PrepU: Ch. 5

The most important safety precaution for parents to teach preschoolers is: A) not to ride in a car with strangers. B) not to watch their father mow the lawn. C) to chew bites of food three times. D) not to begin formal dance classes.

A) not to ride in a car with strangers.

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 statement by the father would indicate a need for further teaching? A) "This is probably a good time to talk about safety and who can touch him." B) "I will need to find an appropriate punishment for him if this continues." C) "I should teach him certain rules about this activity." D) "I have heard that both boys and girls often touch themselves at this age."

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

Nursing students are reviewing information about the cognitive development of preschoolers. The students demonstrate understanding of the information when they identify that a 3-year-old is in what stage as identified by Piaget? A) Tertiary circular reaction B) Preoperational thought C) Primary circular reaction D) Coordination of secondary schema

B) Preoperational thought

The parent of a 4-year-old child tells the nurse about being frustrated because all the parent seems to do lately is fight with the child over what the child wants to eat and wear. The parent notes sometimes wanting to spank the child for always disagreeing. What would be the best suggestion for the nurse to make to this parent? A) "It is not normal to feel that way." B) "Spank lightly to get the child's attention." C) "Take some toys away when the child acts like that." D) "Use the time-out technique for discipline."

D) "Use the time-out technique for discipline."

The caregiver of a 6-year-old expresses concern that the child cannot yet print her first and last name. The caregiver is wondering if this is normal. Which response by the nurse would be most appropriate? A) "By the age of 6, most children can print some letters and maybe their first name." B) "Usually by the age of 6, most children can write numbers up to nine, but no letters." C) "Some children this age cannot hold a pencil or crayon well enough to write legibly." D) "It is not unusual for children of this age to be writing their first name in cursive."

A) "By the age of 6, most children can print some letters and maybe their first name."

A nurse is teaching a group of parents of preschoolers about safety. Which information would the nurse include? Select all that apply. A) "Have your child hold hands with a grown-up in parking lots." B) "Do not allow your child to approach strange dogs." C) "Role-model bicycle safety by wearing a helmet too." D) "Do not refer to medicines as candy." E) "Allow your child to ride in the front seat of the car."

A) "Have your child hold hands with a grown-up in parking lots." B) "Do not allow your child to approach strange dogs." C) "Role-model bicycle safety by wearing a helmet too." D) "Do not refer to medicines as candy."

The mother of a 4-year-old child is concerned that she caught him masturbating in the bath tub. Which is the most appropriate response by the nurse? A) "Masturbation is a normal part of preschool development." B) "If you catch your child masturbating, you should immediately make them stop." C) "Masturbation is not a normal behavior for a child of that age." D) "You will need to speak with the doctor about that behavior since I cannot address sexual issues in a child."

A) "Masturbation is a normal part of preschool development."

The nurse is conducting a physical examination of a young preschooler and detects the odor of tobacco smoke on the parents' hair and clothing. How should the nurse respond? A) "Tell me about your child's exposure to tobacco smoke." B) "You should stop smoking around your child." C) "Tobacco smoke is linked with an increased number of ear infections." D) "Are you aware that exposure to tobacco smoke can be associated with behavioral difficulties?"

A) "Tell me about your child's exposure to tobacco smoke."

The nurse is providing health-promotion teaching to a group of parents of preschoolers at a local day care. What information would the nurse include in this education session? Select all that apply. A) Encourage children to select their own clothing to wear each day. B) Treat any toileting accidents in a matter-of-fact manner and assist the child in getting dry clothing. C) Preschoolers only need to wear bicycle helmets if they are going on long rides. D) Preschoolers are capable of taking a bath independently. E) Parents will need to supervise tooth-brushing and be responsible for flossing.

A) Encourage children to select their own clothing to wear each day. B) Treat any toileting accidents in a matter-of-fact manner and assist the child in getting dry clothing. E) Parents will need to supervise tooth-brushing and be responsible for flossing.

What suggestions regarding the evaluation of a childcare center would the nurse share with a preschooler's mother? A) The longer the center has been in operation, the better it is. B) Specific program goals to be accomplished should be available. C) A ratio of 10 children to 1 teacher is adequate. D) Research local newspapers to see if there are any complaints against the center.

B) Specific program goals to be accomplished should be available.

The nurse is caring for a preschool-age child in the hospital with severe developmental delays. The parents have three other younger children at home and both parents work full-time outside the home. The family has just moved to this area. Which nursing diagnosis would be the highest priority in regard to the parents at this time? A) Interrupted family processes B) Risk for caregiver role strain C) Imbalanced nutrition, less than body requirements D) Readiness for enhanced parenting

B) Risk for caregiver role strain

What will the nurse include in an education session for a group of parents of preschool-aged children about dental care? A) The parents should cover the surface of the toothbrush with fluoride toothpaste for brushing. B) The parents should be responsible for flossing at this age. C) Recommend the parents provide dried fruits instead of sugary snacks to prevent caries. D) Recommend the parents take children for annual dentist visits.

B) The parents should be responsible for flossing at this age.

The parents of a 4-year-old girl tell the nurse that their daughter is having frequent nightmares. Which statement indicates that the girl is having night terrors instead of nightmares? A) "She has a hard time going back to sleep." B) "She comes and wakes us up after she awakens." C) "She screams and thrashes when we try to touch her." D) "She is scared after she wakes up."

C) "She screams and thrashes when we try to touch her."

During a well-child visit, the mother of a preschooler tells the nurse that her daughter is "daddy's girl." She says, "It seems like I don't exist." Which response by the nurse would be most appropriate? A) "Why do you think she is doing this?" B) "Did you do something to make your daughter angry with you?" C) "Your daughter is showing normal behavior for her age." D) "This might be a problem because your daughter is obviously alienating you."

C) "Your daughter is showing normal behavior for her age."

The nurse is assessing a 4-year-old on a routine well-child visit. When assessing the gross motor skills of this preschooler, which activity will the nurse predict the child to be able to successfully accomplish? A) jump rope B) ride a bicycle C) hop on one foot D) walk backwards with heel to toe

C) hop on one foot

A nurse is preparing a presentation for a health fair discussing various aspects of preschoolers. Which example should the nurse use to best illustrate dramatic play? A) Playing apart from others without being part of a group B) Watching television or videos C) Playing a video game with several other children D) Acting out a troubling or stressful situation

D) Acting out a troubling or stressful situation

While the nurse is taking a blood pressure on a 4-year-old, the child states that the blood-pressure cuff is too tight and angrily says, "That hurt, you big poo-poo head." What is the most appropriate response by the nurse? A) Ask the child's caregiver to please hold the child on their lap until she calms down. B) Explain that the cuff will only hurt for minute and ask the child's caregiver to please tell the child not to speak to you that way. C) Scold the child for the insult while apologizing for hurting her, and loosen the cuff. D) Calmly explain that you don't mean to hurt her, loosen the cuff, and tell her that is isn't nice to call you names.

D) Calmly explain that you don't mean to hurt her, loosen the cuff, and tell her that is isn't nice to call you names.