Peds Ch 6 PrepU
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 Explanation: The school-aged child needs 10 to 12 hours of sleep per night. They need to brush their teeth after every meal and at bedtime. A routine physical exam once a year is all that is necessary. Children are screened around the age of 10 or 11 for scoliosis.
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. Which factor does this best represent? immaturity for this age group appropriate social development encouragement for bullying and sexism poor peer relationships
appropriate social development Explanation: During the school-age years, peer groups tend to be same-sex. This helps children learn to work together and to see viewpoints different than their own. Being part of a peer group helps with positive socialization of the school-age child. The other choices are not represented by this scenario.
The school nurse is speaking with a child who is a latch-key kid. Which statement by the child would need further investigation? "I know I'm not allowed to have my friends over until my mom gets home from work." "I answered the door yesterday and the salesman wanted to come in even though my mom wasn't home." "My dad has every emergency number I could want posted next to the phone." "I always check the caller ID before I answer the phone. I don't answer it if I don't know who the caller is."
"I answered the door yesterday and the salesman wanted to come in even though my mom wasn't home." Explanation: When children are home alone after school they need to have an understanding of rules to promote safety. The child who answers the door when her parents are not at home has demonstrated a lapse in judgment. This needs further investigation and education. The remaining items are appropriate actions.
The parent of an 8-year-old child requests information from the nurse on proper nutrition for his child. Which is the best statement by the nurse? "In looking at daily caloric intake for an 8-year-old, 35% to 45% should come from carbohydrates." "Approximately 30% to 40% of your child's daily calories should come from protein." "An 8-year-old who is moderately active needs between 1,200 and 1,400 calories a day." "An 8-year-old needs 800 to 1,000 mg of calcium daily.
"An 8-year-old needs 800 to 1,000 mg of calcium daily. Explanation: The 4- to 8-year-old child needs 800 to 1,000 mg of calcium. Boys and girls 4 to 8 years old who are moderately active will need about 1,400 to 1,600 calories a day. Of these calories, 45% to 65% should come from carbohydrates, 10% to 30% from protein, and 25% to 35% from fat.
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? "Are you able to supervise your child's brushing?" "What type of toothbrush does your child use?" "Is there fluoride toothpaste available for use?" "Did you teach your child how to brush the teeth?"
"Are you able to supervise your child's brushing?" Explanation: Dental caries is the leading chronic disease in the United States. Children need help with toothbrushing until they are between 7 and 10 years of age. The parent should monitor the toothbrushing to make sure it is thorough, observe for any abnormal tooth alignment, and schedule cleanings every 6 months. Children tend to concentrate on the front teeth, because they can see them easily and "forget" the teeth in the back. Parental oversight is needed to be sure those teeth are brushed carefully.
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? "As parents, you need to be good role models." "Keep your cigarettes where she can't get to them." "Always go outside when you have a cigarette." "Tell her only losers smoke and chew tobacco."
"As parents, you need to be good role models." Explanation: The nurse would recommend that the parents be good role models and quit smoking. Locking up or hiding your cigarettes and going outside to smoke is not as effective as having a tobacco-free environment in the home.
The nurse is talking with the parents of an 8-year-old child who has been cheating at school. Which comment by the nurse would be appropriate as a first step? "Be sure the adults in the child's life, including you, as parents, demonstrate positive behavior." "Perhaps the academic environment is too easy for your child, causing the cheating." "If cheating is noted at this age, referral to a family counselor is highly recommended." "Punishment should be subtle to allow the child to confess to cheating and lessen the behavior."
"Be sure the adults in the child's life, including you, as parents, demonstrate positive behavior." Explanation: Because they are role models for their children, parents must first realize the importance of their own behaviors. If the academic environment is too difficult, not too easy, the child may be cheating to keep up with the increased rigor. Punishment should be geared toward discussion and helping the child understand the seriousness of cheating, and not be a subtle approach. After a discussion with the child, a review of the child's academic situation (is the work too hard? Is tutoring needed?) and positive role-modeling is assured, then referral to a counselor would be indicated but not as the first step in the resolution.
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? "Be sure to get the proper size bike." "Learning to ride the bike will improve her coordination." "Teach her where she'll land on the grass if she falls." "She won't need a helmet if she has training wheels."
"Be sure to get the proper size bike." Explanation: It is very important to get a bike of the proper size for the child. Getting a bike that the child can "grow into" is dangerous. Training wheels and grass to fall on are not acceptable substitutes for the proper protective gear. The child should already demonstrate good coordination in other playing skills before attempting to ride a bike.
