Health Promotion for School-Aged Children Sherpath
A child is being seen with dental malocclusion. The child's caregiver asks the nurse how the child's oral health routine will have to change with braces. What is the nurse's best response? "No change is necessary with braces." "Your child will not be able to eat most snacks." "Sticky snacks should be limited to the morning and not consumed at bedtime." "Your child should clean the teeth and use a water flosser several times per day."
"Your child should clean the teeth and use a water flosser several times per day." Brushing after every meal or snack and using a water flosser is recommended to keeping gums healthy and removing any food particles that may be stuck in the braces.
Which water safety guideline is a priority for children playing in a neighborhood pool? Jump head first Use a flotation device Do not dive into water Only run while wearing shoes
Do not dive into water Parents should always check any water in which the child will play. However, children should be instructed to only jump feet first, and not dive, to prevent potential neck injury.
The nurse is discussing appropriate safety for school-aged children with the parents of a six-year-old and a 10-year-old. Which safety recommendations can the nurse make that are appropriate for both children? Select all that apply. "Always use sunscreen while outdoors." "Discuss not allowing unfamiliar adults into the home." "Ensure guns are in a locked vault, in a separate location from the ammunition." "Both children can be restrained with only the three-point harness while in the motor vehicle." "Children should protect their eardrums by listening to only moderate-volume music and television."
"Always use sunscreen while outdoors." Sun protection is an important safety issue for all ages and should be addressed for any child spending time outdoors. "Discuss not allowing unfamiliar adults into the home." Not opening the door to strangers is an important safety issue for both six and 10-year-old children. "Ensure guns are in a locked vault, in a separate location from the ammunition." Gun safety is similar for all school-aged children and includes keeping guns locked up and ammunition separate. "Children should protect their eardrums by listening to only moderate-volume music and television." Listening to loud music is a safety concern for all school-aged children.
Which statement made by a child suggests that bullying may be occurring? Select all that apply. "He told me he has a crush on me." "I think they just want to be my friends." "He made fun of me at school because of my weight." "He told people that I failed my test when really I didn't." "He sent me unwanted email messages that made me feel nervous."
"He made fun of me at school because of my weight." Teasing is a form of bullying when it makes a person feel distressed. "He told people that I failed my test when really I didn't." Spreading rumors about another person is a type of bullying. "He sent me unwanted email messages that made me feel nervous." The incidence of cyberbullying, or bullying via email or social media, has increased in the past 10 years and continues to be a problem among school-aged children.
Match the safety recommendation with the activity for which it is most important. 1. Ride on the right side of the road with traffic 2. Walk across intersections 3. Limit to areas with no traffic 4. Do not ride on gravel roads a. Bicycle b. Skateboard c. Inline skates d. Scooter
1. a 2. d 3. b 4. c
Match the student's behavioral problem with the relevant manifestation. 1. Complaint of feeling sick while at school 2. Pushing another child to assert authority 3.Drinking alcohol while home alone after school a. Peer victimization b. Problems associated with self-care c. School refusal
1. c 2. a 3. b
Which problem behaviors can occur when leaving a child home alone after school? Select all that apply. Alcohol use Binge eating Creating messy art Drug experimentation Preparing snacks and meals
Alcohol use Drinking alcohol is a problem behavior that can result from leaving a child home alone after school. During this time the child needs guidance and direction, especially for doing chores and homework. Binge eating Inappropriate eating habits are a problem behavior that can result from leaving a child home alone after school. The lack of direction and supervision allows children to experiment with unwanted behaviors. Drug experimentation Drug use is a problem behavior that can result from leaving a child home alone after school. During this time the child needs guidance and supervision, especially for doing chores and homework.
The parents of an overweight nine-year-old are concerned about their child's eating habits. Which recommendations can the nurse make for family-wide changes that may impact their child's food choices? Select all that apply. Eat meals quickly Avoid giving food for reward Increase the number of home-cooked meals Eat at least 10% of total daily calories as saturated fat Ensure the majority of the food eaten is grains over protein
Avoid giving food for reward Not using food as a reward is a recommendation that the nurse would make for family-wide changes to impact children's food choices. This recommendation focuses more on eating than nutrition. Increase the number of home-cooked meals Increasing home-cooked meals and reducing the amount of fast food eaten is a recommendation that the nurse would make for family-wide changes to impact children's food choices. Fast food is high in calories and not nutritious
The parent of an eight-year-old child is frustrated because the child constantly makes up reasons not to attend school. The child's health care provider ruled out any serious health issues. The nurse should suggest that the parent take which actions to address this behavioral problem? Select all that apply. Be firm in enforcing school attendance Encourage group activities with peers Discipline the child for wanting to leave school Rationally discuss the reasons the child wants to stay home Remove child from school any time they feel stressed or frightened
Be firm in enforcing school attendance The nurse should suggest the parent be firm in enforcing school attendance. Being firm does not allow the child to manipulate the situation. Encourage group activities with peers The nurse should suggest the parent should be encouraging group activities and emphasizing the positive aspects of school. Rationally discuss the reasons the child wants to stay home The child should be gently questioned about factors at school that cause worry or fear. Specific causes, such as a bully or an overly critical teacher, should be dealt with immediately.
