chapter 32 questions

The nurse knows that being able to tell time helps a child become more independent. At which age should the nurse expect a school-age child to begin to tell time? A. 7 years old B. 9 years old C. 6 years old D. 8 years old

A. 7 years old

A group of 10-year-old girls have formed a "girls only" club. It is only open to girls who still like to play with dolls. How should this behavior be interpreted? A. appropriate social development B. poor peer relationships C. immaturity for this age group D. encouragement for bullying and sexism

A. appropriate social development

Which nurse best fosters a school-aged child's adaptation to hospitalization? The nurse who: A. explains procedures and shows the child equipment that will be used on them. B. allows the child to act out when being given medication as a way of expressing himself. C. accepts regressive behaviors by the child. D. encourages parental pampering of the child as a way to dispel their guilt.

A. explains procedures and shows the child equipment that will be used on them.

Typical development for the school-aged child includes playing games with friends. At what age are children typically ready for games that include playing on a team that has a winner or loser? A. 7 years B. 10 years C. 13 years D. 5 years

B. 10 years

The nurse is assessing developmental milestones for a 5-year-old girl. Which of the following activities is normal? A. The child sleeps 10 hours a night. B. The child can button a shirt. C. She is able to use a table knife. D. She is able to read simple books.

B. The child can button a shirt.

The nurse is assessing the gross motor skills of an 8-year-old boy. Which interview question would facilitate this assessment? A. "Do you like to do puzzles?" B. "Do play any instruments?" C. "Do you participate in any sports?" D. "Do you like to construct models?"

C. "Do you participate in any sports?"

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

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

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 statement made by a caregiver indicates an understanding of the sleep patterns and needs of the school-age child? A. "My teenage child does not sleep as much as my 9-year-old does." B. "My child does not even know when he is tired." C. "My child sleeps between 11 and 12 hours a night." D. "My child stays up late when she takes a nap after school."

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

When planning activities for school-age children, the nurse organizes games that include competition. At which age are these kinds of games preferred by children? A. 7 years old B. 8 years old C. 10 years old D. 12 years old

C. 10 years old

What finding would the nurse most likely discover in a 10-year-old child in the period of concrete operational thought? A. Problem solving via the scientific method B. Ability to make independent decisions C. Ability to classify similar objects D. Participation in abstract thinking

C. Ability to classify similar objects

The mother of an obese 10-year-old child asks the nurse what she can do at home to help the child have a more healthy weight. Which is the best response made by the nurse? A. "Eliminate all fat from the child's diet." B. "Eliminate all snacks from the child's diet." C. "Encourage the child to skip breakfast to reduce calories." D. "Encourage the child to increase daily physical activity."

D. "Encourage the child to increase daily physical activity."

Which behavior best demonstrates an example of Erikson's developmental task for the school-age child? A. The child plays by himself even though there is a room full of children the same age. B. The child spends all day on a weekend going to the local mall with a group of friends. C. The child begins to mimic imaginary characters. D. The child spends a rainy day putting together a puzzle of a large jungle animal.

D. The child spends a rainy day putting together a puzzle of a large jungle animal.

The nurse is talking with a mother who is concerned that a school-age child is experiencing stress and has been biting the fingernails since beginning the first grade. What should the nurse advise the mother to do about this problem? A. Allow the child to choose a reward for not biting the nails. B. Allow some time every day for the child to talk about new experiences. C. Encourage the child to drink more milk for stronger nails. D. Distract the child by teaching a new skill such as whistling.

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

The nurse is conducting a support group for parents of 9- and 10-year-olds. The parents express concern about the amount of time their children want to spend with friends outside the home. What should the nurse teach the parents that peer groups provide? A. an opportunity for children to become self sufficient B. a sense of security as children gain independence C. time to establish relationships with the opposite sex D. time to remain dependent on their parents

B. a sense of security as children gain independence

The developmental task of the school-aged period, according to Erikson, is gaining a sense of: A. independence versus dependence. B. industry versus inferiority. C. identity versus failure. D. autonomy versus shame.

B. industry versus inferiority.

A school-aged child develops school phobia. When counseling her mother, the nurse would advise her that the accepted action is to: A. keep her child home until this fear passes. B. make her child attend school every day. C. allow her child to decide daily if she wants to go to school or not. D. ask the teacher to decide if the child should come to school or not each day.

B. make her child attend school every day.

A 9-year-old boy is admitted into the hospital with a broken femur. What is important for the nurse to consider when caring for this child? A. Some questions children ask cannot be answered truthfully without increasing their anxiety; therefore, those questions should be deferred to their parents. B. If a child's behavior regresses, it should be accepted because the parents cannot help but feel guilty when their child is hospitalized. C. The child should be prepared for procedures and should be allowed to view and handle equipment that is going to be used when appropriate. D. Children this age are not old enough yet to worry about their body image and how they look to their friends

C. The child should be prepared for procedures and should be allowed to view and handle equipment that is going to be used when appropriate.