The nurse is presenting information about school-aged children at a community event. Which statement from the group should the nurse prioritize to address with further teaching and more information? "Even if the weather is cool and cloudy, our children play outside every day." "Food is so expensive, we always make our children eat everything on their plates." "I make sure they have good teeth by giving them calcium and phosphorus." "Sometimes we have to be firm, but our children wash their hands before eating."
"Food is so expensive, we always make our children eat everything on their plates." Explanation: Obesity can be an issue in the school-aged child, especially if they are urged to clean their plates even if they have more food than they want or need on the plate. The parents should be encouraged to use smaller plates for the children so they will still appear to have a full plate but smaller portions. Firm guidance and direction is important with the school-aged child. Calcium and phosphorus are important to healthy teeth. Exercise each day is important, especially outdoor exercise.
The parents of a 12-year-old boy voice concern to the nurse that their child wants to dress like peers and not the way they prefer. Which responses by the nurse are appropriate? Select all that apply. "If the way your son's friends are dressing is not against school dress code, is it worth it to argue about his clothes?" "Peer pressure is hard enough for children of this age without pressure from their parents. You need to seek family counseling immediately." "Have you spoken with your son about his concerns and about your concerns? Open dialogue often helps in resolving these issues." "Peer acceptance is an important part of development for children, especially at this age. Maybe talking about it with your son can lead to an agreement." "Children at this age often want to connect with their peers. You should probably allow him to dress like his friends."
"Have you spoken with your son about his concerns and about your concerns? Open dialogue often helps in resolving these issues." "Peer acceptance is an important part of development for children, especially at this age. Maybe talking about it with your son can lead to an agreement." Explanation: It is important for late school-age children to feel accepted by peers. Lifelong effects can occur if they feel different and are teased. Dialogue is always a good way to resolve conflict so suggesting the parents talk and listen to their child is acceptable guidance by the nurse. Telling the parent what to do is not in the nurse's scope of practice. The situation does not warrant immediate counseling.
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 grow an average of 2.5 in (6.5 cm) per year." "I will have improved gross motor skills." "There are not many physical differences among school age boys."
"I will grow an average of 2.5 in (6.5 cm) per year." Explanation: During the school-age years, the child will grow an average of 2.5 in (6.5 cm). As puberty approaches, there will be significant differences in development between boys and girls. As development occurs, weight does increase, but it is not directly related to fat production. This is an area where much education needs to occur with young girls because "dieting" can be detrimental to the child's health and increased size is tied to the child's body image and self-esteem. By 10 years of age, brain growth is complete, and fine motor coordination is refined.
The nurse is teaching a group of caregivers of school-age children about the importance of setting a consistent bedtime for the school-age child. Which statement made by a caregiver indicates an understanding of the sleep patterns and needs of the school-age child? "My child sleeps between 11 and 12 hours a night." "My child stays up late when she takes a nap after school." "My teenage child does not sleep as much as my 9-year-old does." "My child does not even know when he is tired."
"My child sleeps between 11 and 12 hours a night." Explanation: Sleep for the school-age child varies with the age of the child. A child between the ages 6 to 8 years needs 12 hours of sleep each night. The child between the ages of 8 to 10 years needs 10 to 12 hours of sleep each night. The 10 to 12 year old needs 9 to 10 hours of sleep each night. Staying up late after taking an after-school nap, not knowing when the child is tired, and sleeping more than a teenager when compared with a school-age child refer to sleep behaviors and needs of children of younger and older ages.
The parents of an 8-year-old girl with a slow-to-warm temperament are concerned about their daughter's reaction when she visits the dentist for the first time after having a cavity filled at the last visit. How should the nurse respond? "Remind her in simple terms what will happen in the dentist's office." "Wait to tell her about the visit until just before the appointment." "Tell your daughter that it is just like going to see the pediatrician." "Remind your daughter of the importance of proper oral hygiene."
"Remind her in simple terms what will happen in the dentist's office." Explanation: Due to the girl's temperament, it is best if the parents talk to the dentist before the first visit to find out exactly what the dentist will be doing and then describe to the child in simple terms what will occur. Reminding the child about the importance of proper oral hygiene is unhelpful. Telling the child that the dental checkup is just like going to see the pediatrician is untrue. It is inappropriate to advise the parents to not prepare the girl in advance.
