Ch. 15 peds
dillon is a 6 year old starting in a new neighborhood school. on the first day of school he complains of a headache and tearfully tells his mother he does not want to go to school. millions mother takes him to school and the nurse is consulted. the nurse recognizes that dillon is slow to warm up to others and suggest which of the following? a. put dillon in the classroom with other children and leave him alone b. insist that dillon join and lead the class song c. include dillon in activities without assigning him tasks until he willingly participates in activities
C
early appearance of secondary sex characteristics of girls during preadolescence may be associated with which of the following feelings? a. satisfaction with physical appearance and higher self esteem b. increase in self confidence and a more outgoing personality c. dissatisfaction with physical appearance and lower self esteem
C
in relation to body image, school aged children a. are not aware of physical disabilities in others b. pay little attention to their own body capabilities c. seldom express concerns about their bodies to their families
C
jim a 7 year old boy has been diagnosed with childhood obesity. which of the following does the nurse recognize as being most likely to contribute to jims obesity? a. caloric needs are diminished in relation to body size during middle childhood b. when jim entered school developed a eating style that was increasingly independent from parental influence c. the availability of inexpensive high caloric foods and the tendency toward sedentary activities has led to jim being overweight
C
ms. jones is a single mother caring for a 10 year old son james. at an office appointment for james his mother asks the nurse how to prevent her son from becoming involved in gang violence. the best response is which of the following? a. try to be more of a pal to james so that he won't seek outside approval b. dont allow james to join any boys only groups c. become aware of any gang related activities your community and become acquainted with your sons friends
C
school age children a. have little interest in complex board, card, computer games b. rarely collect items c. participate in hero worship
C
the nurse is planning an educational succession for a group of 9 year olds and their parents aimed at decreasing injuries and accidents among this group. the nurse would best accomplish this goal by reviewing a. safety rules to prevent burns when dealing with fire b. safety rules to prevent poisonings when dealing with toxic substances c. pedestrian safety rules and skills training programs to prevent motor vehicle accident
C
the nurse is planning to advise a school aged childs parents about appreciate physical activity for their child? which fact does the nurse include? a. school aged children have the same stamina and control as a 15 year old teen b. school aged children are prepared for participation in strenuous competitive athletics c. activities that promote coordination in the school aged child include running and skipping rope
C
which of the following descriptions of school age children is most closely linked to Ericksons theory? a. during this time child experience relationships with same sex peers b. during this time there is a overlapping of developmental characteristics between childhood and adolescence c. during this time interests expand and children with a growing sense of independence engage in tasks that can be carried through completion
C
which of the following is most characteristic of the relationship between school aged children and their families? a. children desire to spend equal time with family and peers b. children are prepared to reject parental controls c. children need and want restrictions placed on their behavior by the family
C
punitive interactions and corporal punishment are associated with decreasing disruptive behaviors in children. true or false
false
school age children demonstrate little ability and interest in music. true or false
false
successful adjustment to school entrance has little relationship to the childs physical and emotional maturity. true or false
false
the best approach to sleepwalking is to awaken the child and put him or her back to bed. true or false
false
the reward and punishment administered by the teacher have little effect on the childs self concept. true or false
false
wider physical differences between children are seen at the beginning of middle childhood than at the end. true or false?
false
list 5 components that should be included in the content of school health services
health appraisal, health promotion, emergency care, safety, counseling and guidance
List the purposes of discipline
help child interrupt forbidden actions help child identify acceptance form of behavior so they can identify what is right in situations
by the end of the middle childhood, child should be able to assume personal responsibility for self care in areas of ________, ________, ______, ______, ________, and _________
hygiene, nutrition, exercise, recreation, sleep and safety
ability to distinguish a shape change when nothing has been added or subtracted
identity
parent and teacher education relating to TV, video games, and internet should include what recommendations
limit media time, monitor game selection, access to games and information that are educational
ability to think about language and to comment on its properties
metalinguistic awareness
ability to make decisions based on what one sees
perceptual thinking
ability to deal with two dimensions at one time and to comprehend that a change in one dimension compensates for a change in another
reciprocity
ability to think through an action sequence, anticipate the consequences and return and rethink the cation in a different direction
reversibility
arrange objects according to some ordinal scale
serialize
Identify when the middle childhood years physiologically begin and end?
