Deck 15: Health Promotion of the School-Age Child and Family

Question 1

What statement accurately describes physical development during the school-age years?

A) The child's weight almost triples.
B) Muscles become functionally mature.
C) Boys and girls double strength and physical capabilities.
D) Fat gradually increases, which contributes to children's heavier appearance.

Answer 1

Boys and girls double strength and physical capabilities.

Question 2

The school nurse has been asked to begin teaching sex education in the fifth grade. What should the nurse recognize?

A) Questions need to be discouraged in this setting.
B) Most children in the fifth grade are too young for sex education.
C) Sexuality is presented as a normal part of growth and development.
D) Correct terminology should be reserved for children who are older.

Answer 2

Sexuality is presented as a normal part of growth and development.

Question 3

What do nursing interventions to promote health during middle childhood include?

A) Stress the need for increased calorie intake to meet increased demands.
B) Instruct parents to defer questions about sex until the child reaches adolescence.
C) Advise parents that the child will need increasing amounts of rest toward the end of this period.
D) Educate parents about the need for good dental hygiene because these are the years in which permanent teeth erupt.

Answer 3

Educate parents about the need for good dental hygiene because these are the years in which permanent teeth erupt.

Question 4

The school nurse needs to obtain authorization for a child who requires medications while at school. From whom does the nurse obtain the authorization?

A) The parents
B) The pharmacist
C) The school administrator
D) The prescribing practitioner

Question 5

The school nurse is discussing after-school sports participation with parents of children age 10 years. The nurse's presentation includes which important consideration?

A) Teams should be gender specific.
B) Organized sports are not appropriate at this age.
C) Competition is detrimental to the establishment of a positive self-image.
D) Sports participation is encouraged if the type of sport is appropriate to the child's abilities.

Question 6

What is characteristic of dishonest behavior in children ages 8 to 10 years?

A) Cheating during games is now more common.
B) Stealing can occur because their sense of property rights is limited.
C) Lying is used to meet expectations set by others that they have been unable to attain.
D) Dishonesty results from the inability to distinguish between fact and fantasy.

Question 7

When teaching injury prevention during the school-age years, what should the nurse include?

A) Teach children about the need to fear strangers.
B) Teach basic rules of water safety.
C) Avoid letting children cook in microwave ovens.
D) Caution children against engaging in competitive sports.

Question 8

A school-age child has begun to sleepwalk. What does the nurse advise the parents to perform?

A) Wake the child and help determine what is wrong.
B) Leave the child alone unless he or she is in danger of harming him- or herself or others.
C) Arrange for psychologic evaluation to identify the cause of stress.
D) Keep the child awake later in the evening to ensure sufficient tiredness for a full night of sleep.

Question 9

A parent asks about whether a 7-year-old child is able to care for a dog. Based on the child's age, what does the nurse suggest?

A) Caring for an animal requires more maturity than the average 7-year-old possesses.
B) This will help the parent identify the child's weaknesses.
C) A dog can help the child develop confidence and emotional health.
D) Cats are better pets for school-age children.

Question 10

The school nurse is providing guidance to families of children who are entering elementary school. What is essential information to include?

A) Meet with teachers only at scheduled conferences.
B) Encourage growth of a sense of responsibility in children.
C) Provide tutoring for children to ensure mastery of material.
D) Homework should be done as soon as child comes home from school.

Question 11

What is descriptive of the social development of school-age children?

A) Identification with peers is minimum.
B) Children frequently have "best friends."
C) Boys and girls play equally with each other.
D) Peer approval is not yet an influence for the child to conform.

Question 12

The parents of 9-year-old twin children tell the nurse, "They have filled up their bedroom with collections of rocks, shells, stamps, and bird nests." The nurse should recognize that this is which?

A) Indicative of giftedness
B) Indicative of typical twin behavior
C) Characteristic of cognitive development at this age
D) Characteristic of psychosocial development at this age

Question 13

What statement best describes the relationship school-age children have with their families?

A) Ready to reject parental controls
B) Desire to spend equal time with family and peers
C) Need and want restrictions placed on their behavior by the family
D) Peer group replaces the family as the primary influence in setting standards of behavior and rules

Question 14

What is the role of the peer group in the life of school-age children?

