Exam 1: diversity 1

The nurse is teaching a group of caregivers of school-age children on various topics. Which of the following statements made by the caregivers indicates a need for further teaching? a) "Sometimes we have to be firm, but our children wash their hands before eating." b) "Food is so expensive, we always make our children eat everything on their plate." c) "Even if the weather is cool and cloudy, our children play outside every day." d) "I make sure they have good teeth by giving them calcium and phosphorus."

"Food is so expensive, we always make our children eat everything on their plate."

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

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

The school nurse is the guest speaker in a classroom of fourth-grade children, and they are discussing eating habits and the number of servings from each of the food groups that is appropriate for the school-age child. Which of the following statements made by the children best indicates an appropriate intake of one of the food groups for this age child? a) "My gramma cooks for us and she lets me eat two chicken breasts for supper." b) "My dad doesn't like bread so I get my grain in the morning when I eat a bowl of cereal." c) "I love fruit so every day I eat the half of orange my mom puts in my lunch." d) "I drink three big glasses of milk each day."

"I drink three big glasses of milk each day."

During a well-child visit, an 11-year-old girl complains to the nurse that she looks different from her friends who are wearing bras. What is an appropriate response? a) "It is normal for there to be differences in the time and rate girls your age develop." b) "You are doing well in school. Be happy with this success." c) "Remember the methods you have been taught to manage peer pressure." d) "It is common for girls your age to worry about being different."

"It is normal for there to be differences in the time and rate girls your age develop."

The nurse is talking with the parents of an 8-year-old boy who has been cheating at school. Which comment should be the nurse's primary message? a) "Make sure that your behavior around your son is exemplary." b) "Punishment should be severe and long lasting." c) "Resolve this by providing an opportunity for him to cheat and then dealing with it." d) "You may be putting too much pressure on him to succeed."

"Make sure that your behavior around your son is exemplary."

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 of the following statements made by a caregiver indicates an understanding of the sleep patterns and needs of the school-age child? a) "My son doesn't even know when he's tired." b) "She stays up late when she takes a nap after school." c) "My child sleeps between 11 and 12 hours a night." d) "My teenage child doesn't sleep as much as my 9-year-old does."

"My child sleeps between 11 and 12 hours a night."

The nurse is caring for an 8-year-old girl. She is reviewing her nutritional requirements and describing interventions that promote healthy eating habits. Which of the following responses by the girl's mother indicates a need for further discussion? a) "My daughter must stay at the table until she has cleaned her plate." b) "My daughter likes to have a glass of milk with her meal." c) "My daughter eats one item at a time." d) "My daughter likes many different kinds of fruits and vegetables."

"My daughter must stay at the table until she has cleaned her plate."

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? a) "Remind your daughter of the importance of proper oral hygiene." b) "Remind her in simple terms what will happen in the dentist's office." c) "Wait to tell her about the visit until just before the appointment." d) "Tell your daughter that it is just like going to see the pediatrician."

"Remind her in simple terms what will happen in the dentist's office."

A nurse is caring for a hospitalized 7 year old 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) A jack-in-the box b) A mobile c) A board game such as monopoly d) A paint-by-numbers activity

A paint-by-numbers activity

3. A mother visits the clinic with her 2 month old son for a routine visit. The mother has been bottle feeding the infant ans ask the nurse, "When can I start giving him solid foods?" The nurse should instruct the mother that solid foods can be introduced when the infant

Ans: 4 to 6 months old

8. A mother visits the clinic for a routine visit with her 5 year old son. The mother ask the nurse when the child's permanent teeth will erupt. The nurse should explain to the mother that permanent teeth usually begin to erupt by age

Ans: 6 years

3. Normal breathing pattern for a full-term infant may include

Ans: Abdominal/chest breathing movements at a rate of 30 to 60 breaths/minute

6. The nurse is caring for an 11 year old child who was hospitalized after an auto accident. While communicating with this child, the nurse should

Ans: Allow the child to engage in the discussion

5. While assessing a newborn infant, the nurse observes yellow-white retention cyst in the newborn's mouth. The nurse should explain to the infant's parents that these spots are usually indicative of

Ans: Epstein pearls

7. The nurse is caring for a hospitalized adolescent with sickle cell crisis. While communicating with the client, the nurse should