The parents of a 9-year-old child voice concern that the child seems to be gaining weight rapidly. The nurse reviews the medical record and notes the child has increased weight by 6 or 7 lb (2.7 to 3.2 kg) per year for the past 2 years. What response by the nurse is indicated? "Children in this age range on average gain about 5 lb (2.3 kg) per year." "On the contrary, your child's annual weight gain is somewhat low for this age." "Your child does seem to be rapidly gaining weight." "Weight gains of about 7 lb (3.2 kg) per year are normal for children in this age range."
"Weight gains of about 7 lb (3.2 kg) per year are normal for children in this age range." Explanation: Children who are between the ages of 6 and 12 years usually gain about 7 lb (3.2 kg) per year. The child in the scenario is gaining weight at a normal rate.
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? "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." "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 11 to 12 hours of sleep per night with some quiet time after school." Explanation: Sleep needs for children change according to their ages. A 6- to 8-year-old child needs 12 hours of sleep per night. The 8- to 10-year-old child needs 10 to 12 hours of sleep per night. The 10- to 12-year-old child needs between 9 and 10 hours of sleep per night. Many younger children need a nap or to be provided with quiet time after school to recharge after a busy day in the classroom. Increasing the child's sleeping hours should be attempted before asking for medical intervention.
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 feeling of inferiority A sense of doubt A sense of shame
A feeling of inferiority Explanation: Children who are unsuccessful in completing activities during the school-age phase, whether from physical, social, or cognitive disadvantages, develop a feeling of inferiority.
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? Allow some time every day for the child to talk about new experiences Allow the child to choose a reward for not biting the nails. Encourage the child to drink more milk for stronger nails. Distract the child by teaching a new skill, such as whistling.
Allow some time every day for the child to talk about new experiences Explanation: The developmental task of the school-age child is industry. They are busy learning, achieving, and exploring. With school comes separation from the parents, new people, new activities. Beginning school can be a time of extreme stress for children. Biting the nails can be a symptom that something is concerning the child. Spending time with the child and allowing the child time to discuss these new experiences of school helps the child to put experiences in perspective and begin to deal with them. Allowing the child a reward for not biting the nails does not address the underlying issue of why the child is biting the nails in the first place. The underlying issue is emotionally based, so adding milk or providing a distraction will not correct the problem.
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? Question those responsible for the bullying. Immediately call the bullied child's parents. Determine if there have been other playground bullying incidents. Assess the situation with the help of the school staff and parents.
Assess the situation with the help of the school staff and parents. Explanation: Assessing the situation and following the school's bullying protocol will be an important first step. Immediately calling the bullied child's parents may be premature. Questioning those responsible for the bullying and determining if there have been other playground incidents of bullying may be part of the overall assessment, but would not be the first action taken.
A mother tells the nurse she is very concerned because her 7-year-old tattles on the other siblings and it causes much friction among them. How can the nurse best help the mother to understand the underlying problem with tattling? Children this age have a strong sense of justice. Children this age have a need to be important. The child is angry because the siblings will not play. The child is asking for attention.
Children this age have a strong sense of justice. Explanation: Seven-year-olds are increasingly aware of family roles and responsibilities. Promises must be kept because 7-year-olds view them as definite, firm commitments. Children this age tattle because they have a strong sense of justice. Depending on the age of the other siblings, this can cause much friction among the children. Tattling does not occur because children are angry or seeking attention. It occurs so that an injustice may be made right.
The nurse is about to see a 9-year-old girl for a well-child checkup. Knowing that the child is in Piaget's period of concrete operational thought, which characteristic should the child display? Know lying is bad because she gets sent to her room for it. Make generalized assumptions about groups of things. View the world in terms of her own experience. Consider an action and its consequences.
Consider an action and its consequences. Explanation: The child will be able to consider an action and its consequences in Piaget's period of concrete operational thought. However, she is now able to empathize with others. She is more adept at classifying and dividing things into sets. Defining lying as bad because she gets punished for it is a Kohlberg characteristic.
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? Encourage the child to abstain from eating sugary snacks at school. Have the child's teeth professionally cleaned every 3 months. 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.
Ensure that the child brushes his teeth after each meal and snacks. Explanation: Proper dental hygiene includes a routine inspection and conscientious brushing after meals. A well-balanced diet with plenty of calcium and phosphorus and minimal sugar is important to healthy teeth. Foods containing sugar should be eaten only at mealtimes and should be followed immediately by proper brushing. The school-aged child should visit the dentist at least twice a year for a cleaning and application of fluoride.
