CH 28 TB
the nurse is assessing the gross motor skills of an 8 year old boy. which interview question would facilitate this assessment
"do you participate in any sports"
the mother of a 12 year old boy is talking with the school nurse about her son's clumsiness. she reports that he seems to fall a lot, his writing is horrible and as much as he practices, he can't play his guitar very well. how should the nurse respond to the mother
"have you spoken with your pediatrician about your observations"
the nurse is performing a physical assessment of a 10 year old boy. the nurse notes that during last year's check up, the child weighted 80 lbs. according to average growth for this age group, what would be his expected current weight
87 lb
what finding would the nurse most likely discover in a 10 year old child in the period of concrete operational thought
ability to classify similar objects
the school nurse is teaching parents about the effects of bullying on school children. what accurately describes this developmental concern
both boys and girls are bullied; boys usually bully boys and use force more often
the nurse knows that the school age child is in Erikson's stage of industry versus inferiority. which best exemplifies a school ager working toward accomplishing this developmental task
the child signs up for after school activities
the nurse is teaching parents to plan nutritional meals for their 7 year old son who is overweight. which guideline might the nurse include in the teaching plan
the school age child needs 28 g of protein and 800 mg of calcium for maintenance of growth and good nutrition
the school nurse providing school health screenings knows that the 7 to 11 year old is in Piaget's stage of concrete operational thoughts. what should this age group accomplish when developing operations? SATA
-ability to assimilate and coordinate information about the world from different dimensions -ability to see things from another person's point of view and think through an action -ability to use stored memories of past experiences to evaluate and interpret present situations -ability to think about a problem from all points of view, ranking the possible solutions while solving the problem -ability to understand the principle of conservation that matter does not change when its form changes
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 SATA
-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 -all of the girls and boys will be going through the same thing as you so that should make you feel a little better -tell me how this makes you feel. Talking about your feelings may help you feel better about school -I went thought the same thing when I was in school. I know it doesn't feel like it now, but I promise it will get easier
the pediatric nurse is aware of the maturation of organ systems in the school age child. what accurately describes these changes SATA
-the brain grows very slowly during the school age years and growth is complete by the time the child is 12 years -respiratory rates decrease, abdominal breathing disappears and respirations become diaphragmatic in nature -the school age child's blood pressure increases and the pulse rate decreases, and the heart grows more slowly during the middle years -school age child experiences more gastrointestinal upsets compared with earlier years since the stomach capacity increases -bladder capacity increases but varies among individual children and girls generally have a greater bladder capacity than boys -prepubescence typically occurs in the 2 years before the beginning of puberty and is characterize by the development of secondary sexual characteristics
the nurse is using the formula for bladder capacity to measure the bladder capacity of a 9 year old girl. what number would the nurse document for this measurement
11 ounces
during a well child check up, the parents of a 9 year old boy tell the nurse that their son's friends told him that soccer is a stupid game, and now he wants to play baseball. what comment by the nurse best explains the effects of peer groups
acceptance by friends, especially of the same sex is very important at this age
the school nurse is conducting vision screenings for a 7 year old girl and documents the condition "amblyopia:. what would the nurse tell the parents about this condition?
amblyopia is reduced vision in an eye that has not been adequately used during early development
the nurse is performing an annual check up for an 8 year old child. compared to the previous assessment of this child, which characteristic would most likely be observed
breathing is diaphragmatic
the nurse is teaching the parents of a 9 year old girl about the socialization that is occurring in their child through school contacts. which information would the nurse include in the teaching plan
continuous peer relationships provide the most important social interaction for school age children
the nurse is talking with a chatty 7 year old girl during her regular check up. which behaviors would the child also be expected to exhibit
explaining what is right and what is wrong
the nurse is caring for a 7 year old girl who is scheduled for a hernia repair and is very scared. which fear would she also most likely have at this time
fear of being kidnapped
the nurse is counseling the parents of a 10 year old child who was caught stealing at school. which topic should the nurse cover
finding out what is currently doing on at home
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
interviewing the parents about their eating habits
the school nurse is preparing a talk on the influence of the media on school age children to present at the next PTO meeting. which fact might the nurse include in the introduction
parents should limit television watching and video game playing to 2 hours per day
when providing anticipatory guidance to a group of parents with school age children, what would the nurse describe as the most important aspect of social interaction
peer relationships
two working parents are discussing with the school nurse the possibility of their 12 year old going home alone after school. what suggestions should the nurse make
purchase caller ID for the phone
the mother of a 7 year old girl tells the school nurse that her child is deathly afraid of going to school. what would be the best intervention the nurse could suggest in this situation
return the child to school and investigate the cause of the fear
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
after teaching the parents of a 9 year old girl about safety, which statement indicates the need for additional teaching
she can ride in the front seat of the car once she is 10 years old
the parents of an 8 year old boy are interested in promoting learning through reading to their son. which suggestion by the nurse would best promote this goal
take the child to the library to check out some books
a mother brings her 6 year old son in for a check up because the child is reporting stomachaches. it is the beginning of the school year. what might be the mother also mention
the child cries before going to school
the school nurse knows that school age children are developing metalinguistic awareness. which is an example of this skill
the child enjoys telling jokes
the nurse if performing a physical examination of an 11 year old girl. what observations would be expected
the child has grown 2.5 in since last year
