Course Point School Age

The mother of a 6-year-old is asking the nurse how to handle the child's lying and fabricated stories when confronted with questionable actions. Which response would be most appropriate by the nurse? "Children this age sometimes can't distinguish between fantasy and reality." "Your child could be in serious trouble in school if he continues to tell lies." "The child should have privileges taken away for several days each time he tells a lie." "Is there any possibility he is telling the truth and you just don't know it is the truth?"

"Children this age sometimes can't distinguish between fantasy and reality."

The nurse is teaching parents of an 11-year-old child how to deal with the issue of peer pressure regarding the use of tobacco and alcohol. Which suggestion by the nurse provides the best course of action for the parents? Keep any alcohol products in the home in a locked cabinet. Discuss tobacco and alcohol use and effects with the child. Encourage the child to avoid having friends who smoke or drink. Avoid smoking in the house or in front of the child.

Discuss tobacco and alcohol use and effects with the child.

What foods could a parent provide that would be the most beneficial to support healthy dentition for a school-aged child? Bagels and cream cheese with sherbet Hamburger and a cherry Coke Fish, spinach salad and a glass of milk Chicken sandwich with pretzels and apple juice

Fish, spinach salad and a glass of milk

The school nurse receives a report that a child is having difficulty with grades and always appears hungry. When the nurse is assessing this child, what information would be mostimportant to ascertain? amount of food consumed daily recent illnesses relationship with parents amount of sleep

relationship with parents

A parent calls the health care provider about the 7-year-old child's dental hygiene. The child has had three cavities. The parent does not know what to do and asks the nurse for guidance. How should the nurse respond? "Is there fluoride toothpaste available for use?" "What type of toothbrush does your child use?" "Did you teach your child how to brush the teeth?" "Are you able to supervise your child's brushing?"

"Are you able to supervise your child's brushing?"

A hospitalized 7-year-old is recovering from a head injury. Occupational therapy has been ordered to assist the child in regaining eye/hand coordination. If the child cannot master this skill, what feelings may arise? A sense of mistrust A sense of shame A feeling of inferiority A sense of doubt

A feeling of inferiority

The nurse at an elementary school is explaining the concept of industry versus inferiority to a group of nursing students. What is part of this stage of Erikson's theory? The conventional stage of development Lack of the ability to think abstractly A sense of competence, mastery, and worth The principle of conservation

A sense of competence, mastery, and worth

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

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

The parents of a school-aged child with school refusal have received professional guidance by the school psychologist, pediatrician, and three different psychiatrists. Based on this, which nursing diagnosis would be most appropriate? Disturbed thought processes related to delusional behavior Compromised parental coping related to inability to assist with school fears Noncompliance with expected school behavior related to school phobia Ineffective tissue perfusion, cerebral, related to anxiety over attending school

Compromised parental coping related to inability to assist with school fears

The mother of a 7-year-old girl is asking the nurse's advice about getting her daughter a 2-wheel bike. Which response by the nurse is most important? "She won't need a helmet if she has training wheels." "Learning to ride the bike will improve her coordination." "Be sure to get the proper size bike." "Teach her where she'll land on the grass if she falls."

"Be sure to get the proper size bike."

The parents of an 8-year-old boy report their son is being bullied and teased by a group of boys in the neighborhood. Which response by the nurse is best? "Bullying can have lifelong effects on the self-esteem of a child." "Fortunately the scars of being picked on will fade as your son grows up." "Your son is at high risk for bullying other children as a result of this situation." "Perhaps teaching your son self-defense courses will help him to have a greater sense of control and safety."

"Bullying can have lifelong effects on the self-esteem of a child."

The nurse is teaching a group of school-aged children about physical development. Which statement made by one of the children indicates the correct understanding of the teaching? "Girls typically experience a rapid growth spurt before boys." "Boys normally grow an average of 5 in (12.5 cm) each year." "Menarche is usually the first sign of puberty in school-aged girls." "There are not many physical differences between school-aged boys and girls."

"Girls typically experience a rapid growth spurt before boys."

During a routine wellness examination, the nurse is trying to determine how well a 5-year-old boy communicates and comprehends instructions. What is the best specific trigger question to determine the preschooler's linguistic and cognitive progress? "Would you say your son has a vocabulary of about 900 words?" "How well does your son communicate or follow instructions?" "Is your son's speech clear enough that anyone can understand it?" "Does your son speak in complete sentences all the time?"

