurse respond? "Wait to tell her about the visit until just before the appointment." "Tell your daughter that it is just like going to see the pediatrician." "Remind her in simple terms what will happen in the dentist's office." "Remind your daughter of the importance of proper oral hygiene."
"Remind her in simple terms what will happen in the dentist's office."
During an annual visit of a 6-year-old boy, the nurse observes dental caries on two of the child's primary teeth. Which response by the parents suggests more education is needed regarding the importance of primary teeth? "I guess we will need to supervise our son while he brushes." "I see now we need to use a fluoride toothpaste for our child." "These are only his baby teeth so we are not worried." "I guess we better look for a pediatric dentist for our son."
"These are only his baby teeth so we are not worried."
The nurse is addressing a caregiver's concerns regarding adequate sleep for an 11-year-old child who gets up at 6:30 a.m. each morning. The nurse should point out which time as the most appropriate bedtime for this child? 9:30 p.m. 10:00 p.m. 8:00 p.m. 7:30 p.m.
9:30 p.m. Exercise and sufficient rest are important for school-age children. An 11-year-old child needs 9 to 10 hours of sleep per night, which would mean going to bed at 8:30 to 9:30 p.m. The 6-year-old should sleep for 12 hours. The older adolescent could go to bed at 10 p.m. and get adequate sleep.
A hospitalized 7-year-old is recovering from a head injury. Occupational therapy has been ordered to assist the child in regaining eye/hand coordination. If the child cannot master this skill, what feelings may arise? A sense of mistrust A feeling of inferiority A sense of doubt A sense of shame
A feeling of inferiority
The nurse at an elementary school is explaining the concept of industry versus inferiority to a group of nursing students. What is part of this stage of Erikson's theory? Lack of the ability to think abstractly The principle of conservation The conventional stage of development A sense of competence, mastery, and worth
A sense of competence, mastery, and worth
A parent tells the nurse that the 6-year-old child has been biting his fingernails since beginning first grade. After analysis, the cause is determined to be increased stress. What advice would the nurse give the parent regarding this behavior? Distract the child by teaching a new skill, such as whistling. Allow the child to choose a reward for not biting the nails. Allow some time every day for the child to talk about new experiences Encourage the child to drink more milk for stronger nails.
Allow some time every day for the child to talk about new experiences
While treating a minor playground injury for an 8-year-old girl, the school nurse discovers that the injury was the result of bullying. What should be the nurse's first action? Question those responsible for the bullying. Determine if there have been other playground bullying incidents. Assess the situation with the help of the school staff and parents. Immediately call the bullied child's parents.
Assess the situation with the help of the school staff and parents.
The nurse is caring for a hospitalized 10-year-old client. Which nursing action is most appropriate? Discourage the child from assisting with dressing change. Structure a competitive environment between clients. Correct each of the child's mistakes to ensure learning. Consistently reinforce the child's self-worth.
Consistently reinforce the child's self-worth. Helping school-aged clients experience satisfaction in projects, social activities, family life, and school helps them gain a sense of industry. Reinforcing self-worth provides this satisfaction. The child should not be discouraged from participating in his or her care. The child's mistakes may need corrected to learn; however, the child has to be allowed to make mistakes in a safe environment to promote learning. Pointing out these mistakes needs to be done with care. Competition between clients will not facilitate growth and development or psychosocial development.
The nurse is teaching parents of an 11-year-old child how to deal with the issue of peer pressure regarding the use of tobacco and alcohol. Which suggestion by the nurse provides the best course of action for the parents? Discuss tobacco and alcohol use and effects with the child Keep any alcohol products in the home in a locked cabinet Encourage the child to avoid having friends who smoke or drink Avoid smoking in the house or in front of the child
Discuss tobacco and alcohol use and effects with the child
While observing a group of 9-year-old children at school, the nurse is concerned that one of the children is not cognitively developing according the Piaget's stage of concrete-operational thought processes. With which activity is the nurse concerned? Does not understand the phrase "slow as molasses" when used by the teacher Enjoys math instruction and decides to join the math club Believed that not turning in homework on time was acceptable, but has since decided it is not acceptable Arrives to class late from recess and apologizes to the teacher
Does not understand the phrase "slow as molasses" when used by the teacher
An 8-year-old boy's foster mother is concerned about three recent cavities found in his permanent teeth and reports the child eats a nutritional diet, doesn't eat junk food, and the town water supply is fluoridated. Which suggestion should the nurse prioritize to this mother in regard to the child's dental health? Have the child's teeth professionally cleaned every 3 months. Encourage the child to abstain from eating sugary snacks at school. Ensure that the child brushes his teeth after each meal and snacks. Accept that the child is genetically predisposed to having more cavities than most children.
Ensure that the child brushes his teeth after each meal and snacks.
