Chapter 34 Review Questions

The school nurse is teaching a class on safety. Which activities require protective athletic gear? Select all that apply. Lacrosse Football Swimming Gymnastics Skateboarding

a, b, e

The school nurse knows that which attribute is characteristic of the psychosocial development of school-age children? A developing sense of initiative is very important. Peer approval is not yet a motivating power. Motivation comes from extrinsic rather than intrinsic sources. Feelings of inferiority or lack of worth can be derived from children themselves or from the environment.

d

A parent tells the nurse, "I am worried about my 13-year-old son. He has not started puberty, and my daughter did when she was 11 years of age." The nurse should explain to this parent that this is: unusual and requires further evaluation of the son. unusual because the onset of pubescence is usually the same in siblings. normal because the onset of pubescence is usually earlier in girls than it is in boys. abnormal because the onset of pubescence is usually earlier in boys than it is in girls.

c

Nursing interventions to promote health during middle childhood include: stressing the need for increased calorie intake to meet increased demands. instructing parents to defer questions about sex until the child reaches adolescence. educating the child and parents to the need for good dental hygiene because these are the years in which permanent teeth erupt. advising parents that the child will need decreasing amounts of rest toward the end of this period.

c

Parents of a 10-year-old child are concerned that their child has been recently showing signs of low self-esteem. Which should the nurse consider when discussing this issue with the parents? Changing self-esteem is difficult after about 5 years old. Self-esteem is the objective judgment of one's worthiness. Transitory periods of lowered self-esteem are expected developmentally. High self-esteem develops when parents show adequate love for the child.

c

A parent phones the nurse and says that her child just knocked out a permanent tooth. The nurse's instructions to the parent should include: rinsing the tooth in hot water. holding tooth by the crown and not by the root area. taking the child and tooth to a dentist within 48 hours. taking the child to the hospital emergency room if mouth is bleeding.

b

The nurse is preparing a health teaching session for school-age children. The nurse should include which information about injury prevention in the plan? Peer pressure is not strong enough to affect risk-taking behavior. Most injuries occur in or near school or home. Injuries from burns are the highest at this age because of fascination with fire. Lack of muscular coordination and control results in an increased incidence of injuries.

b

The nurse should teach volunteers in the after school program that which characteristic is MOST descriptive of the social development of school-age children? Identification with peers is minimal. Children frequently have "best friends." Boys and girls play equally well with children of either gender. Peer approval is not yet an influence toward conformity.

b

At the beginning of the school year, the school nurse identifies several new children at the school. The nurse knows that which factors place the children at high risk adjustment problems? Select all that apply. The child is from a middle class family. The child has not attended a preschool program. The child exhibits signs of emotional immaturity. The parents of a child demonstrate warm, loving behaviors. The child appears physically immature.

b, c, e (discrepancy with answer from Evolve)

The parents of 9-year-old twin children tell the nurse, "They have filled their bedroom with collections of rocks, shells, stamps, and cars." The nurse should recognize that this behavior is: indicates giftedness. indicates typical "twin" behavior. is characteristic of cognitive development at this age. is characteristic of psychosocial development at this age.

c

The parents of an 8-year-old girl tell the nurse that their daughter wants to join a soccer team. The nurse's suggestions regarding participation in sports at this age should include: organized sports such as soccer are not appropriate at this age. competition is detrimental to the establishment of a positive self-image. sports participation is encouraged if the sport is appropriate to the child's abilities. girls should compete only against girls because at this age boys are larger and have more muscle mass.

c

The school nurse is discussing dental health with some children in first grade. What should the nurse include in the discussion? Teaching how to floss teeth properly. Recommending a toothbrush with hard nylon bristles. Emphasizing the importance of brushing before bedtime. Recommending nonfluoridated toothpaste approved by the American Dental Association.

c

What information should the nurse include when giving parents guidelines about helping their children in school? Help children as much as possible with their homework. Punish children who fail to perform adequately. Communicate with teachers if there appears to be a problem. Accept responsibility for children's successes and failures.

c

The nurse is teaching a community health promotion class to parents and school-age children related to bicycle safety. Issues to cover in the sessions include: bicycle helmets need to be worn only if the child is planning to ride in traffic. reflectors should be installed only on bicycles that are to be ridden at night. bicycles should be ridden against the traffic so that the rider can see the cars. bicycles should be walked through busy intersections.

d

The school nurse is asked to speak with the parents of a 10-year-old boy who has been bullying other children. The nurse's response should be based on knowledge that: bullying at this age is considered normal. children who bully others usually join gangs. children who bully others usually have low self-esteem. bullies often have difficulties developing and maintaining relationships.

d

What is an important consideration related to childhood stress? Children should be protected from stress. Children do not have coping strategies. Parents cannot prepare children for stress. Some children are more vulnerable to stress than others.

d