Ch. 25
The parent of a 4-year-old is expressing concern that this child is not talking as much—or as well—as her other children did at that age. Which question should the nurse prioritize when assessing this preschooler for this concern? D. "Do you praise and give your child encouragement when the child tries to talk with you?" C. "Does your child have opportunities to have conversations with other people?" A. "How often do you or a family member read to your child?" B. "Has your child had their hearing tested?"
B. "Has your child had their hearing tested?"
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? D. Watching television or videos A. Playing apart from others without being part of a group C. Playing a video game with several other children B. Acting out a troubling or stressful situation
B. Acting out a troubling or stressful situation
The nurse is assessing a 3-year-old at a well-child visit and the child appears to be progressing well. Which activity will the nurse ask the child to attempt to appropriately assess the fine motor skills of this preschooler? D. Print a few letters. A. Use scissors. B. Button clothes. C. Tie shoelaces.
B. Button clothes.
The parents of a toddler are concerned their child is not developing correctly and are questioning the nurse concerning the child's lack of effort to join other children in a group activity. Which response should the nurse prioritize in answering the parents? C. "Perhaps getting your child interested in sports will improve their other play habits." B. "You should try to get your child involved in a local Boys and Girls club to encourage more interaction." A. "This is normal for this age group. It's referred to as solitary independent play." D. "Your child is involved with others, just indirectly. See how they sit next to the other children and play with the same toys?"
A. "This is normal for this age group. It's referred to as solitary independent play."
The nurse is caring for a 5-year-old who has been hospitalized after an episode of asthma. As the nurse prepares to teach the child how to use the nebulizer, which action should the nurse prioritize? A. Allow the child to touch and play with the nebulizer for a few minutes before the treatment. C. Explain that the child will feel better after the treatment and allow the child to ask questions. D. Use a poster or brochure to illustrate to the child how the machine works. B. Show the child how to use the nebulizer and tell the child how much easier it is to breathe afterward.
A. Allow the child to touch and play with the nebulizer for a few minutes before the treatment.
The nurse has brought a group of preschoolers to the playroom to play. Which activity would the nurse predict the children to become involved in? C. Painting pictures in the art corner of the room B. Playing a board game A. Pretending to be mommies and daddies in the playhouse D. Watching a movie with other children their age
A. Pretending to be mommies and daddies in the playhouse
The pediatric nurse is discussing the daily activities of a 4-year-old with the caregiver to assess growth and development status. The nurse would document that the child has reached the initiative stage of development if the caregiver indicates the child participates in which activity? B. broke a dish but blamed it on a friend the caregivers don't know C. refuses to hold anyone's hand while crossing the street A. tries to sweep up spilled cereal but cries when can't do well D. gets upset when a babysitter is in charge, but will do what is asked by the babysitter
A. tries to sweep up spilled cereal but cries when can't do well
The nurse is assessing a 3-year-old at a routine well-child visit. Which assessment should the nurse prioritize in the vision check? C. depth perception A. visual acuity B. eye coordination D. color perception
B. eye coordination
The nurse is meeting with a group of young parents to discuss nutrition and their preschooler. Which response should the nurse prioritize when asked if using desserts as a reward for good behavior is an appropriate idea? B. The child will learn to choose sweets over nutritious food. D. The child can use food to manipulate others' behavior. C. This will result in the child being overweight. A. The child may only behave on days when dessert is something that is liked.
D. The child can use food to manipulate others' behavior.
The nursing instructor is illustrating the various types of play. The instructor determines the class is successful when the students correctly choose which example as best representing onlooker play? A. playing apart from others without being part of a group D. observing without participating C. playing in an organized group with each other B. acting out a troubling situation
D. observing without participating
A first-time father calls the pediatric nurse stating he is concerned that his 4-year-old daughter still wets the bed almost every night. Remembering his own experience of being punished for wetting the bed at 4 years old, he is not sure punishment is the best approach to address this. Which nursing instruction is the most appropriate? B. "Bedwetting is not uncommon in young children. Try to calmly change the bed without showing your frustration." A. "Disciplining is not likely to be effective, but if the child keeps wetting the bed it may be necessary." C. "Setting rules is a parent's job to help the child have acceptable social behavior, so take away a privilege each time she wets the bed." D. "Nightly bedwetting up to age 12 is developmentally typical, so you will need to practice patience with your daughter."
