ch. 18 Prep U

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 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." "I guess we will need to supervise our son while he brushes."

"These are only his baby teeth so we are not worried."

The parents of a 7-year-old tell the nurse that they are concerned that their child has attention deficit hyperactivity disorder (ADHD) because he can't seem to stay focused when playing in a baseball game. What questions/comments by the nurse are appropriate? Select all that apply. "He is rather young developmentally to be playing a sport like baseball." "Many boys of this age have ADHD. He may need to have medication prescribed." "Young boys get easily distracted during baseball." "How is his attention span during school?" "Do you notice him getting distracted in other activities, like bicycling?"

"How is his attention span during school?" "Do you notice him getting distracted in other activities, like bicycling?"

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? does not understand the phrase "slow as molasses" when used by the teacher arrives to class late from recess and apologizes to the teacher believed that not turning in homework on time was acceptable, but has since decided it is not acceptable enjoys math instruction and decides to join the math club

does not understand the phrase "slow as molasses" when used by the teacher

The mother of a 9-year-old female voices concern to the nurse about her daughter developing breasts "at such a young age." How should the nurse respond? "I am sure you are concerned but children develop at different rates." "This is rather young to be developing breasts. I will be sure to let the doctor know." "Do the females in your family typically develop at an early age?" "I understand your concern, but girls typically enter puberty around the age of 9 or 10."

"I understand your concern, but girls typically enter puberty around the age of 9 or 10."

A 12-year-old girl is experiencing prepubescence, and tells the school nurse that she feels "very out of place" in her school. What would be acceptable responses by the nurse? Select all that apply. "It must be difficult for you. Why don't you sit down and we can talk about it." "I would suggest that you talk to your parents about your feelings. This isn't something that I can talk to you about." "I went through the same thing when I was in school. I know it doesn't feel like it now but I promise it will get easier." "Tell me how this makes you feel. Talking about your feelings may help you feel better about school." "All of the girls and boys will be going through the same thing as you so that should make you feel a little better."

"It must be difficult for you. Why don't you sit down and we can talk about it." "Tell me how this makes you feel. Talking about your feelings may help you feel better about school."

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."

A mother brings her 8-year-old daughter into the doctor's office because over the past year her tonsils have increased in size to the point that the mother is concerned that her breathing will be obstructed. The girl has no pain, fever or other symptoms. Following this data collection, which instruction is best? "With the increase in tissue size, tonsillitis is suspected." "An allergic reaction is often the cause. What type of allergies does she have?" "This may be normal growth of lymphatic tissue for this age." "A pituitary disorder may be the cause. Blood work may be indicated."

"This may be normal growth of lymphatic tissue for this age.

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? "Your daughter will be unable to have children." "Your daughter will need psychological counseling." "Your daughter will need medication to suppress further development." "Your daughter is physically able to become pregnant."

"Your daughter is physically able to become pregnant."

A nurse is caring for a hospitalized 7-year-old child whose family members have been unable to visit for 2 days. The nurse is preparing a diversional activity for the child. Which activity would best be suited for a child in this age group? A paint-by-numbers activity creating a picture A card game such as solitaire A board game such as monopoly An activity focusing on learning fractions

A paint-by-numbers activity creating a picture

The nurse is preparing a presentation for a community health fair on the topic of helping school-aged children develop the self-confidence they will need to mature into responsible adults. Which suggestion should the nurse prioritize to caregivers to enable them to help their children in this area? Encourage the child to cheer on their friends at games. Encourage older siblings to include the child in their activities. Caregivers should maintain consistent rules and expectations. Ensure that the child has the best teacher possible.

Caregivers should maintain consistent rules and expectations.

The school nurse is meeting with a 10-year-boy who is concerned about his weight. He reports he doesn't eat much candy but loves fruit, pasta, potatoes, and bread. Which suggestion should the nurse prioritize to help him maintain a healthy weight? Encourage the child to not worry about weight until he is older. Encourage activities that will increase his physical activity. Encourage portion control at each meal Change to a very low-fat and no-carbohydrate diet.