Ans: Give the client control whenever possible

10. The nurse is preparing to assess the gross motor development of a 4 year old child. The nurse should ask the child to

Ans: Hop on one foot

13. While assessing a 4 year old child, the nurse observes that the child's nails are concave in shape. The nurse should assess the child for a deficiency of

Ans: Iron

2. The nurse is planning to instruct a first time mother about her newborn. The nurse should plan to instruct the mother that the newborn

Ans: Is an obligatory nose breather

11. The nurse is planning to assess the cognitive development of a 3 year old child. The nurse plans to assess whether or not the child can

Ans: Make simple classification

14. The nurse is assessing a 4 year old child with a temperature of 37.7C. The nurse observes that the client has Koplik spots on his buccal mucosa. The nurse explain to the client's parents that the child is most likely exhibiting signs of

Ans: Measles

1. The nurse is assessing a young adolescent female client using Tanner Sexual Maturity Rating for Breast Development. The nurse determines that the client has enlargement of the breast and areolae, with no separation of contours. The client is in Tanner Stage

Ans: Three

6. The nurse is preparing to inspect a newborn's inner ear with an otoscope. The nurse should pull the pinna

Ans: down and back

The nurse is caring for a 10-year-old who has been admitted for surgery. Which of the following would be the most important for the nurse to do when caring for this child? The nurse should a) Avoid prolonged discussions about the patient's anxiety b) Answer questions the child asks regarding pain c) Offer to help the child wash her private parts when bathing d) Encourage family caregivers to frequently sing songs the child enjoys

Answer questions the child asks regarding pain

Eight-year-old Matt is doing well with adding and subtraction. His father asks for suggestions regarding projects that would help increase Matt's understanding of conservation of mass. Of the following projects, which would most help Matt understand conservation of mass? a) Build a doghouse. b) Build a sandcastle with a water-filled moat. c) Stack blocks in a tower. d) Form vases from blocks of clay.

Form vases from blocks of clay.

giving reassurance that these changes are normal.

Girls experience an increase in weight and fat deposition during puberty. Nursing considerations related to these changes include: giving reassurance that these changes are normal. suggesting dietary measures to control weight gain. recommending increased exercise to control weight gain. encouraging low-fat diet to prevent fat deposition.

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 should the nurse suggest? a) Scheduling several visits to the school before classes start b) Comforting the child when he is frustrated c) Being firm with episodes of moodiness and irritability d) Helping the child deal with minor stresses

Helping the child deal with minor stresses

The school nurse is assessing the nutritional status of an overweight 12-year-old girl. Which question is appropriate for the nurse to ask? a) Does your family have rules about foods and how they are prepared? b) Have you gained weight recently? c) How often does everyone in your family eat together? d) What does your family do for exercise?

How often does everyone in your family eat together?

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, which is what? a) Conservation b) Perfectionism c) Accommodation d) Industry

Industry

A nurse overhears a 7 year old calling her hospital roommate a vulgar name. What is the best action by the nurse? a) Inform the child that she will not be able to stay in the hospital if she is going to use that type of language. b) Inform the child that if she does not behave, she will get a shot. c) Inform the child that talking to the roommate using that language is not acceptable behavior. d) Inform the child that the nurse is going to call the parents and tell them what was said.

Inform the child that talking to the roommate using that language is not acceptable behavior.

The mother of two sons, ages 6 and 9, states they want to play on the same baseball team. As the school nurse, what advice would you give their mother? 1. Having the boys on the same team will make it more convenient for the mother. 2. Levels of coordination and concentration differ, so the boys need to be on different teams. 3. Put the boys on the same team because they are both school-age children. 4. It is best to avoid putting the boys on the same team to prevent sibling rivalry.

Levels of coordination and concentration differ, so the boys need to be on different teams.

normal occurrence during puberty.

The nurse observes that a 13-year-old male has gynecomastia (breast enlargement). The nurse should explain that this is a: sign of too much body fat. sign of hormone imbalance. normal occurrence during puberty. symptom of precocious puberty.

