Care of the Preschooler - The Point Questions

testing and identification of group role

At a physical examination, a nurse asks the father of a 4-year-old how the boy is developing socially. The father sighs deeply and explains that his son has become increasingly argumentative when playing with his regular group of three friends. The nurse recognizes that this phenomenon is most likely due to:

"We do not touch ourselves in public. Please go to your room if you want to continue this behavior."

A 3 1/2 year-old child is found masturbating in the family living room. Which response by the parent would best address this behavior?

Deficient knowledge of normal preschool development

A 4-year-old tells the nurse he has an imaginary friend. His parents are concerned because he refuses to do anything without his friend's help. Which nursing diagnosis is most applicable for his family?

"The doctor is going to fix your tonsils while you are at the hospital."

A 5-year-old is scheduled for a tonsillectomy. Which statement to the child by the nurse is most therapeutic?

Stack/build blocks with him.

A 6 year old who does not speak English is on bed rest at home and being seen by a home health nurse who speaks only English. The child's mother informs the nurse that her son is very bored, which makes it hard to keep him in bed. What could the nurse do for this patient?

"It's best to answer his questions using accurate anatomical names and keep your answers simple."

A father tells the nurse that his son has been asking questions about his genitals. The father states that he is unsure how to answer the questions of a 4-year-old. How should the nurse respond?

Animism

A nurse is caring for a preschool-age child who expresses the need to leave because their doll is scared to be at home alone. Which of the following characteristics of pre-operational thought is the child exhibiting?

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

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?

cheese cubes and apple slices

During a well-child visit, parents asks the nurse what types of snack foods are recommended to give their preschooler to foster nutrition. What would be the nurse's best recommendation?

Why, How

During a well-child visit, the nurse is providing anticipatory guidance to the parents of a 3 year old about language development. When talking with the parents about this topic, the nurse would instruct that most of the preschooler's questions typically focus on which? Select all that apply.

"I usually have him in time-out for about 10 minutes."

The mother of a 4-year-old reports using time-outs as a means for disciplining the child. Which statement by the mother would require the nurse to provide additional teaching?

Initiative versus guilt

The nurse is caring for a child who is described as being an inquisitive learner, loves to learn new things, and feels a sense of accomplishment when succeeding in activities. The nurse understands that this child is in which of Erikson's stages of development?

Weigh child weekly on the same scales at home. Limit milk to 16 to 24 ounces per day. Provide at least 3 meals and 2 healthy snacks per day.

The nurse is completing a care plan for a preschool child with the nursing diagnosis of imbalanced nutrition, less than body requirements. Which interventions should the nurse include? Select all that apply.

Help the child learn how to follow rules.

The nurse is helping parents develop the developmental task of initiative in their preschool-aged child. Which activity would the nurse suggest the parents implement?

"Keeping an eye on how active he is will give you a good indication."

The parent of a preschooler asks the nurse, "Now that my child goes to preschool and goes to friends' houses, how can I make sure that he is eating enough?" Which response by the nurse would be most appropriate?

A 4-year-old that does not use sentences with five or more words.

The student nurse is preparing a presentation on signs of developmental delay in preschoolers. Which examples of delays should be included? Select all that apply.

Dressing in the mother's coat to play house

Which type of play should the nurse encourage for a preschool-age child who is hospitalized?

Regression. Telling of tall tales. Imaginary friends. Sibling rivalry. Difficulty with sharing.

A group of nursing students are completing a clinical day at a preschool. Which behaviors would they identify as common in this preschool group? Select all that apply.

Imagination

A nurse is describing growth and development during the preschool period. What would the nurse identify as a predominant and heightened characteristic for this age group?

Ride a tricycle

A nurse is performing a developmental screening on a 3-year-old child. Which of the following skills should the nurse expect the child to perform?

Average calorie intake should be 1,800 calories per day

A nurse is preparing an education program for a group of caregivers of preschool age children about promoting optimum nutrition. Which of the following information should the nurse include in the teaching?

"I will keep a dim lamp on in my child's room during the night."

A nurse is providing teaching to the guardian of a preschool-age child about methods to promote sleep. Which of the following statements by the parent indicates an understanding of the teaching?

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

A nurse is teaching a group of parents of preschoolers about safety. Which information would the nurse include? Select all that apply.

Take away the child's favorite toy until behavior improves. Set consistent limits and adhere to them. Attend only to the good behavior—ignore acting out.

A parent of a 4-year-old preschooler asks the nurse about how to discipline her child for bad behavior. The nurse would recommend that the parent take which steps to discipline the child? Select all that apply.

"You need to determine the reason for lying before punishing the child."

When providing anticipatory guidance to parents about their preschool son who was caught in a lie, what would the nurse emphasize?