EVOLVE chap 12

Which is descriptive of the nutritional requirements of preschool children? A) The quality of the food consumed is more important than the quantity. B) Nutritional requirements for preschoolers are different from requirements for toddlers. C) The requirement for calories per unit of body weight increases slightly during the preschool period. D) The average daily intake of preschoolers should be about 3000 calories.

A

Parents are concerned about the behavior of their preschool child as he is exhibiting aggressive behavior in interactions with other children. Which information would be relevant in determining if the behavior represents an abnormal pattern? (Select all that apply.) A) How many times this type of behavior has occurred in recent weeks? B) Does the behavior seem to be escalating? C) How long has this behavior been going on? D) Do you think that the behavior is warranted considering the situation that has occurred?

AB

A nurse is presenting a class on injury prevention to parents of preschoolers. Which injuries should the nurse identify as occurring in this age group? (Select all that apply.) A) Falls B) Drowning C) Poisoning D) Sports injuries E) Tricycle and bicycle accidents

ABCE

A mother tells the nurse that her daughter's favorite toy is a large, empty box that contained a stove. She plays "house" in it with her toddler brother. Based on the nurse's knowledge of growth and development, the nurse recognizes that this is A) unsafe play that should be discouraged. B) creative play that should be encouraged. C) suggestive of limited family resources. D) suggestive of limited adult supervision.

B

A 4-year-old child is seen playing with his father while waiting in the clinic area for a well checkup visit. The nurse observing the interaction notes that this behavior as being an example of? A) Imaginative play B) Mutual play C) Dramatic play D) Avoidance play

B

A 4½-year-old boy has been having increasingly frequent angry outbursts in preschool for approximately 8 to 10 weeks. In addition, he is aggressive toward the other children and teachers. His parents ask the nurse for advice. The most appropriate nursing intervention is to A) explain that this is normal in preschoolers, especially boys. B) refer the child for counseling. C) talk to the preschool teacher to obtain validation for the behavior the parent reports. D) encourage the parent to try more consistent and firm discipline.

B

Kimberly, age 4 years, sometimes wakes her parents up at night, screaming, thrashing, sweating, and apparently frightened. Yet she is not aware of her parents' presence when they check on her. She lies down and sleeps without any parental intervention. This most likely scenario is A) nightmares. B) sleep terrors. C) seizure activity. D) sleep apnea.

B

The best approach for effective communication with a preschooler is through A) speech. B) play. C) drawing. D) actions.

B

When preparing parents to teach their preschool child about human sexuality, what should the nurse emphasize? A) A parent's words may have a greater influence on the child's understanding than the parent's actions. B) Parents should determine exactly what the child wants to know before answering a question about sexuality. C) Parents should avoid using correct anatomic terms because they are confusing to the preschooler. D) Parents should encourage preschoolers to satisfy their sexual curiosity by playing "doctor."

B

Which observation is associated with nightmares as opposed to sleep terrors? A) Child has no memory of the event or dream like state. B) Has a hard time returning to sleep following the event. C) Thrashing type behaviors continue when the child awakens. D) Is not comforted by traditional methods of contact.

B

During a well-child visit, the father of a 4-year-old child tells the nurse that he is not certain if his child is ready for kindergarten. The child's birthday is close to the cutoff date, and the child has not attended preschool. The most appropriate recommendation by the nurse is to A) encourage the father to have the child start kindergarten. B) recommend to the father that he postpone kindergarten and send the child to preschool. C) refer the child for developmental screening and make a recommendation based on the results. D) have the father observe a kindergarten class and then decide if his child would enjoy the experience.

C

According to Erikson, the primary psychosocial task of the preschool period is developing a sense of A) identity. B) intimacy. C) initiative. D) industry.

C

The nurse is giving anticipatory guidance to the parent of a 5-year-old. What is the most appropriate information to include? A) Prepare the parent for increased aggression. B) Encourage the parent to offer the child choices. C) Inform the parent that he or she can expect a more tranquil period at this age. D) Advise the parent that this is the age when stuttering may develop.

C

The parents of a 4½-year-old girl are worried because she has an imaginary playmate. Based on the nurse's knowledge of the preschooler, the most appropriate response is A) a psychosocial evaluation is indicated. B) an evaluation of possible parent-child conflict is indicated. C) having imaginary playmates is normal and useful at this age. D) having imaginary playmates is abnormal after age 2 years.

C

The preschooler's body image has developed to include A) a well-defined body boundary. B) knowledge about his or her internal anatomy. C) fear of intrusive procedures. D) fear of looking different from his or her friends.

C

The two rules used to provide sensitive information to a preschooler focus on A) describing the information in a succinct way and answering any questions. B) ask the child if he/she understands what you have told them and then clarify any additional questions. C) find out what they know and think and then be honest. D) use the opportunity to provide minimal information and keep the level of interaction simple.

C

Ashley, age 4½ years, is afraid of dogs. What should the nurse recommend to her parents to help her with this fear? A) Keep her away from dogs. B) Buy her a stuffed dog toy. C) Force her to touch a dog briefly. D) Let her watch other children play with a dog.

D

By what age would the nurse expect most children to use sentences of four or five words? A) 18 months B) 24 months C) 3 years D) 4½ years

D

Parents of a preschooler relate that their child is having some difficulties falling asleep. This is a recent occurrence and the parents report that they have tried virtually everything to get their child to go to sleep. Based on this self-report, the nurse would advise the parents to? A) Do not feed the child 2 hours before sleep as food might be causing excess stimulation. B) Do not let the child watch any television in the evening as this may cause stimulation. C) Have the child fall asleep on the couch and then transfer the child to the bed. D) Maintaining a consistent approach to bedtime routine serves as a basis for promoting sleep patterns.

D