shedding of the first tooth ends at puberty with acquisition of final permanent teeth
In the middle childhood there are fewer stomach upsets, better maintenance of blood glucose levels and increased stomach capacity. True or false?
true
TV can encourage children to believe that violence is an effective solution to conflict. true or false
true
TV can increase the child vocabulary, extend the child horizon and enrich the school experience. true or false
true
backpacks when worn correctly are preferred to other book totes during middle years. true or false?
true
being responsible for school work help children to learn to keep promises, meet deadlines and succeed at jobs as adults. true or false
true
children ages 5-9 restrain in adult type seatbelts are at increased risk for head injury from impact with interior vehicle parts. true or false
true
children attitudes towards school are influenced by the attitudes their parents. true or false
true
children under 8 years of age often need parental assistance to floss properly. true or false
true
during middle childhood girls and boys have the same basic structure and can compete against one another in sports. true or false
true
early appearance of physical sexual characteristics in girls and late appearance in boys have been linked to participation in risk taking behaviors. true or false?
true
eruption of permanent teeth begins with the first or 6 year molar. true or false
true
in children 6 and 7 years old the task of going to bed can be facilitated by encouraging quiet activity before bedtime. true or false
true
interaction between teacher and individual pupil affects the pupils acceptance by the other children. true or false
true
parents who pressure their children to perform beyond their capabilities risk injury and lowered self esteem in their child. true or false
true
school aged children muscles are still functionally immature compared with those of the adolescent and are more easily damaged by muscular injury and over use. true or false?
true
school buses should be equipped with lap shoulder restraint systems that can accommodate safety seats, booster seats, and harness systems. true or false
true
skateboard and skate injuries among children mostly involve the wrists, knees and elbows. true false
true
sleep walking is usually self limiting and requires no treatment. true or false
true
the heart is smaller in relation to the rest of the body during the middle years. True or false?
true
the normally shallow bony orbit of school aged children makes them vulnerable to eye trauma. true or false
true
the teachers primary goal is guiding the childs intellectual development. true or false
true
there is no universal age at which the child assumes the characteristics of preadolescence. true or false?
true
toothbrushes for schooled children should be soft nylon brushes with an overall length of about 8 inches. true or false
true
warnings with new trampoline equipment recommended avoiding somersaults, restricting multiple jumpers, and improving padding around the structure. true or false
true
Which finding should the nurse expect when assessing physical growth in the school aged child? a. weight increases of 2-3 kg per year b. height increases of 3 cm per year c. little change in refined coordination
A
according to Piget what is the stage of development for middle childhood? a. concrete operational b. preoperational c. formal operational
A
middle childhood is the time when children? i. lean the value of doing things with others ii. learn the benefits derived from division of labor in accomplishing goals iii. achieve a sense of industry and accomplishment iv. expand interest and engage in tasks that can be carried to completion a. i, ii, iii, iv b. i, iii, iv c. i and iv
A
seven year old andy was caught taking playmates toy. which of the following is an important understanding of this behavior? a. at this age andys sense of property rights is limited and he took the item simply because he was attracted to it b. if any is caught and punished and promises not to do it again he will keep his promise c. this stealing act is an indication that something is seriously lacking in andys life
A
sleep problems in the school aged child are often demonstrated by a. delaying tactics because the child does not wish to go to bed b. night terrors that awaken the child during the night c. the development of somatic illness that awakens the child during the night
A
the nurse knows that sleepwalking in childhood be best described by which of the following statements? a. during sleep walking the movements are clumsy and repetitive b. sleep walking occurs in the first 1-2 hours of sleep c. during sleep walking speech is comprehensible
A
the nurse plans to conduct a sex education class for 10 year olds. which of the following does the nurse recognize as most appreciate for this age group? a. present sex information as normal part of growth and development b. discourage question and answer sessions c. segregate boys from girls and include information related to only same sex in the discussion
A
which of the following statements related to bullying is correct? a. bullying usually occurs in school hallways and playgrounds where supervision is minimal but peers are present to witness the attack b. bullying or cyberbullying affects 50% of elementary school students either as the bully or the victim c.the victim of bullying is usually a male, depressed, has poor academic performance and poor relationships and communication with parents