A nurse is discussing a 9-year-old girl's obesity with her parents. Which of the following recommendations should she make to the parents? (Select all that apply.) a) Participation in formal exercise classes b) Participation in a formal weight-control organization c) Preparation of a special meal just for the child d) Intake of about 1,200 calories a day e) Limiting time spent in physical inactivity f) Adherence to a high-protein diet

• Intake of about 1,200 calories a day • Limiting time spent in physical inactivity • Participation in a formal weight-control organization • Participation in formal exercise classes

The father of an 11-year-old boy is worried that the child spends too much time watching TV. What information should the nurse share with this father? Select all that apply. a) Limit TV time by using it as a reward. b) Use video games that are more active to offset sedentary TV viewing. c) Establish guidelines on when a child can watch TV. d) Watch programs together and discuss subject matter with the child. e) The American Academy of Pediatrics recommends 2 hours or less of TV daily.

• The American Academy of Pediatrics recommends 2 hours or less of TV daily. • Establish guidelines on when a child can watch TV. • Watch programs together and discuss subject matter with the child.

A mother calls the advance practice pediatric nurse practitioner about her 7-year-old daughter's dental hygiene. The daughter has had three cavities. She does not know what to do and asks the nurse for guidance. How should the nurse respond? a) "What type of toothbrush does she use?" b) "Did you teach her how to brush her teeth?" c) "Are you able to supervise her brushing?" d) "Is there fluoride toothpaste available for her use?"

"Are you able to supervise her brushing?"

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? a) "Always go outside when you have a cigarette." b) "Keep your cigarettes where she can't get to them." c) "Tell her only losers smoke and chew tobacco." d) "As parents, you need to be good role models."

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

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? a) "Be sure to get the proper size bike." b) "Learning to ride the bike will improve her coordination." c) "Teach her where she'll land on the grass if she falls." d) "She won't need a helmet if she has training wheels."

"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? a) "Your son is at high risk for bullying other children as a result of this situation." b) "Perhaps teaching your son self-defense courses will help him to have a greater sense of control and safety." c) "Fortunately the scars of being picked on will fade as your son grows up." d) "Bullying can have lifelong effects on the self-esteem of a child."

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

The nurse is working with a group of caregivers of 6-year-olds. One of the mothers states her son has been lying and making up stories; she asks for some advice about how to address the issue. Which of the following would be an appropriate response by the nurse? a) "Is there any possibility he is telling the truth and you just don't know it is the truth?" b) "Your child could be in serious trouble in school if he continues to tell lies." c) "Children this age sometimes can't distinguish between fantasy and reality." d) "The child should have privileges taken away for several days each time he tells a lie."

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

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? a) "Have you spoken with your pediatrician about your observations?" b) "Boys tend to refine their fine motor skills by this age." c) "Boys tend to take a bit longer than girls to mature." d) "I will make a note of your observations and talk to his teachers."

"Have you spoken with your pediatrician about your observations?"

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? a) "Is there a family history of hypertension, heart disease, or diabetes?" b) "How important is exercise?" c) "Is breakfast eaten regularly?" d) "What beverages are preferred?"

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

The nurse is conducting teaching with families of school-age children. Which of the following statements made by the nurse is most appropriate related to topics that would be covered with this group of individuals? a) "The school-age child should have a routine physical exam every six months." b) "The school-age child should brush their teeth at bedtime." c) "The school-age child needs 10 to 12 hours of sleep per night." d) "The school-age child should be screened for scoliosis once a year."

"The school-age child needs 10 to 12 hours of sleep per night."

The parents of a 9-year-old boy report they have been homeschooling their son and now plan to enroll him in the local public school. They voice concerns about the influence of the other children on their son's values. Which information should the nurse provide the parents? a) "Values are largely inborn and will be impacted only in a limited way by environmental influences." b) "At your son's age, values are most influenced by peers." c) "The values of the family will likely prevail for your son." d) "The teacher will begin to have the largest influence on a child's values at this age."

"The values of the family will likely prevail for your son."

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? a) "Your child should be getting 8 to 9 hours of sleep per night." b) "We should ask the physician to run some tests; with that much sleep, the child should not be tired." c) "Your child should be getting 11 to 12 hours of sleep per night with some quiet time after school." d) "Your child should be getting at least 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."

