Growth and Development of the School-age Child!

The nurse is teaching a group of caregivers of school-age children on various topics. Which of the following statements made by the caregivers indicates a need for further teaching?

"Food is so expensive, we always make our children eat everything on their plate."

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 of the following statements by the father would indicate a need for further teaching?

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

Billy's mother is with him at a visit for a sore throat. In the interview she states that she does not know what to do with him: He is taking two or three showers a day, when not that long ago she could barely get him to take a bath at all. What should the nurse's reply be to the mother?

"Reinforce the family rules but also allow him to develop his own routine."

Evan, a 14-year-old, and his mother are in the office for an annual visit and his mother jokes openly in front of you about the changes in Evan's voice and the hair under his armpits. What is an appropriate response from the nurse when she is talking with the mother?

"Remember that he can become modest and self-conscious and teasing may cause embarrassment."

A 3-year-old tells you he has 19 brothers. You know that he has two. What is your best response to him concerning his brothers?

"That's a good pretend answer, but tell me the names of the brothers you really have."

A nurse observes a child engaged in parallel play in a nursery. Which of the following is an example of parallel play?

A boy sitting beside a girl in the floor, each playing independently with a separate set of blocks

A 16-year-old girl with acne has been prescribed tretinoin (Retin-A cream). Which of the following instructions should the nurse give this girl related to prevention of a common side effect of this medication?

Avoid prolonged sun exposure

The nurse takes a call from the mother of a 26-month-old girl with constipation, and she recommends a higher fiber diet to the mother. Which of the following would be among the nurse's suggested meals?

Bean soup and banana slices

While awaiting an appointment at the doctor's office for his 20-month-old daughter, a young father is astonished to see his daughter assume a proper stance and swing a toy golf club in the play area of the waiting room. A nurse also observes the behavior, and the father recalls that his daughter saw him practicing his golf swing in their back yard a few days ago. The nurse explains that this is an instance of which of the following?

Deferred imitation

A 4-year-old is hospitalized with a urinary tract infection. Based on what you know of her cognitive development, which approach would be best to prepare her for a radiograph?

Help her pretend the x-ray machine is a camera.

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, which is what?

Industry

A father shares with a nurse that his 12-year-old son has begun ejaculating in his sleep and is deeply embarrassed about it. The father says he has tried to explain to his son that this is a normal occurrence in puberty, but the son is still humiliated by it. The nurse recognizes this occurrence as which of the following?

Nocturnal emissions

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 the girl is demonstrating which of the following?

Transduction

Parents of a 2-year-old girl are having a conversation with the nurse about tantrums. Which of the following techniques would the nurse most likely to suggest?

Use short "time-outs" and remain calm.

A mother tells a nurse that her child has recently established some friendships for the first time. In which age group do you expect this child to be?

preschool

The mother of a toddler boy half-jokingly states: "I am so tired of hearing 'NO!' I wish he would stop!" What suggestions will the nurse offer to reduce toddler negativism? Select all that apply.

• Avoid "yes" and "no" questions. • Offer simple choices: "Blue shirt or red one?" • Make statements: "It is time for lunch." • Avoid ending a request with "Okay?" • Use humor to make "no" funny: "Do cows bark?"