A
according to Freud middle childhood is described as which of the following periods? a. anal b. latency c. oral
B
identify which of the following statements describing fear in the school age child is true? a. school aged children are increasingly fearful of body safety b. most of the new fears that trouble school age children are related to school and family c. school aged children should be encouraged to hide their fears to prevent ridicule by their peers
B
to assist school aged children in coping with stress in their lives, the nurse should i. be able to recognize signs that indicate the child is undergoing stress ii. teach the child how to recognize signs of stress in oneself iii. help the child plan a means for dealing with any stress through problem solving a. ii, iii, iv b. i, ii, iii c. ii, iv
B
what period begins toward the end of middle childhood and ends at age 13? a. puberty b. preadolescence c. early maturation
B
which of the following accurately describes the expected cognitive development during the concrete operational period of middle childhood? a. children are able to follow directions but unable to verbalize the actions involved in the process b. children are able to use their thought process to experience events and actions and make judgments based on what they reason c. children are able to see things from an egocentric outlook that is rigidly developed around the cation to be completed
B
which of the following best identifies the spiritual development of school aged children? a. they have little fear of going to hell for misbehavior b. they begin to learn the difference between the natural and the supernatural c. the petition to God for less tangible rewards
B
which of the following would the nurse NOT expect to observe as characteristics of peer group relationships of 8 year old mark? a. mark demonstrates loyalty to the group by adhering to the secret code rules b. mark demonstrates a greater individual egocentric outlook when compared with other peer group members c. mark is willingly to conform to the groups rule of not talking to girls
B
a major difference in moral development between young school age children and older school aged children is best described by which of the following? a. younger children believe that standards of behavior come from within themselves b. children 6-7 years of age know the rules and understand the reasons behind the rules c. older school age children are able to judge and act by the intentions that prompted it and not only by the consequences
C
according to Erickson what is the developmental goal of middle childhood? A. autonomy b. trust c. industry
C
child who are identified as having a difficult or easily distracted temperament. a. rarely pose a problem b. usually exhibit discomfort when introduced tones situations c. benefit from practice stessionsbefore an event
C
Middle childhood is also referred to as the middle years, the school years or the school age years. what age does the period represent? a. ages 5-13 b. ages 4-14 c. ages 6-12
C
a factor the most influences the amount and manner of discipline and limit setting imposed on school age children is a. the parents age b. the parents education c. the childs response to rewards and punishments
C
during the school aged years children learn valuable lessons from age mates. how is this accomplished? a. the children learn to appreciate the varied points of view within the peer group b. the child becomes sensitive to the social norms and pressures of the group c. the childs interactions among peers lead to the formation of intimate friendships between same sex peers d. all the above
D
childrens self concepts are composed of?
Ones self assessment and what they interpret as the opinions of others
physical maturity correlates well with emotional and social maturity during the middle years. true or false?
false
the term " latchkey children" refers to whom
children in elementary school who are left to care for themselves without adult supervision before or after school
list team memberships characteristics that promote child development during the middle years
children learn how to subordinate personal goals to group goals children learn about competition of nature and importance of winning
ability to grip objects according to the attributes they share in common
classification skills
ability manipulate numbers and to learn the skill of addition, subtraction, multiplication and division
combinatorial skills
ability to make decisions based on what one reasons
conceptual thinking
ability to comprehend that physical matter does not appear and disappear by magic
conservation
12 year old children usually offer the most difficulty in regard to bedtime. true or false
false
Caloric needs are higher in relation to stomach size when compared with the needs of preschool years. True or false?
false
all terrain (ATV's) have been approved by the american academy of pediatrics for child as young as 14 years of age. true or false
false
children respond poorly to teachers who have attributes of caring parents. true or false
false
children under the age of 13 should ride in the front passenger seat of vehicles equipped with air bags. true or false
false
during the middle years the immune system develops little immunity to pathogenic microorganism. true or false?
false
nightmares are part of the normal developmental process, and all children will experience nightmares during childhood. true or false
false