The parents of a 7-year-old girl report concerns about her seemingly low self-esteem. The parents question how self-esteem is developed in a young girl. Which response by the nurse is best? a) "Several interrelated factors are to blame for low self-esteem." b) "The peers of a child at this age are the greatest influence on self-esteem." c) "Your daughter's self-esteem is influenced by feedback from people they view as authorities at this age." d) "A child's self-esteem is greatly inborn and environmental influences guide it."

"Your daughter's self-esteem is influenced by feedback from people they view as authorities at this age."

The nurse is assessing the nutritional needs of an 8-year-old girl who weighs 65 pounds. Which of the following amounts would provide the proper daily caloric intake for this child? a) 2,065 calories per day b) 2,385 calories per day c) 1,895 calories per day d) 2,245 calories per day

2,065 calories per day (29.5 kg x 70 calories per day per kg = 2,065 calories per day).

As the school nurse conducting screening for vision in a 6-year-old child, you would refer the child to a specialist if the visual acuity in both eyes is: 1. 20/20 2. 20/25 3. 20/30 4. 20/50

20/50

The nurse is discussing sleep and the amounts of sleep necessary for an 11-year-old child with the child's caregivers. For the child who gets up at 6:30 a.m., which bedtime would the nurse recommend the caregivers require the child to go to bed? a) 7:30 p.m. b) 10:00 p.m. c) 9:30 p.m. d) 8:00 p.m.

9:30 p.m.

the three-dose series of HBV should be started.

A 12-year-old child being seen in the clinic has not received the hepatitis B (HBV) vaccine. The nurse should recommend that: only one dose of HBV will be needed sometime during adolescence. one dose of HBV is needed at age 14. the three-dose series of HBV should be started. the three-dose series of HBV should be started at age 16 or sooner if the adolescent becomes sexually active.

it is important to provide a nonthreatening environment in which he can discuss this.

A 16-year-old adolescent male tells the school nurse that he is gay. The nurse's MOST appropriate response should be based on knowledge that: he is too young to have had enough sexual activity to determine this. it is important to provide a nonthreatening environment in which he can discuss this. the nurse should be open to discussing his or her own beliefs about homosexuality. homosexual adolescents do not have concerns that differ from heterosexual adolescents.

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) A sense of doubt b) A sense of mistrust c) A sense of shame d) A feeling of inferiority

A feeling of inferiority

beliefs become more abstract.

A hospitalized teenager and family are praying at the bedside. The nurse is aware that the most accurate description of the spiritual development of the older adolescent is that: beliefs become more abstract. rituals and practices become increasingly important. strict observance of religious customs is common. emphasis is placed on external manifestations, such as whether a person goes to church.

testicular enlargement.

An adolescent asks the nurse, "How will I know if I'm going through puberty?" The nurse discusses physical changes that usually occur, the first change being: testicular enlargement. voice changes. growth of dark pubic hair. increased size of penis.

4. While communicating with an ill 5 year old, one of the most valuable communication techniques that the nurse can use is

Ans: Play

2. The nurse is assessing a 1year old infant who weighed 3.6kg (8lb) at birth. When the nurse prepare to weigh the infant, the nurse anticipates that this infant should weight approximately

Ans: 10.8kg (24lb)

1. The anterior fontanelle of a neonate closes between

Ans: 12 and 18 months

2. A mother brings her 12 year old son to the clinic for a routine physical. The mother tells the nurse that her son seems to be growing taller recently. The nurse should instruct the mother that the peak growth spurt in boys usually occurs by age

Ans: 14 years

1. While assessing a young infant's musculoskeletal system, the nurse anticipate that the anterior curve in the cervical region will be developed by

Ans: 3 to 4 months

9. A mother visits the clinic for a routine visit with her 11 year old daughter. The mother tells the nurse that her daughter has just started puberty. The mother asks the nurse when she can expect the daughter to begin menstruation. The nurse should explain to the mother that menstruation usually begins about

Ans: 30 months after the onset of puberty

12. A young mother visits the clinic with her 18 month old child. The mother asks the nurse when she should begin toilet training with the child. The nurse should explain to the mother that

Ans: She can begin training as soon as the child appears ready

15. The nurse is preparing to assess a 5 year old child. To perform the Hirschberg test, the nurse should

Ans: Shine a light directly into the pupils

4. The nurse is assessing a newborn with the mother present. When the nurse observes an irregularly shaped red path on the back of the newborn's neck, the nurse should explain to the mother that this is termed

