Deck 9: Middle Childhood

Question 1

A group of boys ages 9 and 10 forming a "boys-only" club that is open to neighborhood and school friends who have bicycles is:

A) behavior that encourages bullying and sexism.
B) behavior that reinforces poor peer relationships.
C) characteristic of social development at this age.
D) characteristic of children who are at risk for gang membership.

Answer 1

C
At this age there is a strong preference for same-sex clubs with an exclusiveness in the selection of persons who may belong to the group.

Question 2

An important consideration for the school nurse to stress in a class on bicycle safety would be that:

A) most bicycle injuries involve collision with an automobile.
B) children should wear a bicycle helmet if they ride on paved streets.
C) head injuries are the major causes of bicycle-related fatalities.
D) children should not ride double unless the bicycle has an extra-large seat.

Answer 2

C
Although most bicycle injuries are not automobile-related,most bicycle fatalities are head injuries as a result of an automobile-bicycle collision.The most important aspect of bicycle safety is to encourage the use of protective headgear at all times when riding a bicycle.

Question 3

The concerned parent of a 9-year-old confides in the health-care worker that her child will only wear the athletic jersey with the number of his favorite professional quarterback and insists on being called by the quarterback's name rather than his own.The health-care worker bases her response on Erikson's theory that 9-year-olds:

A) should have given up such fantasy play.
B) enjoy such dress-up play.
C) fashion their behavior after role models.
D) need to find their own identity.

Answer 3

C
Erikson refers to school age as the stage of industry,when the child has a thirst for knowledge,a desire to master skills,and the wish to emulate role models or "heroes."

Question 4

Middle childhood-age children will grow on the average of _____ per year.

A) 1 inch
B) 1 1/2 inches
C) 2 inches
D) 2 1/2 inches

Question 5

In middle childhood,the child's developing cognition is more focused on:

A) fantasy.
B) fun.
C) family.
D) fact.

Question 6

The behavior that alerts the school nurse to a possible cognitive deficit in a 7-year-old child would be:

A) playing only with "best friend."
B) confusing letters b, d, and
C) boisterous and "know it all."
D) unable to complete complex tasks.

Question 7

The question or statement made by a parent of an 11-year-old that indicates a need for better understanding of middle childhood development is:

A) "What kind of birds will want to live in your bright red birdhouse?"
B) "Where do you propose to put this little birdhouse you made?"
C) "This bird house needs to be put in a safe place."
D) "Let me help you to repaint the little birdhouse white so birds will come to it."

Question 8

The parents of 9-year-old twins say,"They have filled up their bedroom with collections of rocks,shells,dolls,and baseball cards." This is indicative of:

A) giftedness.
B) typical "twin" competition.
C) concrete cognitive behavior.
D) unidentified stress.

Question 9

The parents of an 8-year-old girl say that their daughter wants to join a softball team.Instruction regarding participation in sports at this age should include which of the following?

A) Organized sports, such as softball, are not appropriate at this age.
B) Competition is harmful to the establishment of a positive self-image.
C) Sports participation is encouraged if the type of sport is appropriate to the child's abilities.
D) Girls should compete only against girls because at this age boys are larger and have more muscle mass.

Question 10

The child experiencing middle childhood forms a positive self-esteem from:

A) praise from elders.
B) refinement of motor skills.
C) developing internal sources.
D) identifying moral reasoning.

Question 11

The school nurse is to begin teaching sex education to children in the fifth grade.The nurse should plan to:

A) use non-anatomical terminology.
B) limit depth of questions asked by the students.
C) separate class and teach girls and boys separately.
D) present sex as a normal part of growth and development.

Question 12

Frequent spankings as a discipline technique can:

A) be an effective deterrent over the long term.
B) establish the parent as an effective authoritarian.
C) shock the child into a permanently modified behavior.
D) teach violent behavior.

Question 13

Interventions to promote health during middle childhood should include:

A) educating parents on the need for good dental hygiene for the erupting teeth.
B) stressing the need for increased caloric intake to meet increased physiological demands.
C) instructing parents to limit questions about sex until the child reaches adolescence.
D) advising parents to reduce child's rest and encourage active exercise.

Question 14

A 12-year-old girl is frequently teased about being taller than anyone else in the class.This teasing:

A) can damage the girl's self concept.
B) is an indication that the girl is well liked.
C) is a positive aspect of a peer relationship.
D) is usually ignored by the person being teased.

Question 15

When teaching injury prevention during the school-age years,the health-care worker should:

A) teach the need to fear and distrust strangers.
B) teach basic rules of water safety.
C) avoid letting the child cook in a microwave oven.
D) caution the child against engaging in competitive sports.

Question 16

The school nurse discussing dental health with some first-grade children would emphasize:

A) how to floss teeth properly.
B) use of a toothbrush with hard nylon bristles.
C) the importance of brushing before bedtime.
D) use of non-fluoridated toothpaste.

