Ch. 18 Care of the School-Age Child

Visual acuity other than __________ in school-aged children should be evaluated.

20/20

The school nurse has completed an educational program for parents at a local elementary school. Which statement by a parent would indicate the need for further education? A. "It's okay for my 10-year-old to sit in the front seat of the car since he doesn't need a booster seat anymore." B. "My son should wear his helmet whenever he rides his bicycle. " C. "I will teach my 8-year-old to watch for cars backing up in parking lots." D. "I need to get childproof locks fixed on the back doors of my car." TAKE ANOTHER QUIZ

A. "It's okay for my 10-year-old to sit in the front seat of the car since he doesn't need a booster seat anymore." Rationale: Children under 12 should ride in the back seat of the car, even if they do not need a booster seat.

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? A. "Wow, that is a lot of stuff for a girl her age." B. "Play helps children to develop cognitively, socially, physically, and emotionally." C. "It is understandable not playing any more with all these other activities." D. "All of these other activities teach you as much as traditional play."

B. "Play helps children to develop cognitively, socially, physically, and emotionally."

Which of the following of Freud's psychosexual stages most likely parallels stage 4 of Erikson's theory of psychosocial development? A. Oral B. Latency C. Birth D. Anal D. Phallic E. Genital

B. Latency Rationale: The latency stage of psychosexual development is when no further psychosexual development takes place. Latent means hidden, and this stage is equivalent to sexual dormancy, or repression. The focus during this age is on school, learning skills and hobbies. During this stage, much of child's energy is directed towards developing new skills and acquiring knowledge.

When providing anticipatory guidance to a group of parents with school-aged children, what would the nurse describe as the most important aspect of social interaction? A. School B. Peer relationships C. Family D. Temperament

B. Peer relationships

The nurse is teaching a group of school-age children about physical development. Which statement made by one of the children indicates the correct understanding of the teaching? A. "There are not many physical differences among school age boys." B. "I will appear heavier due to an increase in fat production." C. "I will grow an average of 2.5 in (6.5 cm) per year." D. "I will have improved gross motor skills."

C. "I will grow an average of 2.5 in (6.5 cm) per year."

The nurse is caring for a 10-year-old girl and is trying to obtain clues about the child's state of physical, emotional, and moral development. Which question is most likely to elicit the desired information? A. "Do you like your school and your teacher?" B. "Would you say that you are a good student?" C. "Tell me about your favorite activity at school?" D. "Do you have a lot of friends at school?"

C. "Tell me about your favorite activity at school?"

A parent has brought the child into the clinic for a routine health assessment. The parent asks when routine screening for back symmetry will begin. Which response by the nurse is most accurate? A. Infancy B. Preschool age C. School age D. Adolescence E. Young adulthood

C. School age

The Boy Scouts is an organization that continues to be a favorite with school-aged boys because: A. fathers participate in Boy Scouts. B. no girls are included in the organization. C. merit badges require completing small tasks for rewards. D. hiking is a favorite school-aged activity.

C. merit badges require completing small tasks for rewards. Rationale: An organization that allows school-aged children to complete small tasks and receive rewards helps develop a sense of industry.

True or False: Children who experience cyberbullying are at less risk for academic struggles, depression, and anxiety than those who experience face-to-face bullying.

False

True or False: Children with low self-esteem may exhibit behaviors such as giving up on tasks easily or lying to avoid failure.

True

True or False: In school-aged children, treatment for overweight and obesity should focus on lifestyle changes and nutrition rather than weight loss.

True

True or False: Progression of the development of secondary sexual characteristics in school-aged children is described and documented using Tanner stages.

True

True or False: Untreated or partially treated pharyngitis caused by group A Streptococcus (GAS) can lead to rheumatic fever.

True

Tinea ___________, a fungal infection that occurs on the body, is treated with topical antifungal creams.

corporis

Children during the school-aged years develop the primary psychosocial task of __________ where they learn to master tasks and develop confidence to achieve their goals.

initiative

Overuse of _______ in children can put them at risk for obesity, poor school performance, sleep problems, and cyberbullying.

media

The first sign of puberty in females is a rapid growth spurt and the development of breast buds, also known as ________.

thelarche

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? A. "My child sleeps between 11 and 12 hours a night." B. "My child stays up late when she takes a nap after school." C. "My child does not even know when he is tired." D. "My teenage child does not sleep as much as my 9-year-old does."

A. "My child sleeps between 11 and 12 hours a night."

Which of the following is most likely associated with stage 4 of Erikson's theory of psychosocial development? A. Industry vs. Inferiority B. Intimacy vs. Isolation C. Phallic Stage D. Identity vs. Role Confusion E. Autonomy vs. Shame and Doubt F. Generativity vs. Stagnation

A. Industry vs. Inferiority

Which of the following is best linked to stage 4 of Erikson's theory of psychosocial development? A. School B. Exploration C. Romantic Relationships D. Social Relationships E. Bonding F. Toilet Training

A. School

The mother of a 13-year-old child with special needs reports concerns with her child's requests to eat lunch in the cafeteria at school with the rest of the children as opposed to eating in the nurse's office. What information should be contained in the nurse's response? A. "There are problems monitoring your child's intake if she eats in the cafeteria so this practice should be discouraged." B. "Efforts should be made to accommodate your child's request." C. "Perhaps the school will allow your child to have a few friends to eat in the nurses' office with her." D. "Maybe you or another family member could go to the school and eat with your child so she is not forced to eat alone."