Ans: Stork bite

3. A parent visits the clinic with her 4 year old child. While communicating with the child, the nurse should

Ans: Talk to the child in simple terms at the child's eye level

5. A mother visits the clinic with her toddler, who has injured himself in a fall. The nurse caring for the toddler should

Ans: Tell the child it is okay to cry in the clinic

4. The Moro reflex is

Ans: a response to sudden stimulation or an abrupt change in position

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

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

A nurse is assigned to care for a 7 year old with cystic fibrosis. The child wants to show the nurse his collection of baseball cards. The nurse understands that the collection of objects is common in this age group and is known as what type of thinking? a) Egocentric thinking b) Classification c) Decentration d) Preoperational thinking

Classification

The parents of a school-aged child with school phobia have taken her to three different psychiatrists trying to resolve this problem. Based on this, which nursing diagnosis would be most appropriate? a) Noncompliance with expected school behavior related to school phobia b) Ineffective tissue perfusion, cerebral, related to anxiety over attending school c) Compromised parental coping related to inability to enforce school attendance d) Disturbed thought processes related to difficulty in school adjustment

Compromised parental coping related to inability to enforce school attendance

The nurse is about to see a 9-year-old girl for a well child check-up. Knowing that the child is in Piaget's period of concrete operational thought, which characteristic should the child display? a) Make generalized assumptions about groups of things b) View the world in terms of her own experience c) Know lying is bad because she gets sent to her room for it d) Consider an action and its consequences

Consider an action and its consequences

An anxious 12-year-old girl receives an injection from the nurse and sighs with relief when it is done. After a moment of reflection, the girl asks the nurse, "Is it hard to give someone an injection?" This girl's question is evidence that she has developed which cognitive skill? a) Decentering b) Class inclusion c) Conservation d) Accommodation

Decentering

The successful resolution of developmental tasks for the school-age child, according to Erikson, would be identified by: 1. Learning from repeating tasks 2. Developing a sense of worth and competence 3. Using fantasy and magical thinking to cope with problems 4. Developing a sense of trust

Developing a sense of worth and competence

A nurse is carrying on a conversation with a 7-year-old girl during an office visit. Which of the following is an example of the level of language development the nurse should expect in this child? a) Inability to speak in full sentences b) Difficulty understanding the concept of "half past" in reference to time c) Fascination with bathroom language d) Ability to carry on an adult conversation

Difficulty understanding the concept of "half past" in reference to time

The nurse is teaching parents of an 11-year old girl how to deal with the issues relating to peer pressure to use tobacco and alcohol. Which suggestion provides the best course of action for the parents? a) Hide alcohol out of the child's reach b) Forbid the child to have friends that smoke or drink c) Avoid smoking in the house or in front of the child d) Discuss tobacco and alcohol use with the child

Discuss tobacco and alcohol use with the child

Eight-year-old Ted's foster mother is discussing her concerns about Ted's recent dental checkup in which three cavities were found in his permanent teeth. Ted's mother is concerned because Ted eats a nutritional diet, doesn't eat junk food, and the town water supply is fluoridated. What would the nurse suggest to this mother is the most appropriate in regard to Ted's dental health? The nurse would suggest that the mother a) Have Ted's teeth professionally cleaned every three months b) Ensure that Ted brushes his teeth after each meal and snacks c) Accept Ted is genetically predisposed to having more cavities than most children d) Encourage Ted to abstain from eating sugary snacks at school

Ensure that Ted brushes his teeth after each meal and snacks

Children can become physically addicted to glue. a) False b) True

False Explanation: Children do not become physically addicted to glue but do become psychologically dependent on it.