Question 17

When a 9-year-old boy feels bad about having cheated on a test,the child is exhibiting the moral behavior phase of:

A) logic.
B) reaction.
C) emotion.
D) guilt

Question 18

Parents planning a birthday party for their 6-year-old son would best plan to invite:

A) a large group of children to watch a collection of cartoons.
B) a group of boys from his class to play active games.
C) an equal number of boys and girls to play competitive board games.
D) children of different ages to play competitive games.

Question 19

A 7-year-old is caught taking a playmate's toy.Which of the following reflects the development of this 7-year-old?

A) If punished, this child will not to do it again.
B) A child's sense of property rights is limited until that concept is modeled for him.
C) This stealing act indicates that something is seriously lacking in this child's life.
D) The child will learn the importance of respecting the property of others if the parents unexpectedly give away an item of his.

Question 20

Eight-year-olds enjoy play that employs:

A) competitive team play.
B) solitary play to develop self expression.
C) quiet, low-activity games.
D) easy ways to win.

Question 21

School-age children are at risk for disturbances in nutrition related to:

A) unsatisfied hunger and large appetite.
B) loss of deciduous teeth.
C) excessive intake of milk.
D) tendency to neglect breakfast in a rush to get to school.

Question 22

The Wechsler Primary Scale of Intelligence has been administered to a group of 7-year-olds.The parents of one of the children ask why this test is being administered to these children.The best response is:

A) "This test determines a child's overall intelligence."
B) "This test determines which children should be placed in a gifted program."
C) "This test determines which children should be placed in a remedial program."
D) "This test can be used to predict school ability and future performance."

Question 23

The description of behaviors of the school-age child that is most closely linked to Erikson's theory is that during this time,school-age children:

A) experience relationships with same-sex peers.
B) with greater independence can carry tasks through to completion.
C) continue to use infantile traits to influence their behavior.
D) have an overlapping of developmental characteristics between childhood and adolescence.

Question 24

The major health teaching need(s)of middle childhood include: (Select all that apply. )

A) injury prevention.
B) ethical behavior.
C) scoliosis screening.
D) driving safety.
E) need for immunizations.

Question 25

The health-care worker giving parents guidelines about discipline for their school-age children would include which of the following guidelines?

A) Discipline for inappropriate behavior may be deferred until both parents are available.
B) Discipline should combine reward and punishment, based on age-appropriate behavior expectation.
C) Time-outs are appropriate forms of discipline for the school-age child.
D) At this age, spanking is the best long-term form of discipline.

Question 26

Anticipatory guidance for the family of an 11-year-old girl should include that they should expect their daughter to exhibit:

A) decreased modesty.
B) desire for privacy.
C) disinterest in boys.
D) selection of career choice.

Question 27

Parents of latchkey children can help ensure their safety by instructing the child to: (Select all that apply. )

A) watch TV until an adult comes home.
B) walk to and from school with friends.
C) call a work number if necessary.
D) inform callers that parents are out.
E) practice route of escape in case of fire.

Question 28

When giving parents guidelines about supporting their children to learn in school,the health-care worker includes that parents should: (Select all that apply. )

A) give praise for the child's application to the learning process.
B) correct all incorrect responses.
C) encourage the child to accept responsibility for learning.
D) reinforce teaching frequently.
E) give occasional rewards.

Question 29

According to Kohlberg,the development of _________ _____________occurs as cognitive function matures and the school-age child learns to understand rules and to determine if an action is right or wrong.

A) cognitive style
B) social cognition
C) cultural adjustment
D) moral reasoning

Question 30

A parent says,"I am worried about my 13-year-old son.He hasn't started puberty,and my daughter did when she was 11 years old." The health-care worker should explain to this parent that this is:

A) unusual and requires further evaluation.
B) unusual because the onset of puberty is usually the same in siblings.
C) normal because the onset of puberty is usually earlier in girls than in boys.
D) abnormal because the onset of puberty is usually earlier in boys than in girls.

Question 31

The health-care worker assesses a decrease in egocentrism in a 7-year-old when the child demonstrates:

A) less interpersonal cooperation.
B) inability to see how his behavior affects others.
C) recognition of opinions of others.
D) abandonment of the relationship of an imaginary friend.

Question 32

The health-care worker designing a class on maintenance of good nutrition for middle childhood children would ensure each class lasted no more than ___ minutes.

Question 33

According to Freud,the child is in a period of latency during middle childhood,which is characterized by:

A) intense desire for gender specific toys.
B) frequent masturbatory activity.
C) a return to a more immature behavior pattern.
D) identification with the parent of the same sex.

Question 34

According to Piaget,school-age children are concrete thinkers,and _______-____ learning is retained best.

Question 35

A parent asks how to prevent her 10-year-old son from becoming involved in gang violence.The best response should be:

A) "Become aware of any gang-related activity in your neighborhood."
B) "Try to become more of a 'pal' to your son so that he won't look for outside approval."
C) "Don't place too many restrictions on your son. He needs to increase his independence and this will show that you trust him."
D) "Don't allow him to join 'boys-only' groups."