A) Decreases their need to learn appropriate sex roles
B) Gives them an opportunity to learn dominance and hostility
C) Allows them to remain dependent on their parents for a longer time
D) Provides them with security as they gain independence from their parents

Question 15

What is descriptive of the play of school-age children?

A) They like to invent games, making up the rules as they go.
B) Individuality in play is better tolerated than at earlier ages.
C) Knowing the rules of a game gives an important sense of belonging.
D) Team play helps children learn the universal importance of competition and winning.

Question 16

What statement characterizes moral development in the older school-age child?

A) Rule violations are viewed in an isolated context.
B) Judgments and rules become more absolute and authoritarian.
C) The child remembers the rules but cannot understand the reasons behind them.
D) The child is able to judge an act by the intentions that prompted it rather than just by the consequences.

Question 17

An 8-year-old girl tells the nurse that she has cancer because God is punishing her for "being bad." What should the nurse interpret this as?

A) A common belief at this age
B) Indicative of excessive family pressure
C) Faith that forms the basis for most religions
D) Suggestive of a failure to develop a conscience

Question 18

A 9-year-old girl often comes to the school nurse complaining of stomach pains. Her teacher says she is completing her school work satisfactorily but lately has been somewhat aggressive and stubborn in the classroom. The school nurse should recognize this as which?

A) Signs of stress
B) Developmental delay
C) Lack of adjustment to school environment
D) Physical problem that needs medical intervention

Question 19

What is an important consideration in preventing injuries during middle childhood?

A) Achieving social acceptance is a primary objective.
B) The incidence of injuries in girls is significantly higher than it is in boys.
C) Injuries from burns are the highest at this age because of fascination with fire.
D) Lack of muscular coordination and control results in an increased incidence of injuries.

Question 20

What statement best describes fear in school-age children?

A) Increasing concerns about bodily safety overwhelm them.
B) They should be encouraged to hide their fears to prevent ridicule by peers.
C) Most of the new fears that trouble them are related to school and family.
D) Children with numerous fears need continuous protective behavior by parents to eliminate these fears.

Question 21

The school nurse is teaching bicycle safety to a group of school-age children. What should the nurse include in the session? (Select all that apply.)

A) Ride double file when possible.
B) Watch for and yield to pedestrians.
C) Only ride double with someone your own size.
D) Ride bicycles with traffic away from parked cars.
E) Keep both hands on the handlebars except when signaling.

Question 22

The school nurse is teaching male school-age children about the average age of puberty. What is the average age of puberty for boys?

A) 12 years
B) 13 years
C) 14 years
D) 15 years

Question 23

The nurse is planning strategies to assist difficult or easily distracted children when they participate in activities. What strategies should the nurse plan? (Select all that apply.)

A) Role-play before the activity.
B) Handle behavior with firmness.
C) Acquaint them with what to expect.
D) Be patient with inappropriate behavior.
E) Don't give them much information about the activity.

Question 24

The nurse is explaining about the developmental sequence in children's capacity to conserve matter to a group of parents. What type of matter is last in the sequence for a child to develop?

A) Mass
B) Length
C) Volume
D) Numbers

Question 25

The nurse is developing a teaching pamphlet for parents of school-age children. What anticipatory guidelines should the nurse include in the pamphlet?

A) At age 6 years, parents should be certain that the child is reading independently with books provided by school.
B) At age 8 years, parents should expect a decrease in involvement with peers and outside activities.
C) At age 10 years, parents should expect a decrease in admiration of the parents with little interest in parent-child activities.
D) At age 12 years, parents should be certain that the child's sex education is adequate with accurate information.

Question 26

The parents of a 5-year-old child ask the nurse, "How many hours of sleep a night does our child need?" The nurse should give which response?

A) "A 5-year-old child requires 8 hours of sleep."
B) "A 5-year-old child requires 9.5 hours of sleep."
C) "A 5-year-old child requires 10 hours of sleep."
D) "A 5-year-old child requires 11.5 hours of sleep."

Question 27

What does the nurse understand about caloric needs for school-age children?

A) The caloric needs for the school-age children are the same as for other age groups.
B) The caloric needs for school-age children are more than they were in the preschool years.
C) The caloric needs for school-age children are lower than they were in the preschool years.
D) The caloric needs for school-age children are greater than they will be in the adolescent years.

