EAQ CH 14/15/16
which statement accurately describes spiritual development in school age children?
children often assume God to be human
Which statement regarding PTSD is correct?
children often play the situation over and over again in an attempt to come to terms with their fear
which guidance would the nurse provide the parents of a school-age child about helping their child with school?
communicate with the teachers if there appears to be a problem
Which is the most appropriate recommendation by the nurse when asked by an adolescent about prevention of STDs?
condoms
achievement of which developmental task occurs during the school years?
conservation 7-11 (intuition 2-7, sensorimotor stage birth-2
Which physical sign is suggestive of narcotic abuse in an adolescent being seen in the ED?
constricted pupils
Which is the most common oral problem in children and adolescents?
dental caries
which symptom would the nurse recognize as associated with gingivitis in school-age children?
deposition of plaque and inflammation of gums
which recommendation would the nurse make when parent share that their 12 year old daughter asks about tampons?
discuss the menstrual cycle
which intervention would the nurse recommend to the parent of a 6 year old with bedtime resistance?
encourage a quick activity before bedtime
which secondary teeth usually erupt when the child is 6 years old?
first molar
Which description reflects expected adolescent physical growth during puberty?
growth in height typically ceases 2 to 2.5 years after menarche in girls
the parent of a 12 year old child often has to work until late. Which action is recommended?
instruct the child to heat food in the microwave at low heat
which is the leading cause of death among adolescents?
motor vehicle accident
which type of injury is the leading cause of unintentional injury and death in adolescence?
motor vehicle crashes
which response would the nurse provide a 9 year old child's parents who are concerned that the child appears more thin recently?
normal because of reduction and redistribution of fat
which guidance would the nurse provide the parent of a child whose permanent tooth was avulsed to increase the likelihood that the tooth can be reimplanted?
place the tooth in cold milk
Which is another benefit of oral contraceptive pills?
prevents ovarian cysts and cancer
which approach would the nurse use when educating adolescents about sexual health?
providing medically accurate education for all adolescents
The parents are worried their 6 year old child is cheating at a game
reassure the parents that this is normal
which is the most appropriate nursing intervention for a 16-year-old girl who has not started her period?
referring her for evaluation
Which social factors influence development and overall health?
relationships with parents and peers. Interests in activities. Sexual activity.
which task does Erikson describe as the primary focus of psychosocial development in school age children?
sense of industry when completing tasks
which description reflects moral development in late adolescence?
serious questioning of existing moral values
which action would the nurse take when interviewing an adolescent?
showing concern for their perspective
Why do peer relationships play a significant role during adolescence?
source of social reinforcement
In which tanner stage does the scrotum darken and voice changes?
stage IV
Which advice would the nurse offer to parents to help manage nocturnal enuresis?
start tapering down liquids in evening and nighttime
which physiologic change occurs in adolescents as a result of puberty?
strength of the heart increases. Systolic blood pressure increases. Pulse rate decreases.
In planning sex education and contraceptive teaching, which should the nurse consider?
teens need oral and written form
Which occurrence marks the onset of puberty in boys?
testicular enlargement
Which sign indicates the start of puberty in girls?
the appearance of breast buds
Which system maturation is associated with school age children?
the heart grows slowly and is smaller in relation to the rest of the body
which response would the school nurse employ when adolescents disclose that they are gay?
the nurse would provide a nonthreatening environment for the adolescents to discuss their feelings
which characteristics may be observed in latchkey children?
they feel more lonely or isolated and spend most of their time at home
which response would the nurse provide a 6 year old child's parent who expresses concern that the child has a loose tooth?
this is a normal finding at this age
During which developmental stage would school age children have secondary teeth that appear too large for their face?
ugly duckling stage
which suggestion would the nurse give an adolescent who is having difficulty making friends after moving?
you should join a club at school in your free time
which is the most effective means of preventing dental caries in school age children?
brushing teeth after meals, after snacks and at bedtime
Against which condition does the HPV vaccine protect?
certain cancers
Which symptom does the nurse observe in a patient in the primary stage of syphilis?
chancre on genitals
which is an important consideration related to stress in school age children?
children are capable of identifying stress response
which statement is descriptive of the social development of school age children?
children frequently have best friends
which task would the nurse anticipate a typical 7 year old to perform?
combs own hair
which recommendation would the nurse make to the parent of a school age child who is being bullied?
communicate concerns to the teacher and principle
which behavior would the nurse recommend against when providing guidance to the parent of an adolescent?
comparing the adolescent's behavior to a sibling's
Which is the most important goal in the care of an individual with anorexia?
correcting malnutrition
EBR shows which is most successful for preventing smoking in teens?
emphasis on immediate effects of smoking
which dental education would the school nurse provide children in first grade?
emphasize the importance of brushing before bedtime
Which description characterizes cognition during early adolescence 11-14 years?
exploration of newfound ability for limited abstract thought
Which is the most commonly used method in teen suicides?
firearms
in which way does the onset of puberty growth spurt in girls compare with boys?
it occurs about 2 years earlier in girls than in boys
Which intervention would the nurse focus on in the nonacute stage when caring for an adolescent brought to the hospital with acute drug toxicity?
level of interest in rehab
which is an important consideration in the prevention of injuries during middle childhood?
most injuries occur in or near school or home
which response would the nurse provide parents who are concerned that their 13 year old son has not started puberty while their 11 year old daughter has?
normal. onset of puberty starts earlier in girls than boys
which is an essential part of dietary counseling in weight reduction programs?
nutritional quality of the diet
which parental statement indicates to the nurse that bicycle safety teaching has been effective?
our child will wear light colors with reflection if riding bicycles at night
In the care of a suicidal adolescent, which is the most important intervention?
paying attention to children who are withdrawn and are giving away their personal belongings
According to Freud, with which group of individuals do school age children experience increased relationships?
same sex peers
A nurse is caring for an adolescent who tells the nurse of a plan to commit. What would the nurse do?
