Wong Ch. 14 Health Promotion of School-Age Children
At which age, is a strong preference exhibited for members of the same sex to engage in play activities rather than play with mixed groups?
A. 7
A child has sustained an injury and lost a primary tooth. Which priority action should be taken by the nurse at this time?
A. Provide comfort measures and assess for bleeding.
A parent is concerned as her 6-year-old child "cheats" when playing games with other children. The parent is concerned that this behavior will affect future behaviors as the child gets older. The nurse understands the parent's anxiety about the described behavior and provides the following assurance
A. this type of behavior occurs around this age period and is due to the child not being able to understand what it means to lose.
A finding that is consistent with prepubescence is:
A. variation in physical appearance between boys and girls.
Which statement is not accurate regarding the roles and responsibilities of a school nurse?
B. All school nurses are registered nurses.
Which benchmark serves as the ending period for the middle year period of development?
B. Onset of puberty
An important consideration in preventing injuries during middle childhood is that
B. most injuries occur in or near school or home.
In reviewing information about a school-age child, the nurse notes that the child goes to after school activities each day as the parents do not get home until considerably later in the day. Based on this description, the nurse would document
B. no further action is needed.
A 10-year-old child is riding a bicycle on the grounds of the school. Which finding if observed by the school nurse would require intervention?
C. Child's shoes are ill fitting.
A middle age child understands that with regards to a mathematical equation that 7 can be composed of 4+3 as well as 2+5. Based on this finding, the nurse documents that the development level of the child reflects?
C. Conservation
Which behavior is most characteristic of the concrete operations stage of cognitive development?
C. Increasingly logical and coherent thought processes
Parents of a 10-year-old child are concerned that their child has been recently showing signs of low self-esteem. Which should the nurse consider when discussing this issue with the parents?
C. Transitory periods of lowered self-esteem are expected developmentally.
What is an important consideration in preventing injuries during middle childhood?
a. Achieving social acceptance is a primary objective.
A school-age child has been a victim of bullying. What characteristics does the nurse assess for in this child? (Select all that apply.)
a. Anxiety c. Low self-esteem d. Psychosomatic complaints
The nurse is planning strategies to assist a slow-to-warm child to try new experiences. What strategies should the nurse plan? (Select all that apply.)
a. Attend after-school activities with a friend. d. Allow the child to adapt to the experience at his or her own pace. e. Contract for permission to withdraw after a trial of the experience.
Teasing can be common during the school-age years. The nurse should recognize that which applies to teasing?
a. Can have a lasting effect on children
A child has an evulsed (knocked-out) tooth. Which medium should the nurse instruct the parents to place the tooth in for transport to the dentist?
a. In cold milk
A nurse is planning care for a 7-year-old child hospitalized with osteomyelitis. Which activities should the nurse plan to bring from the playroom for the child? (Select all that apply.)
a. Paper and some paints b. Board games e. Computer games
What are the goals of organized athletics for preadolescent children? (Select all that apply.)
a. Physical fitness b. Basic motor skills c. A positive self-image
The school nurse needs to obtain authorization for a child who requires medications while at school. From whom does the nurse obtain the authorization?
a. The parents
Which statement characterizes moral development in the older school-age child?
a. They are able to judge an act by the intentions that prompted it rather than just by the consequences.
An 8-year-old girl tells the nurse that she has cancer because God is punishing her for "being bad." She shares her concern that if she dies, she will go to hell. The nurse should interpret this as:
a. a belief common at this age.
A 9-year-old girl often comes to the school nurse complaining of stomach pains. Her teacher says she is completing her school work satisfactorily but lately has been somewhat aggressive and stubborn in the classroom. The school nurse should recognize this as:
a. signs of stress.
The nurse is teaching a group of 10- to 12-year-old children about physical development during the school-age years. Which statement made by a participant, indicates the correct understanding of the teaching?
b. "I will grow an average of 2 inches per year from this point on."
Parents of a twelve-year-old child ask the clinic nurse, "How many hours of sleep should our child get?' The nurse should respond that 12-year-old children need how many hours of sleep at night?
b. 9
What is descriptive of the social development of school-age children?
b. Children frequently have best friends.
The school nurse recognizes that children respond to stress by using which tactics? (Select all that apply.)
b. Delinquency c. Daydreaming d. Delaying tactics
Characteristics of bullies include what? (Select all that apply.)
b. Depressed d. Poor academic performance e. Exposed to domestic violence
The school nurse is providing guidance to families of children who are entering elementary school. What is essential information to include?
b. Encourage growth of a sense of responsibility in children.
What is an important consideration for the school nurse who is planning a class on bicycle safety?
b. Head injuries are the major causes of bicycle-related fatalities.
A school nurse observes school-age children playing at recess. Which is descriptive of the play the nurse expects to observe?
b. Knowing the rules of a game gives an important sense of belonging.