The caregivers of an 11-year-old child report that the child is worried about upcoming tests and is not sleeping well. The nurse tells the parents to watch for which signs of stress? Bed-wetting Malocclusion Watching three hours of TV Screaming during the night
Screaming during the night Sleep terrors, or screaming during sleep, can be brought on by stress. The child should not be awakened or comforted and will not remember the episode in the morning.
Which pedestrian safety recommendations are common to enforce in children who ride bikes, inline skates, and skateboards? Select all that apply. Do not listen to music Do not ride when sunlight is dim Wear appropriate head protection When in the street, stop at stop signs Ensure the equipment is the appropriate size and for the appropriate age
Do not listen to music Children should avoid using audio headphones while riding any moving recreational equipment, because headsets can diminish hearing capabilities. Children may not hear an approaching vehicle. Do not ride when sunlight is dim Children should be taught to avoid riding at dusk or in the dark, as they cannot see well. Wear appropriate head protection Wearing a helmet is a priority safety recommendation that is common to biking, inline skating, and skateboarding. Moreover, child helmet laws exist in all states.
Which is an example of a negative influence affecting a school-aged child's food choices? Eating snacks after school Involvement in food preparation Exposure to fast food commercials Eating a wide variety of food choices at home
Exposure to fast food commercials Fast food commercials provide a negative influence affecting a school-aged child's food choices.
Which parental practice encourages motor vehicle safety for a school-aged child? Checking brake lights Speak quietly while conversing with the driver Fastening seat belt for every ride Leaving extra time to reach destination
Fastening seat belt for every ride The child seeing the parents consistently wear their seatbelts helps to encourage motor vehicle safety.
Which fire safety recommendation is a priority for school-aged children, as it takes advantage of their developing cognitive abilities? Not to panic How to stop, drop, and roll How to use appliances safely Be familiar with fire alarm sound
How to use appliances safely How to safely use appliances is a fire safety recommendation that is priority for school-aged children. At this age, they are becoming interested in helping with chores.
Decreased eating at mealtime, poor test scores, and refusal to talk about school may be signs that a child is experiencing which school-age problem? Peer influence School refusal Impulse control Peer victimization
Peer victimization Decreased eating at mealtime, poor test scores, and refusal to talk about school are signs of peer victimization or bullying.
The parent of a 10-year-old child is distressed by the child's recent tendency to post embarrassing photos of other children on social media sites. Which common behavioral problem do these actions exemplify? Stress Anxiety School refusal Peer victimization
Peer victimization Peer victimization, often called bullying, can include targeting children on social media sites.
The parent of an eight-year-old reports that the child has trouble getting to sleep at night. Which practices should the nurse recommend to promote sleep? Select all that apply. Delaying bedtime Reading before bed Watching a movie in the bed Keeping the room dark and quiet Limiting media exposure prior to bedtime
Reading before bed Reading before bed is a practice the nurse should recommend to promote sleep. Reading allows the child to relax and unwind Keeping the room dark and quiet Keeping the room dark and quiet is a practice the nurse should recommend to promote sleep. Dark sleeping environments promote the release of melatonin, which helps with sleep onset. Limiting media exposure prior to bedtime Limiting media exposure prior to bedtime is a practice the nurse should recommend to promote sleep. Limiting media exposure will avoid stimulating content.
A 10-year-old with braces recently joined the soccer team. The nurse recommends use of a mouth guard for which reasons? Select all that apply. Comfort Safeguards the braces Provides barrier for teeth Enhanced functionality of braces Protection from soft tissue damage
Safeguards the braces Protection of braces is a reason the nurse would recommend wearing a mouth guard over braces. Provides barrier for teeth Protection of teeth is a reason the nurse would recommend wearing a mouth guard over braces. Protection from soft tissue damage Protection from soft tissue damage is a reason the nurse would recommend wearing a mouth guard over braces.
A child who insists on staying home from school because they fear that something will happen to make him/her look bad in front of the other children is exhibiting which common school-age behavioral problem? Bullying Family stress School refusal Social isolation
School refusal School refusal is a common school-age behavioral problem in which a child insists on staying home instead of attending school.