Encourage activities that will increase his physical activity.

The nurse is discussing healthy eating habits with a school-age child and her parents. Which recommendation would the nurse make for the family? A bedtime snack should be part of the child's bedtime ritual/pattern. Carbohydrates at breakfast will give a child energy to start the day. When serving food the child doesn't like, insist he or she takes several bites. Light snacks should be offered so the child doesn't overeat at meals.

Light snacks should be offered so the child doesn't overeat at meals.

The nursing instructor is leading a discussion on school-aged children. The instructor determines the session is successful when the students correctly choose which factor as being a priority for the school-aged child? Be screened for scoliosis once a year Have a routine physical exam every 6 months Needs 10 to 12 hours of sleep per night Should brush their teeth at bedtime

Needs 10 to 12 hours of sleep per night

The nurse realizes that many factors influence a child's pain experience. Which pain scale is appropriate to use with a 5-year-old child? CRIES scale Oucher pain rating scale Pain Observation Scale for Young Children (POCIS) 0 to 10 numeric pain intensity scale

Oucher pain rating scale

An overly tired school-aged child enters the school clinic. The nurse asks the child to state the times he/she usually goes to bed at night and wakes up in the morning. The child answers 11:00 PM and 6:00 AM. Which is the best response made by the nurse? "That is not enough sleep. You should get at least 9 to 12 hours of sleep each night." "Do your parents always let you stay up so late at night?" "Why do you go to bed so late at night?" "That should be enough sleep. Let's talk about your eating habits."

"That is not enough sleep. You should get at least 9 to 12 hours of sleep each night."

6. A parent brings a 6-year-old to the clinic and informs the nurse that the child is tired all the time, even though the child sleeps 7 to 8 hours each night. What is the best response by the nurse? "We should ask the health care provider to run some tests; with that much sleep, the child should not be tired." "Your child should be getting 11 to 12 hours of sleep per night with some quiet time after school." "Your child should be getting at least 9 hours of sleep per night." "Your child should be getting 8 to 9 hours of sleep per night."

"Your child should be getting 11 to 12 hours of sleep per night with some quiet time after school."

The mother and her 8-year-old daughter come to the clinic for a well-child visit. The mother asks the nurse, "About how much sleep should my daughter be getting?" The nurse responds by saying:

10-12 hours.

The school nurse is developing a school wellness program to promote healthy eating habits and regular physical activity. What is the most important element to emphasize to maximize compliance, healthy habits, and long-term change? Include both parents and children in the wellness program. Serve fruits and vegetables in the cafeteria. Eliminate sweetened, carbonated beverages in the cafeteria. Incorporate activity in parts of the daily schedule.

Include both parents and children in the wellness program.

The nurse is teaching the student nurse how to perform a physical assessment based on the child's developmental stage. Which statement accurately describes a recommended guideline for setting the tone of the examination for a school-age child? Speak to the child using mature language and appeal to his or her desire for self-care. Keep up a running dialogue with the caregiver, explaining each step as you do it. Include the child in all parts of the examination; speak to the caregiver before and after the examination. Address the child by name; speak to the caregiver and do the most invasive parts last.

Include the child in all parts of the examination; speak to the caregiver before and after the examination.

What activities would a nurse recommend to the families of school-aged children to promote attainment of Erikson's developmental stage of industry vs. inferiority? Select all that apply. Voicing parental doubts when the child begins a new activity, such as playing a musical instrument to avoid embarrassment Commiserating with the child when he or she does not get selected for the school choir Praising the child for their academic efforts Participating on the school soccer team Allowing the child to assist her teacher in straightening up the classroom

Participating on the school soccer team Praising the child for their academic efforts Allowing the child to assist her teacher in straightening up the classroom

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?

School age

The nurse is providing anticipatory guidance for parents of a school-age child on teaching the dangers of drugs and alcohol. What advice might be helpful for these parents? School-age children can think critically to interpret messages seen in advertising, media, and sports. Discussions with children should focus on past events and future consequences. School-age children are not ready to absorb information that deals with drugs and alcohol. Parents must prevent their child from being exposed to messages that are in conflict with their values.

