Deck 19: The School-Age Child

Question 1

A school-age child becomes frustrated with a school assignment and says,"I can't do this!" What is the most developmentally supportive response from the parent?

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 them.

Answer 1

Ask,"What is it that is so difficult?"

Question 2

A mother reports that she has a new job and her 12-year-old child is home alone for a time after school.Which statement made by the parent alerts the nurse to a potentially unsafe situation for this child?

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."

Answer 2

"I told him that he could invite a few friends after school."

Question 3

A parent confides in the school nurse that her 8-year-old twins argue and bicker constantly.What is the best response by the nurse?

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.

Answer 3

Offer reassurance that such behavior is normal for 8-year-olds.

Question 4

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

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 5

A 9-year-old boy is often cranky and irritable,and his school performance has declined.What is the most probable factor causing this behavior?

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

Question 6

What is best for the nurse to suggest to the parents of an overweight 9-year-old child to help prevent obesity?

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 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 7

The nurse discusses preparation for school with the parents of a 6-year-old girl who will soon be starting first grade.What statement by the girl's father leads the nurse to determine that the parents understood the information?

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 8

What type of relationships are the preferred social interactions for the school-age child?

A) Heterosexual interest groups
B) Association with one "best friend"
C) Rigidly organized groups with complex rules
D) Same-sex peer groups

Question 9

The nurse is assessing a school-age child.What will the nurse expect in regard to physical development of this child?

A) Growth of 3 to 6 inches per year
B) Gain of 5 to 7 pounds per year
C) Increase of head circumference by 1 inch per year
D) A visual acuity of 20/20 by 9 years of age

Question 10

What should the nurse keep in mind when planning to teach a class on nutrition to fourth-grade students?

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

Question 11

What is the best suggestion by the nurse for an appropriate toy for a hospitalized 6-year-old boy?

A) Handheld video game
B) MP3 player
C) Adventure book
D) Jigsaw puzzle

Question 12

Which stage of cognitive development is a 9-year-old child in according to Piaget?

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

Question 13

The nurse is advising parents of a 10-year-old boy about the most developmentally supportive experiences for their son.What is the best experience for this child according to Erikson's theory?

A) Constant variety of activities
B) Successful performance in Little League
C) Feeling healthy and strong
D) Having a girlfriend

Question 14

A parent asked the nurse,"At what age are children capable of assuming more responsibility for personal belongings?" What is the nurse's best response based on knowledge of growth and development?

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

Question 15

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

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 16

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." What type of pet should the nurse suggest as the best choice?

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

Question 17

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." What does the nurse know these activities will help this child develop?

A) Initiative
B) Industry
C) Identity
D) Intimacy

Question 18

The school nurse is preserving a tooth that was knocked out on the school playground.What will the nurse be especially careful to do?

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 19

The parents of an 8-year-old child tell the nurse the child wakes the household crying out during his frequent nightmares.What is the nurse's most helpful response to explain nightmares?

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

Question 20

What statement by an 11-year-old child leads the nurse to determine he has moved from the mind-set of egocentrism?

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 21

The pediatric nurse is presenting school-age children with information on safety issues to follow when going home alone.What guidelines should they be educated to follow? (Select all that apply. )

A) Ask for identification before letting someone in the house.
B) Never accept rides with strangers.
C) Keep doors locked.
D) Do not enter house if door is ajar.
E) Walk to and from school with friends.

Question 22

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

Question 23

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

Question 24

What basic "feeling" words should the nurse use in attempting to help a 7-year-old girl express her feelings about being in a new school? (Select all that apply. )

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

Question 25

A 10-year-old child with disabilities is begging her parents for a dog.When at the pediatric clinic,the parents inquire about possible benefits pet ownership may provide to their child.What benefits of pet ownership should the nurse indicate? (Select all that apply. )

A) Decrease the need for physical therapy
B) Lower blood pressure
C) Improve communication
D) Foster trust
E) Ease path to socialization

Question 26

Parents ask the pediatric nurse how school life might influence their growing child.What area of development will the nurse indicate that school affects the least?

A) Moral development
B) Social development
C) Physical development
D) Cognitive development

Question 27

The school nurse is preparing an educational program for new teachers regarding school-age children.What information is accurate for the nurse to include? (Select all that apply. )

A) Participation in group activity increases
B) Egocentricity prevails
C) Thinking is logical
D) Preference is toward family interaction
E) Understand cause and effect

Question 28

The school nurse is planning sex education classes for school-age children.What should the nurse be sure to do?

A) Use simple terms.
B) Avoid slang or "street" words and concepts.
C) Keep topics on biological aspects of sexual development.
D) Limit questions to keep content clear.