What foods could a parent provide that would be the most beneficial to support healthy dentition for a school-aged child? Hamburger and a cherry Coke Chicken sandwich with pretzels and apple juice Fish, spinach salad and a glass of milk Bagels and cream cheese with sherbet
Fish, spinach salad and a glass of milk Explanation: A well-balanced diet rich in calcium and phosphorus fosters healthy teeth. Minimal sugar, a diet of whole grain breads, and fish and cheeses are all good sources of calcium and/or phosphorus. Sugary soda drinks and juices, pretzels and bagels, beef and sherbet do not provide substantial amounts of calcium or phosphorus.
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? Perfectionism Accommodation Conservation Industry
Industry Explanation: During the early school years, children attempt to master their new developmental step: learning a sense of industry or accomplishment. Accommodation is the ability to adapt thought processes to fit what is perceived, such as understanding there can be more than one reason for other people's actions. Conservation is the ability to appreciate that a change in shape does not necessarily mean a change in size. Perfectionism is the desire to do something perfectly. The boy's desire to apply the band-aid "the right way" is a hallmark of the development of industry. The other answers are not as pertinent.
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. "I always remind my sister to look right, then left, then right again before we cross the street." 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 am 6 years old and I walk my younger brother to the park that is 5 blocks from our house." "My mom always says she looks around really well to be sure I'm not playing behind our car before she leaves."
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 am 6 years old and I walk my younger brother to the park that is 5 blocks from our house." Explanation: Older children and adults should provide supervision of younger children, but 6 years old is not considered an older child, especially for 5 blocks of supervision of a younger sibling. Children should always walk on sidewalks because cars may not see children walking in the streets or be distracted while driving. Children should stay away from vehicles when a vehicle is about to be driven and definitely not behind a vehicle.
The mother of a 10-year-old daughter is concerned that her child is becoming overweight. Her weight plots in the 95th percentile in the growth chart. Which action would the nurse recommend to the mother to address her concerns? Place the child on a diet, eliminating all sweets and snacks. Offer to go walking every day after school with her for 30 minutes. Limit daily fat intake to 40% of the total calories for the day. Remind the child daily that she needs to watch what she eats.
Offer to go walking every day after school with her for 30 minutes. Explanation: The parent can best assist the child in weight reduction by encouraging physical activity and by offering to participate in the exercise with the daughter. It allows private family time for the two of them. Nagging each day about food intake or placing the child on a strict diet does not help the child lose weight and may encourage rebellion. Fat intake is not to exceed 35% of the total calories each day.
The parent of a 12-year-old child reports the child does not have high self-esteem. The parent asks for suggestions to increase feelings of self-worth. What activity(ies) would be appropriate for the nurse to suggest? Select all that apply. Recommend the child investigate opportunities for volunteering at local charities. Recommend the child begin to participate in after-school activities. Allow the child to begin staying home alone after school when possible. Encourage the child to develop new skills. Provide the child with a weekly allowance.
Recommend the child investigate opportunities for volunteering at local charities. Recommend the child begin to participate in after-school activities. Encourage the child to develop new skills. Explanation: The school-age child's satisfaction from achieving success in developing new skills leads him or her to an increased sense of self-worth, which is a person's feeling about one's own value. The child is developing his or her sense of self-worth by becoming involved in multiple activities at home, at school, and in the community, which develops his or her cognitive and social skills. The school-aged child is very interested in learning how things are made and work. Providing the child an allowance and allowing the child to stay home alone after school will not help increase self confidence, which is how much a person believes in oneself and what one can do.
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? Speak with the parents about the unusual increased number of respiratory infections. Ask the child if he really has had respiratory infections during these absences. Continue to monitor the child's absences. Discuss with the child's teacher to determine if the number of absences has affected academic performance.
Speak with the parents about the unusual increased number of respiratory infections. Explanation: In the school-age child, the respiratory system continues to mature with the development of the lungs and alveoli, resulting in fewer respiratory infections. Because the child is absent excessively for respiratory infections the nurse should speak with the parents to aid in determining if there is an underlying cause, or suggest the child visit the pediatrician to discuss the issue.
The school nurse is teaching a class on sports injuries. What information is most important for the nurse to teach? Play the same sport regularly to become proficient. Fractures are minimal due to bone growth and calcification. Vary the sports to prevent use injuries. Little league tackle football is not safe for a school age child.