School-age children can think critically to interpret messages seen in advertising, media, and sports.

The nurse is caring for an 8-year-old girl who is hospitalized. To promote achievement of the child's developmental task, which activity would the nurse encourage? Sewing a pillow that can be completed in one afternoon. Downloading the child's favorite movies for watching over the next few days. Planning and designing a puppet show over the next 2 weeks. Working on creating a scrapbook that will take 3 weeks to complete.

Sewing a pillow that can be completed in one afternoon.

The nurse is instructing a parent on administering ear drops to a 6-year-old. Which parental action demonstrates an understanding of teaching?

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

An 8-year-old male child is being seen for a well-child visit. His weight at his visit last year was 50 lb (22.7 kg) and his height was 47 in (119 cm). If he is developing normally, which finding will the nurse expect to note this year? The child has all of his adult teeth present. The child's weight is seven times his birth weight. Height 49.5 in (124 cm) Weight 62 lb (28.1 kg)

Height 49.5 in (124 cm)

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? raking leaves putting books on shelf vacuuming folding clothes

putting books on shelf

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? "I will appear heavier due to an increase in fat production." "I will have improved gross motor skills." "I will grow an average of 2.5 in (6.5 cm) per year." "There are not many physical differences among school age boys."

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

A child awaiting a blood draw procedure states, "I am so nervous and really do not want to have this done." Which response by the nurse is best? "This is a quick procedure that will not hurt much at all." "Think happy thoughts and everything will be okay, I promise." "Imagine that you are swimming in a cool, shady pool where nothing can harm you." "I understand why you are nervous. I will see if there is another option."

"Imagine that you are swimming in a cool, shady pool where nothing can harm you."

A nurse is assigned to care for a 7-year-old child. The child wants to show the nurse a collection of baseball cards. The nurse understands that the collection of objects is common in this age group and is known as what type of thinking? Preoperational thinking Egocentric thinking Decentration Classification

Classification

The nurse at a hospice care facility is caring for a 13-year-old adolescent. Which intervention best meets the needs of this adolescent? Urging the client to invite friends to visit Acting as the client's personal confidant Explaining the condition to the client in detail Assuring the client the illness is not the client's fault

Urging the client to invite friends to visit

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? time to establish relationships with the opposite sex an opportunity for children to become self sufficient a sense of security as children gain independence time to remain dependent on their parents

a sense of security as children gain independence

The school-aged child understands that a change in an object's shape does not necessitate a change in size. The nurse knows that this is an example of which type of cognitive development of the school-aged child? decentering accommodation class inclusion conservation

conservation

A 9-year-old girl tells the nurse about belonging to a girls' social media club. How does belonging to this group support the child's development? helps the child develop autonomy fulfills peer group needs teaches the child leadership skills encourages the child to learn rules

fulfills peer group needs

The nurse is interviewing a 9-year-old child and during the interview the child states, "There's this kid at school who is always taking my lunch money and my homework." The nurse interprets this statement as which of the following?

physical bullying

The nurse is providing anticipatory guidance to a parent of an 8-year-old girl whose weight is 65 lb (29.5 kg) and height is 50.5 in (128.3 cm). Which statement by the parent demonstrates the need for further teaching? "If my child has moderate activity my child needs around 1500 calories per day." "Based on my child's weight and height, I should be concerned my child is overweight." "My child needs 1000 mg of calcium per day." "I should encourage my child to fill half of the plate with fruits and veggies."

"Based on my child's weight and height, I should be concerned my child is overweight."

The nurse is assessing a 9-year-old girl during her well-child checkup and notes the child weighs 86 lb (39 kg). After noting she weighed 9.5 lb (4.30 kg) at birth and her growth has been within normal patterns, the nurse determines this girl is within which category? significantly underweight slightly overweight slightly underweight significantly overweight

slightly overweight