Deck 19: The School-Age Child

Question 1

A 9-year-old boy is often cranky and irritable and his school performance has declined.All the options are true about the child.The possible factor causing this behavior is that he:

A) sleeps only 6 to 7 hours a night.
B) eats eggs every day.
C) has a new dog.
D) plays about 1 to 3 hours each evening.

Answer 1

sleeps only 6 to 7 hours a night.

Question 2

A parent states,"My 7-year-old really wants a dog.His 10-year-old brother has allergies to animal dander.I don't know what to do." The nurse could advise this parent to choose a(n):

A) small breed of dog because the large dogs produce more allergens.
B) older unneutered dog that produces fewer allergens than a younger one.
C) cat since it requires less care and is less allergenic.
D) poodle, which does not shed, making it a good choice for people with allergies.

Answer 2

poodle, which does not shed, making it a good choice for people with allergies.

Question 3

The nurse is aware that,in general,the school-age child will:

A) grow 3 to 6 inches per year.
B) gain 5 to 7 pounds per year.
C) increase head circumference by 1 inch per year.
D) reach a visual acuity of 20/20 by 9 years of age.

Answer 3

gain 5 to 7 pounds per year.

Question 4

The nurse advises the parents of a 10-year-old boy that,according to Erikson's theory,the most developmentally supportive experience for him would be:

A) constant variety of activities.
B) successful performance in Little League.
C) feeling healthy and strong.
D) having a girlfriend.

Question 5

When the school-age child becomes frustrated with a school assignment and says,"I can't do this!" the most developmentally supportive response from the parent would be to:

A) ask, "What is it that is so difficult?"
B) allow the child to quit the effort.
C) call in older siblings to help.
D) finish the project for him.

Question 6

The nurse suggests an appropriate toy for a hospitalized 6-year-old boy would be a(n):

A) handheld video game.
B) MP3 player.
C) adventure book.
D) jigsaw puzzle.

Question 7

A parent confides in the school nurse that her 8-year-old twins argue and bicker constantly.The nurse's best response would be to:

A) express alarm at the constant aggression.
B) voice concern and investigate referral for counseling.
C) inquire about what punitive action the parents have taken to stop it.
D) offer reassurance that such behavior is normal for 8-year-olds.

Question 8

The parents of an 8-year-old tell the nurse the child wakes the household crying out during his frequent nightmares.The nurse's most helpful response is to explain that nightmares are a(n):

A) normal extension of the child's fear of mutilation.
B) abnormal response to repressed feelings.
C) common result of latent sexuality.
D) side effect of overactivity and stimulation.

Question 9

The nurse suggests to the parents of an overweight 9-year-old that to help prevent obesity,they should:

A) use whole milk as a between-meal snack because it is more filling than skim milk.
B) feed the child before family meal times in order to monitor intake more closely.
C) encourage the child to engage in physical activity for at least an hour a day.
D) remove all sweets and junk food from the house.

Question 10

When asked about her activities,a 10-year-old girl responded,"I like school.I play the flute in the school band,and I take tennis lessons." The nurse knows these activities will help this child develop a sense of:

A) initiative.
B) industry.
C) identity.
D) intimacy.

Question 11

The nurse,planning to teach a class on nutrition to fourth-grade students,would keep in mind that school-age children:

A) can concentrate on only one aspect of a situation.
B) can think abstractly.
C) are egocentric in their thinking.
D) think logically and concretely.

Question 12

The nurse explains that the preferred social interaction for the school-age child is based on relationships that are:

A) heterosexual interest groups.
B) association with one "best friend. "
C) rigidly organized groups with complex rules.
D) same-sex peer groups.

Question 13

According to Piaget,a 9-year-old child is in which stage of cognitive development?

A) Formal operations
B) Preoperational
C) Concrete operations
D) Sensorimotor

Question 14

A mother reports that she has a new job and her 12-year-old child is home alone for a time after school.The statement made by the parent,indicating a potentially unsafe situation for this child,is:

A) "I told him that he could invite a few friends after school. "
B) "I put a list of emergency numbers next to the telephone. "
C) "Last week we made a first aid kit together. "
D) "There is a neighbor available in case of an emergency. "

Question 15

The nurse assesses that the 11-year-old has moved from the mind set of egocentrism when he says:

A) "I am a member of the best Cub Scout group in the world. "
B) "I must do my homework before I can play. "
C) "My dad can do anything!"
D) "I'm sorry. I bet that hurt your feelings. "

Question 16

The school nurse who is preserving a tooth that was knocked out on the school yard will be especially careful to:

A) wrap the tooth loosely in a clean cloth.
B) rinse the tooth with alcohol.
C) handle the tooth only by the crown.
D) place the tooth in a warm environment.

Question 17

A seventh-grade girl tells the school nurse that her art teacher,a woman,is her hero.The most appropriate interpretation of the girl's comment is:

A) the student may be exploring her career options.
B) the comment is cause for concern about sexual abuse.
C) the child may have difficulty interacting with her peers.
D) hero worship is a normal phenomenon.

Question 18

A parent asked the nurse,"At what age are children capable of assuming more responsibility for personal belongings?" Based on knowledge of growth and development,the nurse would responds with _____ years.

A) 6
B) 7
C) 9
D) 12

Question 19

The nurse discusses preparation for school with the parents of a 6-year-old girl who will soon be starting first grade.The nurse determines that the parents understood the information when the girl's father states:

A) "We should put a stop to her thumb-sucking. "
B) "We'll have a talk about what school is like. "
C) "We will let her walk to the bus stop by herself. "
D) "We'll have her meet some children who will be in her class. "

Question 20

A mother is concerned because her 9-year-old has developed the habit of twitching his eyes and flipping his hair while communicating with anyone.The best nursing response to this parent is:

A) "This may indicate that he needs eyeglasses. "
B) "Children sometimes do these things for attention. "
C) "This behavior suggests low self-esteem. "
D) "Tics appear when a child is under stress. "

Question 21

The nurse,in attempting to help a 7-year-old girl express her feelings about being in a new school,would prompt the child with what basic "feeling" words? Select all that apply.

A) Mad
B) Glad
C) Sad
D) Scared
E) Jealous

Question 22

The school nurse planning sex education classes for school-age children should:

A) use simple terms.
B) avoid slang or "street" words and concepts.
C) keep topics on biological aspects of sexual development.
D) limit questions in order to keep content clear.

Question 23

When the fifth-grade class collected geckos in a special aquarium in the classroom,the school nurse cautioned the teacher to be alert for symptoms of ____________________ that can be carried by the reptiles.

Question 24

The nurse advises the parents of a 6-year-old to try and ensure at least ______ hours of sleep daily for the child.

Question 25

The nurse is aware that by the age of _____,the first permanent teeth erupt.

Question 26

The pediatric nurse assesses the 9-year-old child who has been diagnosed with diabetes to ensure that he does not come to believe that his disease is a form of _________________.

Question 27

The nurse reminds the parents who are trying to select a dog for their allergic child that the best selection would be a female dog that is ______________ and _______________.

Question 28

The nurse explains that the term _______________ refers to a sex role that incorporates both male and female traits.