A father brings his 6-year-old son in to the doctor's office. He says his son just began first grade a week ago and, after attending the first day of classes, has refused to go to school each day since, complaining of stomach cramps and nausea. He says he has spoken to the boy's teacher, who says she did not notice anything unusual with her interaction with the boy, other than perhaps a bit of homesickness. After the nurse examines the boy and finds nothing wrong, the father asks how he should handle the problem. Which of the following should the nurse recommend? a) Have the child attend a different school b) Hold the child back a year and let him try again next year c) Insist that the child return to school d) Homeschool the child

Insist that the child return to school

A 9-year-old boy has arrived for a health maintenance visit. Which milestone of physical growth should the nurse expect to observe? a) Brain growth is complete and the shape of the head is longer. b) Lymphatic tissue growth is complete providing greater resistance to infections. c) All deciduous teeth are replaced by 32 permanent teeth. d) Frontal sinuses are developed while tonsils have decreased in size.

Lymphatic tissue growth is complete providing greater resistance to infections.

A mother brings her 8-year-old daughter into the doctor's office because over the past year her tonsils have increased in size to the point that the mother is concerned that there is something wrong. The girl has no other symptoms, however. The nurse knows that which of the following is most likely the cause of the enlarged tonsils? a) A pituitary disorder b) Tonsillitis c) Normal growth of lymphatic tissue for this age d) An allergic reaction

Normal growth of lymphatic tissue for this age

The nurse is observing a playgroup of children of all ages. The school-age child in the group would most likely be doing which of the following activities? a) Playing with the plastic vaccum cleaner, pushing it around the room. b) Pretending to be mommies and daddies in the playhouse. c) Watching a movie with other children their age. d) Painting pictures in the art corner of the room.

Painting pictures in the art corner of the room.

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

Participating in a craft project

A nurse is speaking with a 7-year-old boy in the hospital. The boy asks the nurse, "Where is the westroom? I need to use the westroom." The nurse recognizes that this developmental problem is which of the following? a) Caries b) Broken fluency c) Poor articulation d) Malocclusion

Poor articulation

A 10-year-old spends 2 hours by herself every afternoon before her parents arrive home. Which of the following would be the most appropriate safety measure to suggest that the parents teach the child? a) Wearing the house key prominently around her neck b) Lighting candles in case there is a power failure c) Preparing a no-cook snack for herself d) Telling people at school she is by herself for added safety

Preparing a no-cook snack for herself

Ten-year-old Edgar is above normal weight for a child his age and height. When discussing with him what he likes to eat, he tells the nurse he doesn't eat much candy but he loves to eat fruit, pasta, potatoes, and bread. What would the nurse recommend to Edgar's caregivers as to ways to help him maintain a healthy weight? The caregiver should a) Avoid talking to Edgar about his weight. b) Feed Edgar a very low-fat and no-carbohydrate diet. c) Remind Edgar at each meal that he must not eat too much food. d) Provide activities for Edgar that will increase his physical activity.

Provide activities for Edgar that will increase his physical activity.

Which activities will promote weight loss in an obese school-age child? (Choose all that apply.) 1. Unlimited computer and TV time 2. Role modeling by family 3. Becoming active in sports 4. Eating unstructured meals 5. Involving child in meal planning and grocery shopping 6. Drinking three glasses of water per day

Role modeling by family Becoming active in sports Involving child in meal planning and grocery shopping

The school nurse is working with a group of 6- to 8-year-old children. Which of the following responsibilities would the school nurse most likely have for this age child? The nurse would be a) Teaching a class on sex education b) Testing the children's vision and hearing c) Giving tetanus-diphtheria booster shots d) Monitoring the children for signs of scoliosis

Testing the children's vision and hearing

The nurse has taken a health history and performed a physical exam for a 12-year-old boy. Which finding is the most likely? a) The child described a somewhat reduced appetite. b) The child has different diet preferences than his parents. c) The child's body fat has decreased since last year. d) The child has a leaner body mass than a girl at this age.

The child has a leaner body mass than a girl at this age.

Which of the following best describes Erikson's psychosocial development task for the school-age child? a) The child wants to successfully complete activities. b) The child is developing his or her own personal identity. c) The child understands and responds to discipline. d) The child is learning to do things on its own.

The child wants to successfully complete activities.