What foods could a parent provide that would be the most beneficial to support healthy dentition for a school-aged child? Bagels and cream cheese with sherbet Hamburger and a cherry Coke Chicken sandwich with pretzels and apple juice Fish, spinach salad and a glass of milk
Fish, spinach salad and a glass of milk
The parents of an 11-year-old girl tell the school nurse that their child has a very "slow to warm up" temperament, and that they are concerned with her starting a new school. Which activities should the nurse tell the child's teacher to initially avoid based on this information? Select all that apply. Having the child introduce herself by standing at the front of the class and telling something interesting about herself Encouraging the child to join the drama club, which is practicing for an upcoming play Talking to the child after class about her interests, hobbies, family, and previous school Asking a small group of students prior to her entering the classroom to ask the child to eat lunch with them Assigning the child a role-play scenario to perform with another student in front of the class
Having the child introduce herself by standing at the front of the class and telling something interesting about herself Encouraging the child to join the drama club, which is practicing for an upcoming play Assigning the child a role-play scenario to perform with another student in front of the class
An 8-year-old boy who says he wants to be a doctor when he grows up pleads with the nurse to let him put on his own band-aid after receiving an injection. The nurse agrees and watches as the boy very carefully lines the band-aid up with the mark left by the injection and applies it to his skin. Then he asks, "Did I do it right?" and waits eagerly for the nurse's feedback. The nurse recognizes in this situation the boy's attempt to master the primary developmental step of school age. What is that step? Perfectionism Industry Conservation Accommodation
Industry During the early school years, children attempt to master their new developmental step: learning a sense of industry or accomplishment. Accommodation is the ability to adapt thought processes to fit what is perceived, such as understanding there can be more than one reason for other people's actions. Conservation is the ability to appreciate that a change in shape does not necessarily mean a change in size. Perfectionism is the desire to do something perfectly. The boy's desire to apply the band-aid "the right way" is a hallmark of the development of industry. The other answers are not as pertinent.
The mother of a 10-year-old daughter is concerned that her child is becoming overweight. Her weight plots in the 95th percentile in the growth chart. Which action would the nurse recommend to the mother to address her concerns? Limit daily fat intake to 40% of the total calories for the day. Place the child on a diet, eliminating all sweets and snacks. Offer to go walking every day after school with her for 30 minutes. Remind the child daily that she needs to watch what she eats.
Offer to go walking every day after school with her for 30 minutes.
A nurse is caring for a hospitalized 10-year-old child. What would be an appropriate activity for this child to meet the developmental tasks of this age group? Playing with blocks Writing letters to friends Playing with a jack-in-the-box Participating in a craft project
Participating in a craft project
The school nurse is reviewing the chart of a 12-year-old student who has had excessive absences due respiratory infections. What is the best action by the nurse? Discuss with the child's teacher to determine if the number of absences has effected academic performance Speak with the parents about the unusual increased number of respiratory infections Continue to monitor the child's absences Ask the child if he really has had respiratory infections during these absences
Speak with the parents about the unusual increased number of respiratory infections
The nurse is conducting a support group for parents of 9- and 10-year-olds. The parents express concern about the amount of time their children want to spend with friends outside the home. What should the nurse teach the parents that peer groups provide? an opportunity for children to become self sufficient time to establish relationships with the opposite sex a sense of security as children gain independence time to remain dependent on their parents
a sense of security as children gain independence
A group of 10-year-old girls have formed a "girls only" club. It is only open to girls who still like to play with dolls. How should this behavior be interpreted? immaturity for this age group appropriate social development encouragement for bullying and sexism poor peer relationships
appropriate social development
The school-age child develops the ability to recognize that if a block of clay is in a round ball and then is flattened, the shape changes but not the amount of clay. What understanding has this child developed? classification reversibility conservation decentration
conservation
A school-aged child develops school phobia. When counseling her mother, the nurse would advise her that the accepted action is to: keep her child home until this fear passes. allow her child to decide daily if she wants to go to school or not. ask the teacher to decide if the child should come to school or not each day. make her child attend school every day.
make her child attend school every day.
The nurse plans an activity for a chronically ill hospitalized child. Which activity is the best choice to provide stimulation for the child? painting a picture reading a book listening to music playing a video game
painting a picture
During a well-child check at the ambulatory clinic, the mother of a 10-year-old boy reports concerns about her son's frequent discussions about death and dying. Based upon knowledge of this age group, the nurse understands that: at this age, children are not afraid of death. preoccupation with death and dying is common in the school-aged child. discussing death and dying may hint at a psychological disorder. consistent thoughts of death and dying at this age lead to the later development of depression.
preoccupation with death and dying is common in the school-aged child.
A mother tells the nurse she is having difficulty getting her 6-year-old to do chores. Based on the child's developmental level, what activity would be best for the nurse to recommend to the mother? vacuuming putting books on shelf raking leaves folding clothes
putting books on shelf