A plan would be taken seriously and proper protection and referrals are warranted.
A child who makes careless mistakes in schoolwork and is unable to finish on time should be assessed for what?
ADHD
Which symptom is associated with conversion reaction?
Hysteria. Pseudoseizures. Visual field restriction.
According to Erikson, which stage of development is adolescent?
Identity versus identity confusion
which medication does the nurse anticipate will be prescribed for a child diagnosed with enuresis?
Imiparmine (antidepressant)
Which would the management of adolescent obesity include?
Incorporating favorite foods into the diet
Which condition would the nurse suspect for an adolescent who reports abdominal pain, nausea, constipation and is sexually active?
Pelvic inflammatory disease
Which medication is for painless ulcers with red color and sharply defined, raised boarder, yellow discharge?
Penicillin G
at which age does puberty generally begin for girls and boys?
10 years for girls, 12 years for boys
at which age would the nurse anticipate is the second molar eruption in a school age child?
11-13 years
how long after the appearance of the first pubescent changes does menarche occur?
2 years
which response would the nurse provide a 13 year old boy who is concerned about bilateral breast enlargement?
Advise the adolescent that this is a normal occurrence during puberty
which sign would the nurse recognize as a possible consequence of a school age child being bullied?
Anxiety, social isolation, psychologic distress, academic under performance
How is bulimia characterized?
Binge eating followed by inappropriate compensatory behaviors such as fasting, excessive exercise, medications, or self-induced vomiting
which recommendation would the nurse provide after administering the MCV to a 12 year old?
you will need a booster dose in 4 years
What are symptoms of anorexia nervosa?
Constipation. Hypotension. Thinning hair.
which care approach would the nurse use when interviewing an adolescent?
Ensure confidentiality and privacy. Maintain objectivity and avoid judgments. Offer a nonthreatening explanation for the questions asked. Restate and reflect back to what they said.
which recommendation would the nurse include when addressing health promotion for an adolescent?
Eliminate distractions while driving. Use sunscreen. Never swim or do water activities alone. Refuse to ride with impaired drivers.
How can parents reduce the risk of sport injuries?
Encourage physical activity outside of sports. Have children wear helmets and protective equipment. Compete against kids the same size.
Which occurrence is considered normal during puberty for boys?
Gynecomastia (breast enlargement and tenderness)
How can parents determine that their kids have a problem with drugs?
It is common for a child using drugs to withdraw and not achieve normal developmental tasks.
which information is included as the priority side effect of huffing when teaching a class on the danger?
LOC
Which condition is gray, sticky discharge?
Leukorrhea
Which would be incorporated into weight reduction program for the management of adolescent obesity?
Limited portion size. Dietary and behavior modifications.
which recommendation would the nurse provide a school age child's parents who are concerned about their child exaggerating events at school?
Teach the difference between reality and fantasy
which would the nurse consider when planning a sex education and contraceptive course for adolescents?
That teens benefit from role playing refusal skills in a safe environment
How would the nurse explain to a group of boys what a normal testicle feels like?
The epididymis is palpated as a raised swelling on the superior aspect of the testicle
which term reflects the point at which a girl has developed breast buds?
Thelarche
Which characteristic would a nurse expect to see in a patient with depression?
Tiredness. Tearfulness. Sad facial expression.
which recommendation would the nurse make regarding dental hygiene in school age children?
Use a toothbrush with soft nylon bristles. Ensure that the child brushed teeth after having snacks.
Which advice would the nurse provide the parents of a child with lactose intolerance?
Use enzyme tablets for digestion. Substitute dairy for soy based formula. Replace milk with hard cheese.
Which condition does research suggest overweight children and adolescents are at risk for?
being overweight throughtout life along with health and social consequences
which description accurately depicts body image during the adolescent years?
body art may contribute to adolescent identity formation
Which side effect would the nurse observe in a patient who uses etonogestrel estradiol vaginal ring for contraception?
breakthrough bleeding
in which way would the nurse obtain sexual information from an adolescent?
by asking questions in a straightforward manner
Which condition is the child with dental caries who is taking tricyclic antidepressants being treated for?
ADHD
which is an important consideration for the school nurse planning a class on injury prevention for adolescents?
adolescents often feel invincible, which may override their logical thinking
for which reason is dental hygiene especially important during the school age years?
because the permanent teeth erupt during the school years
Which behavior would the nurse anticipate the patient with ADHD might demonstrate?
a need for reminders to keep focused on a task
which would the nurse know about substance abuse?
a person can be physically dependent on a drug without being addicted
for which reason would the nurse emphasize proper diet when discussing health promotion with an adolescent girl?
adolescent girls tend to eat less because of fear of becoming overweight