"How well does your son communicate or follow instructions?"

The nurse is taking a health history for a 12-year-old boy who is seriously overweight. Which general question would the nurse direct to the child's parents? "Is breakfast eaten regularly?" "What beverages are preferred?" "How important is exercise?" "Is there a family history of hypertension, heart disease, or diabetes?"

"Is there a family history of hypertension, heart disease, or diabetes?"

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

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

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 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."

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

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 board game such as monopoly An activity focusing on learning fractions A card game such as solitaire A paint-by-numbers activity creating a picture

A paint-by-numbers activity creating a picture

A parent tells the nurse that the 6-year-old child has been biting his fingernails since beginning first grade. After analysis, the cause is determined to be increased stress. What advice would the nurse give the parent regarding this behavior? Encourage the child to drink more milk for stronger nails. Allow some time every day for the child to talk about new experiences Distract the child by teaching a new skill, such as whistling. Allow the child to choose a reward for not biting the nails.

Allow some time every day for the child to talk about new experiences

The nurse is caring for a hospitalized 10-year-old client. Which nursing action is mostappropriate? Consistently reinforce the child's self-worth. Discourage the child from assisting with dressing change. Correct each of the child's mistakes to ensure learning. Structure a competitive environment between clients.

Consistently reinforce the child's self-worth.

The nurse is creating a care plan for a school-aged child with a nursing diagnosis of Ineffective health maintenance related to lack of exercise and poor food choices. Which nursing interventions should the nurse include? Select all that apply. Plot out the child's height, weight, and BMI to detect weight loss or gain. Educate the parents and the child on the need to decrease TV/computer/device time. Have the parents keep a diary of the child's food and exercise for a week. Interview the parents about their eating and exercising habits. Educate the parents and child on the need to increase the amount of daily exercise.

Educate the parents and the child on the need to decrease TV/computer/device time. Educate the parents and child on the need to increase the amount of daily exercise. Interview the parents about their eating and exercising habits. Plot out the child's height, weight, and BMI to detect weight loss or gain.

An 8-year-old boy's foster mother is concerned about three recent cavities found in his permanent teeth and reports the child eats a nutritional diet, doesn't eat junk food, and the town water supply is fluoridated. Which suggestion should the nurse prioritize to this mother in regard to the child's dental health? Accept that the child is genetically predisposed to having more cavities than most children. Ensure that the child brushes his teeth after each meal and snacks. Encourage the child to abstain from eating sugary snacks at school. Have the child's teeth professionally cleaned every 3 months.

Ensure that the child brushes his teeth after each meal and snacks.

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? Height 49.5 in (124 cm) Weight 62 lb (28.1 kg) 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)

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? Needs 10 to 12 hours of sleep per night Be screened for scoliosis once a year Have a routine physical exam every 6 months Should brush their teeth at bedtime

Needs 10 to 12 hours of sleep per night

On physical examination, the nurse discovers that a 6-year-old child's palatine tonsils are somewhat enlarged in the back of the throat. What would be the nurse's best action? Take the child's temperature; this must be tonsillitis. Suggest the health care provider examine the child for breathing difficulty. Record this as a normal finding in an early school-age child. Give the child something for pain.

Record this as a normal finding in an early school-age child.

A group of 10-year-old girls have formed a "girls only" club. It is only open to girls who still like to play with dolls. How should this behavior be interpreted? poor peer relationships appropriate social development encouragement for bullying and sexism immaturity for this age group

appropriate social development

The school-age child develops the ability to recognize that if a block of clay is in a round ball and then is flattened, the shape changes but not the amount of clay. What understanding has this child developed? decentration classification reversibility conservation

conservation

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? 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 does not understand the phrase "slow as molasses" when used by the teacher enjoys math instruction and decides to join the math club

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

During a well-child check at the ambulatory clinic, the mother of a 10-year-old boy reports concerns about her son's frequent discussions about death and dying. Based upon knowledge of this age group, the nurse understands that: at this age, children are not afraid of death. discussing death and dying may hint at a psychological disorder. preoccupation with death and dying is common in the school-aged child. consistent thoughts of death and dying at this age lead to the later development of depression.

preoccupation with death and dying is common in the school-aged child.