Vary the sports to prevent use injuries. Explanation: With any organized sport there is the possibility of athletic injuries. Prior to having the child participate in organized activities the parents need to take into consideration the child's maturity and the risk for injury before they decide whether team competition is right for their child. Parents should encourage children to vary the types of sports throughout the year to avoid repetitive-use injuries by using the same muscle groups. Any sport comes with the risk of injury, and children should wear the appropriate protective equipment. Allowing children to play tackle football and playing the same sport regularly will be decisions made by the parents and child. The nurse can only teach the safety aspects to prevent injury.
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? a sense of security as children gain independence an opportunity for children to become self sufficient time to remain dependent on their parents time to establish relationships with the opposite sex
a sense of security as children gain independence Explanation: Nine-year-olds take their peer group seriously. They are more interested in how other children dress than what their parents want them to wear. This is the age where groups are formed and others are excluded from the club. This age group is imitating their peers as they develop their own identity and separate from their parents. Groups are fluid as they change regularly due to many reasons: each member lives on the same street, each member plays on the same ball team, or one member has fewer material things than the others, etc. Security is gained through these clubs because it helps the school-age child develop independence away from the family. Most of the time in the school-age child, peer group relationships are with same-sex friends. Children do not become self-sufficient through these clubs. They remain dependent on their families for their physical needs.
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? classification reversibility conservation decentration
conservation Explanation: Piaget described concrete operational thought occurring in the child ages 7 to 10 years. During this time the child develops various skills to see objects and the world. The skill of conservation is the ability to recognize that a change in shape does not necessarily mean a change in amount or mass. Using reversibility, the child can understand that processes can be reversed or canceled out by other things. Decentration is developed when the child can pay attention to multiple attributes of an object or situation instead of only one. In classification, the child is able to put objects together by shared qualities or characteristics.
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? 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 arrives to class late from recess and apologizes to 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 Explanation: Piaget's stage of cognitive development for the 7- to 11-year-old is the period of concrete-operational thoughts. In developing concrete operations, the child is able to assimilate and coordinate information about his or her world from different dimensions. Abstract thinking, such as understanding the meaning of the phrase "slow as molasses," is expected at this stage of cognitive development.
When considering the psychosocial development of a school-aged child, which is the primary developmental task? establishing trust in friends outside the home family unit reflecting on recent activities of accomplishment establishing a social network planning for future events
establishing a social network Explanation: Erikson describes the task of the school-age years as industry versus inferiority. During this period, the child is developing his or her sense of self-worth by becoming involved in multiple activities at home, at school, and in the community, which develops his or her cognitive and social skills.
A school-aged child develops school phobia. When counseling her mother, the nurse would advise her that the accepted action is to: keep her child home until this fear passes. make her child attend school every day. allow her child to decide daily if she wants to go to school or not. ask the teacher to decide if the child should come to school or not each day.
make her child attend school every day. Explanation: School refusal or phobia may result from both a parent not wanting a child to attend school and a child not wanting to leave a parent. Th nurse's role is to help them work together while keeping the child in school to resolve the issue.
The nurse is monitoring a playgroup of children on the pediatric unit. The nurse predicts the school-age child will most likely be participating in which activity? painting pictures in the art corner of the room watching a movie with other children their age pretending to be mommies and daddies in the playhouse playing with the plastic vacuum cleaner, pushing it around the room
painting pictures in the art corner of the room Explanation: The school-aged child enjoys group activities and making things, such as drawings, paintings, and craft projects. Preschool children enjoy imitative play, pretending to be the mommy, the daddy, a police officer, a cowboy, or other familiar characters. Playtime for the toddler involves imitation of the people around them, such as adults, siblings, and other children. Push-pull toys allow them to use their developing gross motor skills. The adolescent enjoys activities he or she can participate in with peers.
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: 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. 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. Explanation: School-aged children are often preoccupied with thoughts of death and dying. There is no indication these thoughts will lead to mental health issues or the development of depression. School-aged children fear death but are fascinated by death and dying.
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? putting books on shelf vacuuming raking leaves folding clothes
putting books on shelf Explanation: School age children need rewards for their accomplishments. Small chores which can be completed quickly give this type of reward. Children can survey their finished work and see they have done a good job. Picking up toys or putting books on the shelf offers a reward because children can clearly see the result of their work. Vacuuming is a chore children do not necessarily like because once finished the rug looks the same before they started. There is no reward for the process. Raking leaves serves as only a temporary reward because even though the child can see the result of the leaves in a pile the leaves still need to be bagged or disposed. Folding clothes also offers small reward because for many 6-year-olds larger pieces of clothing can be too cumbersome to fold correctly and they are not rewarded as the clothes still need to be put away.