B. "Efforts should be made to accommodate your child's request."

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? A. "Your child doesn't seem to be overweight, so it isn't a concern." B. "We see most children of this age in our clinic gaining similar amounts." C. "Normal growth and development for this age results in an average weight gain of 7 pounds per year." D. "I understand why you are concerned. Is your child sedentary quite a bit? Encouraging activity may limit weight gain."

C. "Normal growth and development for this age results in an average weight gain of 7 pounds per year."

The nurse is performing a health history on a 6-year-old child who is having trouble adjusting to a new school. Which question will elicit valuable information? A. "Do you like your new school?" B. "Are you happy with your teacher?" C. "Do you enjoy reading a book?" D. "What are your new classmates like?"

D. "What are your new classmates like?"

Which of the following is a virtue most likely associated with stage 4 of Erikson's theory of psychosocial development? A. Wisdom B. Care C. Will D. Competence E. Love F. Fidelity

D. Competence

The nurse is instructing a parent on administering ear drops to a 6-year-old. Which parental action demonstrates an understanding of teaching? A. The parent administers the medication following removal from refrigerator. B. The parent allows the child to instill the medication. C. The parent shakes the medication prior to administration. D. The parent has the child sit down and pulls the pinna upward and back

D. The parent has the child sit down and pulls the pinna upward and back

A female child has been diagnosed with precocious puberty at the age of 8. Which of the following would be an important teaching priority to tell the parents? A. "Your daughter is physically able to become pregnant." B. "Your daughter will be unable to have children." C. "Your daughter will need medication to suppress further development." D. "Your daughter will need psychological counseling."

A. "Your daughter is physically able to become pregnant."

The nurse is collecting data on a 9-year-old child being admitted to the pediatric unit. What is the most appropriate way to gather information from the child's caregiver? A. Ask the caregiver questions and document the answers. B. Have the caregiver sit in a quiet room and fill out a questionnaire. C. Ask the caregiver if he or she can read or if someone is needed to read the questions on the admission form to him or her. D. Have the child read the questions to the caregiver and then write down the answers on the form.

A. Ask the caregiver questions and document the answers.

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? A. Assess the situation with the help of the school staff and parents. B. Immediately call the bullied child's parents. C. Question those responsible for the bullying. D. Determine if there have been other playground bullying incidents.

A. Assess the situation with the help of the school staff and parents.

A mother is concerned that a 7-year-old child has taken money from a sibling's dresser several times. What should the nurse advise the mother about this behavior? A. The child needs to be reminded of property rights. B. Stealing is unusual for a 7-year-old and needs to be investigated. C. The mother should purchase a bank for the other child that cannot be opened. D. The mother should talk to the child's teacher about putting less pressure on the child.

A. The child needs to be reminded of property rights.

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 to Piaget's stage of concrete-operational thought processes. With which activity is the nurse concerned? A. does not understand the phrase "slow as molasses" when used by the teacher B. arrives to class late from recess and apologizes to the teacher C. believed that not turning in homework on time was acceptable, but has since decided it is not acceptable D. enjoys math instruction and decides to join the math club

A. does not understand the phrase "slow as molasses" when used by the teacher Rationale: Piaget's stage of cognitive development for the 7- to 11-year-old is the period of concrete-operational thoughts. In developing concrete operations, the child is able to assimilate and coordinate information about his or her world from different dimensions. Abstract thinking, such as understanding the meaning of the phrase "slow as molasses," is expected at this stage of cognitive development.

A 7-year-old client is seen in the clinic for a sports physical. Upon assessment, the nurse notices pubic hair and increased breast tissue in both breasts and consults the primary health care provider. The nurse is most correct to anticipate which testing to be completed? A. serum laboratory testing for estrogen levels B. magnetic resonance imaging (MRI) of the pituitary gland C. nutritional analysis of recent food consumption D. computed tomography (CT) of the adrenal glands

B. magnetic resonance imaging (MRI) of the pituitary gland Rationale: The characteristics assessed by the nurse indicate precocious puberty. Precocious puberty is characterized by the development of breasts and pubic hair before age 8 years and menses before age 9 years. A pituitary tumor is first to be ruled out by a magnetic resonance imaging scan.

A school-aged child goes to the school nurse with a headache and stomachache. The child has normal physical exam findings. The nurse questions the child further, and the child confides experiences of being bullied by another child in the class. What is the best action made by the nurse? A. Encourage the child to fight back. B. Encourage the child to share feelings of anger with the bully. C. Encourage the child to seek help from the teacher. D. Encourage the child to ignore the behavior.

C. Encourage the child to seek help from the teacher.

The nurse has determined that an 8-year-old girl is at risk for being overweight. Which intervention would be a priority prior to developing the care plan? A. Determining the need for additional caloric intake B. Asking the parents which or health care professionals they feel should work with the child C. Interviewing the parents about their eating habits D. Discussing the influence of peers on the child's diet

C. Interviewing the parents about their eating habits

Which of the following ages best link to stage 4 of Erikson's theory of psychosocial development? A. Young Adult (20-30 Years) B. Adulthood (Age 30 - 65 Years) C. School Age (6-12 Years) D. Infancy (Birth to 18 Months) E. Preschool (3-5 Years) F. Adolescent (12-18 Years)

C. School Age (6-12 Years)