The nurse is talking with a school-aged child about her interests. In which interest do most school-aged children place the most focus? school church pets family

school

A nurse is assisting in a parent education class on accident prevention. Which statement by a parent indicates that further education is needed? "My son can let his friend ride as a passenger on his bicycle as long as they both wear helmets." "I will teach my daughter her full name and phone number." "We will be sure that our daughter wears a life jacket the next time we go boating at the lake." "I will teach my son not to arrange a meeting with someone he met on the Internet."

"My son can let his friend ride as a passenger on his bicycle as long as they both wear helmets."

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

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

The nurse is educating the parents of a 6-year-old boy how to manage the child's introduction into elementary school. The child has an easy temperament. Which action should the nurse suggest? Comforting the child when he is frustrated. Being firm with episodes of moodiness and irritability. Helping the child deal with minor stresses. Scheduling several visits to the school before classes start.

Helping the child deal with minor stresses.

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. What is that step? Industry Conservation Perfectionism Accommodation

Industry

A mother states that her 6-year-old has starting biting nails and regressing to baby talk since beginning school. What instructions are best for the nurse to give the mother regarding this behavior? Apply a nail biting product to the nails to deter biting. Get a description of the classroom behavior from the teacher. Make time each day to spend with the child individually. Remind the child to stop each time the behavior is witnessed.

Make time each day to spend with the child individually.

A nurse is caring for a hospitalized 10-year-old child. What would be an appropriate activity for this child to meet the developmental tasks of this age group? Playing with blocks Writing letters to friends Participating in a craft project Playing with a jack-in-the-box

Participating in a craft project

The school nurse is reviewing the chart of a 12-year-old student who has had excessive absences due respiratory infections. What is the best action by the nurse? Discuss with the child's teacher to determine if the number of absences has affected academic performance. Ask the child if he really has had respiratory infections during these absences. Speak with the parents about the unusual increased number of respiratory infections. Continue to monitor the child's absences.

Speak with the parents about the unusual increased number of respiratory infections.

The mother of an 11-year-old child tells the nurse that her child seems to be "hungry all of the time" and seems to "never get full." The nurse suspects a physiologic developmental problem. What is the rationale for the nurse suspecting a physiologic developmental issue? Select all that apply. Peer pressure tends to cause the child to eat less. School-age children typically consume less food than adolescents. The stomach capacity increases, which should permit retention of food for longer periods of time. The caloric needs of the school-age child are lower than in the earlier years of life. The school-age child is very selective in the type of foods they prefer.

The stomach capacity increases, which should permit retention of food for longer periods of time. The caloric needs of the school-age child are lower than in the earlier years of life.

The nurse is educating the parents of a 10-year-old girl in ways to help their child avoid tobacco. Which suggestion should be part of the nurse's advice? "Keep your cigarettes where she can't get to them." "Tell her only losers smoke and chew tobacco." "As parents, you need to be good role models." "Always go outside when you have a cigarette."

"As parents, you need to be good role models."

The school nurse asks a group of school-age children about pedestrian safety. Which comments by the children should the nurse address with either the child or parents of the child? Select all that apply. "My mom always says she looks around really well to be sure I'm not playing behind our car before she leaves." "I am 6 years old and I walk my younger brother to the park that is 5 blocks from our house." My friends and I like to walk on the side of the road because our sidewalk is very uneven." "I think it is funny to hide behind my dad's car before he leaves for work and scare him." "I always remind my sister to look right, then left, then right again before we cross the street."

"I am 6 years old and I walk my younger brother to the park that is 5 blocks from our house." My friends and I like to walk on the side of the road because our sidewalk is very uneven." "I think it is funny to hide behind my dad's car before he leaves for work and scare him."

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 have improved gross motor skills." "I will grow an average of 2.5 in (6.5 cm) per year." "I will appear heavier due to an increase in fat production." "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 10-year-old child tells the school nurse that she is embarrassed that she is afraid of the dark. Which is the best response by the nurse? "That is so horrible that you are afraid of the dark. Can you sleep at night at all?" "Are you afraid that something is going to happen to you or that something or someone may be outside that you can't see?" "It is normal for a 10-year-old to be afraid of the dark so there is no need to be embarrassed. Would you like to talk about it?" "I was afraid of the dark at your age. You will grow out of that fear soon."

"It is normal for a 10-year-old to be afraid of the dark so there is no need to be embarrassed. Would you like to talk about it?"