Which of the following are reasons that stealing occurs in school-age children? (Choose all that apply.) 1. To escape punishment 2. High self-esteem 3. Low expectations of family/peers 4. Lack of sense of propriety 5. Strong desire to own something

To escape punishment Lack of sense of propriety Strong desire to own something

Conformity is vital to school-age children. a) False b) True

True

A 12-year-old girl has recently begun menstruating and is well into puberty. She is visiting the doctor today for a routine physical examination. Which of the following findings should cause concern in the nurse? a) Irregular periods b) Supernumerary nipple c) Breasts of slightly different sizes d) Vulvar irritation

Vulvar irritation

The nurse is observing a group of 8-year-olds who are being taught the concept of conservation of weight. Which of the following activities would best help these children understand this concept? a) Weighing and measuring each other and comparing the number of pounds to the number of inches for each person. b) Weighing a pound of oranges and a pound of bricks and counting how many of each make a pound. c) Measuring the weight of a handful of popcorn and then the weight of a handful of pennies. d) Using a balance scale to weigh a variety of objects and counting how many pennies must be used to balance the scales.

Weighing a pound of oranges and a pound of bricks and counting how many of each make a pound.

In girls, puberty occurs about 1 year before it appears in boys.

When discussing pubertal growth changes with an adolescent male, the nurse will be sure to include what information? In girls, puberty occurs about 1 year before it appears in boys. In girls puberty occurs about 3 years before it appears in boys. In boys puberty occurs about 1 year before it appears in girls. The onset of puberty is about the same in both boys and girls.

present normal body functions in a straightforward manner.

When discussing sex and sexual activities with adolescents, the nurse should: present normal body functions in a straightforward manner. refer the adolescents to their parents for sexual information. use scientific terminology to convey content. defer giving information about pregnancy unless the adolescents are sexually active.

A mother tells you her 6-year-old has been biting his fingernails since he began first grade. After analyzing the cause of this as increased stress, the advice you would give his mother regarding this problem would be to a) allow some time every day for the child to talk about new experiences. b) distract the child by teaching him a new skill, such as whistling. c) encourage the child to drink more milk for stronger nails. d) allow the child to choose a reward for not biting his nails.

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

The developmental task of the school-aged period, according to Erikson, is gaining a sense of a) industry versus inferiority. b) autonomy versus shame. c) identity versus failure. d) independence versus dependence.

industry versus inferiority

The Boy Scouts is an organization that continues to be a favorite with school-aged boys because a) hiking is a favorite school-aged activity. b) fathers participate in Boy Scouts. c) merit badges require completing small tasks for rewards. d) no girls are included in the organization.

merit badges require completing small tasks for rewards

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: a) discussing death and dying may hint at a psychological disorder. b) at this age, children are not afraid of death. c) preoccupation with death and dying is common in the school-aged child. d) consistent thoughts of death and dying at this age leads to the later development of depression.

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

On physical examination, you discover that a 6-year-old's palatine tonsils are somewhat enlarged in the back of his throat. Your best action would be to a) give the child something for pain. b) record this as a normal early school-aged finding. c) take the child's temperature; this must be tonsillitis. d) suggest a resident examine him for breathing difficulty.

record this as a normal early school-aged finding.

A 7-year-old has taken money from his brother's dresser on two occasions. When counseling his mother about this, you would advise her that a) she should talk to the child's teacher about putting less pressure on him. b) she may need to remind him of property rights. c) stealing is unusual for a 7-year-old. d) she should buy his brother a bank that cannot be opened.

she may need to remind him of property rights.

The nurse is caring for a hospitalized 5-year old child. The child's mother has reported her child is becoming very "clingy." Which advice should the nurse provide? Select all that apply. a) "Regression is normal during hospitalization." b) "These behaviors are the result of a loss of self-control and are likely temporary." c) "The child may miss school and interaction with peers." d) "Allowing the child to have some input in the care may be helpful in managing these behaviors." e) "Be careful not to coddle the child or it will result in regressive behaviors."

• "Regression is normal during hospitalization." • "Allowing the child to have some input in the care may be helpful in managing these behaviors." • "The child may miss school and interaction with peers."

The nurse is providing information to the parents of a 6-year-old boy who has been caught lying at home and at school. Which would the nurse share with the parents? Select all that apply. a) Indicate that the child is probably lying to impress his friends. b) Explain that children this age typically lie to avoid punishment. c) Recommend the use of immediate and firm punishment. d) Suggest reading a story with the child about the consequences of lying.

• Explain that children this age typically lie to avoid punishment. • Suggest reading a story with the child about the consequences of lying.