B. "Bedwetting is not uncommon in young children. Try to calmly change the bed without showing your frustration."
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. Scold the child for the insult while apologizing for hurting her, and loosen the cuff. B. 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. Ask the child's caregiver to please hold the child on their lap until she calms down. C. 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.
B. 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.
The nurse is caring for several clients on the pediatric unit. When interacting with the preschool-age child, which action does the nurse predict will occur? D. Grows and develops skills more rapidly than at any other time in their life C. Insists doing something and the next moment reverts to being dependent B. Takes in new information at a rapid rate and asks "why" and "how" A. Increased attention span and can be interested in an activity for a long length of time
B. Takes in new information at a rapid rate and asks "why" and "how"
The nurse is monitoring children playing in the unit's playroom. The nurse notes that some children are involved in associative play by which actions? B. pushing toy cars around on a large rug with roads C. playing a board game with each other D. several children engrossed in their own tool-and-bench set A. drawing pictures in the art area
B. pushing toy cars around on a large rug with roads
The nurse is preparing a safety presentation for a health fair for families. Which instruction should the nurse prioritize when illustrating car safety and the family? B. "Explain that wearing a seat belt is a law and the police officer will give a ticket if the seat belt is not buckled." D. "Reward the child with candy or some other treat each time the child keeps the seat belt on." C. "Set a good example. Wear your own seat belt every time you drive." A. "Stop the car any time the preschooler unbuckles the restraints."
C. "Set a good example. Wear your own seat belt every time you drive."
The father of a 4-year-old is concerned his child is not telling the truth and blaming others for things that have happened. Which response should the nurse prioritize after the father shares that the child is blaming someone named "Andrew" for a broken tool, and they have no idea who this is? C. "Your son may have a friend named Andrew, but it could be an imaginary friend." D. "You should watch this type of behavior closely since most children this age tell the truth." B. "You need to show your child the broken tool since at this age they must see something in order to understand." A. "You should punish your son because no child should be telling lies at this age."
C. "Your son may have a friend named Andrew, but it could be an imaginary friend."
The nurse is presenting an in-service on the types of playing that children may engage in. The nurse determines the session is successful when the attending nurses correctly choose which example as representing cooperative play? D. Playing independently and are side-by-side. C. Playing in an organized group with each other. B. Playing together in an activity without organization. A. Playing apart from others without being part of a group.
C. Playing in an organized group with each other.
The parents of 5-year-old boy are concerned about the how a recent motorcycle accident to his father will affect the child. Although the father has fully recovered, the child is very concerned if the father is away longer than expected; the child is not as talkative but appears withdrawn and quiet. The nurse should point out the child's behavior is likely related to which factor? D. The child is imitating the adults' behavior and just trying to be nice to everyone. C. The boy believes he caused the accident by telling his father he "hoped he crashed" when the boy couldn't go along. B. The boy is afraid of being hurt himself and thinks being "especially good" will protect him from accidents. A. The child is afraid of losing his father and trying show how much he loves him.
C. The boy believes he caused the accident by telling his father he "hoped he crashed" when the boy couldn't go along.
When collecting data on a preschool-aged child during a well-child visit, the nurse discovers the child has gained 12 lb (5.4 kg) and grown 2.5 inches (6.3 cm) in the last year. The nurse interprets these findings to indicate which situation? A. Weight and height are within expected patterns of growth. C. Weight is above an expected range and height is within an expected range. B. Weight falls within an expected range and height is less than what would be expected. D. Weight is below an expected range and height is above an expected range.
C. Weight is above an expected range and height is within an expected range.
During a well-child visit, the caregiver expresses concern that the 3-year-old child often stutters when speaking. Which response should the nurse prioritize to best assist this family? B. "Stuttering is usually indicative of a hearing loss." D. "Children of this age may stutter while they search for just the right word." A. "Stuttering is common in young children because they are not physically capable of forming all the sounds." C. "Difficulties with speaking generally indicate that the adults in the child's life are not reading to the child enough."
D. "Children of this age may stutter while they search for just the right word."