A nurse teaches parents that team play is important for school-age children. Which can children develop by experiencing team play? (Select all that apply.)
b. Learn complex rules. c. Experience competition. d. Learn about division of labor.
A school-age child has begun to sleepwalk. What does the nurse advise the parents to perform?
b. Leave the child alone unless he or she is in danger of harming him- or herself or others.
Which statement best describes fear in the school-age child?
b. Most of the new fears that trouble them are related to school and family.
The American Academy of Pediatrics (AAP) recommends that children younger than the age of 16 years be prohibited from participating in what?
b. Snowmobiling
When teaching injury prevention during the school-age years, what should the nurse include?
b. Teach basic rules of water safety.
A male school-age student asks the school nurse, How much with my height increase in a year? The nurse should give which response?
b. Your height will increase on average 2 inches a year.
19. A nurse is teaching parents of kindergarten children general guidelines to assist their children in school. Which statement by the parents indicates they understand the teaching?
c. "We will plan a trip to the library as often as possible."
Generally, the earliest age at which puberty begins is _____ years in girls, _____ in boys.
c. 10; 12
The school nurse is teaching female school-age children about the average age of puberty. What is the average age of puberty for girls?
c. 12 years
The school nurse is teaching male school-age children about the average age of puberty. What is the average age of puberty for boys?
c. 14 years
A parent asks about whether a 7-year-old child is able to care for a dog. Based on the childs age, what does the nurse suggest?
c. A dog can help the child develop confidence and emotional health.
A nurse planning care for a school-age child should take into account that which thought process is seen at this age?
c. Ability to conserve
The parents of 9-year-old twin children tell the nurse, They have filled up their bedroom with collections of rocks, shells, stamps, and bird nests. The nurse should recognize that this is which?
c. Characteristic of cognitive development at this age
The nurse is teaching a class on nutrition to a group of parents of 10- and 11-year-old children. What statement by one of the parents indicates a correct understanding of the teaching?
c. I will serve foods that are low in saturated fat and cholesterol.
What statement best describes the relationship school-age children have with their families?
c. Need and want restrictions placed on their behavior by the family
What does the nurse understand about caloric needs for school-age children?
c. The caloric needs for school-age children are lower than they were in the preschool years.
Which describes moral development in younger school-age children?
c. They know the rules and behaviors expected of them but do not understand the reasons behind them.
The nurse is explaining about the developmental sequence in childrens capacity to conserve matter to a group of parents. What type of matter is last in the sequence for a child to develop?
c. Volume
A female school-age child asks the school nurse, How many pounds should I expect to gain in a year? The nurse should give which response?
c. You will gain about 4.4 to 6.6 lb per year.
A group of boys ages 9 and 10 years have formed a "boys-only" club that is open to neighborhood and school friends who have skateboards. This should be interpreted as:
c. characteristic of social development at this age.
The school nurse is conducting a class on bicycle safety. Which statement made by a participant indicates a need for further teaching?
d. "I can ride double with a friend if the bicycle has an extra large seat."
The parents of a 5-year-old child ask the nurse, How many hours of sleep a night does our child need? The nurse should give which response?
d. A 5-year-old child requires 11.5 hours of sleep.
A school nurse is teaching dental health practices to a group of sixth-grade children. How often should the nurse recommend the children brush their teeth?
d. After meals, snacks, and bedtime
Which describes the cognitive abilities of school-age children?
d. Are able to classify, to group and sort, and to hold a concept in their minds while making decisions based on that concept
The nurse is developing a teaching pamphlet for parents of school-age children. What anticipatory guidelines should the nurse include in the pamphlet?
d. At age 12 years, parents should be certain that the childs sex education is adequate with accurate information.
What do nursing interventions to promote health during middle childhood include?.
d. Educate parents about the need for good dental hygiene because these are the years in which permanent teeth erupt.
The school nurse is discussing after-school sports participation with parents of children age 10 years. The nurses presentation includes which important consideration?
d. Sports participation is encouraged if the type of sport is appropriate to the childs abilities.
Which is characteristic of dishonest behavior in children ages 8 to 10 years?
d. They may lie to meet expectations set by others that they have been unable to attain.
The father of a 12-year-old child tells the nurse that he is concerned about his son getting "fat." His son is at the 50th percentile for height and the 75th percentile for weight on the growth chart. The most appropriate nursing action is to:
d. explain that this is typical of the growth pattern of boys at this age.
Parents ask the nurse whether it is common for their school-age child to spend a lot of time with peers. The nurse should respond, explaining that the role of the peer group in the life of school-age children provides:
d. security as they gain independence from their parents.
The school nurse has been asked to begin teaching sex education in the fifth grade. The nurse should recognize that:
d. sex can be presented as a normal part of growth and development.