Question 28

What is an important consideration for the school nurse who is planning a class on bicycle safety?

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

Question 29

A school-age child has been a victim of bullying. What characteristics does the nurse assess for in this child? (Select all that apply.)

A) Anxiety
B) Outgoing
C) Low self-esteem
D) Psychosomatic complaints
E) Good academic performance

Question 30

The nurse is teaching parents about safety for their "latchkey" children. What should the nurse include in the teaching session? (Select all that apply.)

A) Teach the child first-aid procedures.
B) Keep the key in an easy place to find.
C) Teach the child weather-related safety.
D) Teach the child to open the door for delivery people.
E) Emphasize fire safety rules and conduct practice fire drills.

Question 31

The nurse is planning strategies to assist a slow-to-warm child to try new experiences. What strategies should the nurse plan? (Select all that apply.)

A) Attend after-school activities with a friend.
B) Suggest the child move quickly into a new situation.
C) Avoid trying new experiences until the child is ready.
D) Allow the child to adapt to the experience at his or her own pace.
E) Contract for permission to withdraw after a trial of the experience.

Question 32

The school nurse is presenting sexual information to a group of school-age girls. What approach should the nurse take when presenting the information?

A) Put off answering questions.
B) Give technical terms when giving the presentation.
C) Treat sex as a normal part of growth and development.
D) Plan to give the presentation with boys and girls together.

Question 33

What growth and development milestones are expected between the ages of 8 and 9 years? (Select all that apply.)

A) Can help with routine household tasks
B) Likes the reward system for accomplished tasks
C) Uses the telephone for practical purposes
D) Chooses friends more selectively
E) Goes about home and community freely, alone or with friends
F) Enjoys family time and is respectful of parents

Question 34

The American Academy of Pediatrics (AAP) recommends that children younger than the age of 16 years be prohibited from participating in what?

A) Skateboarding
B) Snowmobiling
C) Trampoline use
D) Horseback riding

Question 35

A female school-age child asks the school nurse, "How many pounds should I expect to gain in a year?" The nurse should give which response?

A) "You will gain about 2.4 to 4.6 lb per year"
B) "You will gain about 3.4 to 5.6 lb per year."
C) "You will gain about 4.4 to 6.6 lb per year."
D) "You will gain about 5.5 to 7.6 lb per year."

Question 36

The nurse is teaching a class on nutrition to a group of parents of 10- and 11-year-old children. What statement by one of the parents indicates a correct understanding of the teaching?

A) "My child does not need to eat a variety of foods, just his favorite food groups."
B) "My child can add salt and sugar to foods to make them taste better."
C) "I will serve foods that are low in saturated fat and cholesterol."
D) "I will continue to serve red meat three times per week for extra iron."

Question 37

The school nurse recognizes that children respond to stress by using which tactics? (Select all that apply.)

A) Passivity
B) Delinquency
C) Daydreaming
D) Delaying tactics
E) Becoming outgoing

Question 38

A male school-age student asks the school nurse, "How much with my height increase in a year?" The nurse should give which response?

A) "Your height will increase on average 1 inch a year."
B) "Your height will increase on average 2 inches a year."
C) "Your height will increase on average 3 inches a year."
D) "Your height will increase on average 4 inches a year."

Question 39

The school nurse is teaching female school-age children about the average age of puberty. What is the average age of puberty for girls?

A) 10 years
B) 11 years
C) 12 years
D) 13 years

Question 40

Characteristics of bullies include what? (Select all that apply.)

A) Female
B) Depressed
C) Good peer relationships
D) Poor academic performance
E) Exposed to domestic violence

Question 41

What are the goals of organized athletics for preadolescent children? (Select all that apply.)

A) Physical fitness
B) Basic motor skills
C) A positive self-image
D) Commitment to winning

Question 42

Parents are concerned about their child riding an all-terrain vehicle. What should the nurse tell the parents about safe use of all-terrain vehicles? (Select all that apply.)

A) Restrict riding to familiar terrain.
B) Limit street use to the neighborhood.
C) Nighttime riding should not be allowed.
D) Vehicles should not carry more than two persons.
E) Vehicles should include seat belts, roll bars, and automatic headlights.