Question 1

A mother calls the school nurse saying that her daughter has developed a school phobia.She has been out of school for 3 days.What action should the nurse recommend?&#10;A) Immediately return the child to school.&#10;B) Explain to the child that this is the last day she can stay home.&#10;C) Determine the cause of the phobia before returning child to school.&#10;D) Seek professional counselling before forcing the child to return to school.

Accepted Answer

The primary goal is to return the child to school.Parents must be convinced gently but firmly that immediate return is essential,and that it is their responsibility to insist on school attendance.Telling the child that this is the last day she can stay home will increase her fear.She must play a role in preparing for her return to school.Beginning with half days might be beneficial.The child may not be able to identify the cause for the phobia.Treatment will depend on the cause,if it is known,but relaxation techniques are commonly used.Professional counselling is usually not necessary to resolve this condition.

Question 2

What is characteristic of dishonest behaviour in children aged 8 to 10 years?&#10;A) Cheating during games is now more common.&#10;B) Lying results from the inability to distinguish between fact and fantasy.&#10;C) They may steal because their sense of property rights is limited.&#10;D) They may lie to meet expectations set by others that they have been unable to attain.

Accepted Answer

Older school-age children may lie to meet expectations set by others that they have been unable to meet.Cheating usually becomes less frequent as the child matures.In this age group,children are able to distinguish between fact and fantasy.In terms of theft,young children may lack a sense of property rights,while older children may steal to supplement an inadequate allowance,or the act may be an indication of serious problems.

Question 3

Which statement best describes the play of school-age children?&#10;A) Individuality in play is better tolerated than it was at earlier ages.&#10;B) Knowing the rules of a game provides an important sense of belonging.&#10;C) They like to invent games,making up the rules as they go.&#10;D) Team play helps children learn the universal importance of competition and winning.

Accepted Answer

Play involves increased physical skill,intellectual ability,and fantasy.Children form groups and cliques and develop a sense of belonging to a team or club.At this age,children begin to see the need for rules.Conformity and ritual permeate their play.Their games have fixed and unvarying rules,which may be bizarre and extraordinarily rigid.With team play,children learn about competition and the importance of winning,attributes that are highly valued in Canada.

Question 4

What is the role of the peer group in the life of school-age children?&#10;A) It gives them an opportunity to learn dominance and hostility.&#10;B) It allows them to remain dependent on their parents for a longer time.&#10;C) It decreases their need to learn appropriate sex roles.&#10;D) It provides them with security as they gain independence from their parents.

Accepted Answer

Peer group identification is an important factor that allows children to gain independence from their parents.Through peer relationships,children learn ways to deal with dominance and hostility.They also learn how to relate to people in positions of leadership and authority,and they can explore ideas and the physical environment.A child's concept of appropriate sex roles is influenced by relationships with peers.

Question 5

A 9-year-old girl often comes to the school nurse complaining of stomach pains.Her teacher says that she is completing her schoolwork satisfactorily,but lately she has been somewhat aggressive and stubborn in the classroom.Which does the school nurse attribute these complaints to?

A) Signs of stress
B) Developmental delay
C) A physical problem causing emotional stress
D) Lack of adjustment to the school environment

Accepted Answer

Signs of stress include stomach pains or headache,sleep problems,bed-wetting,changes in eating habits,aggressive or stubborn behaviour,reluctance to participate,or regression to early behaviours.This child is exhibiting signs of stress.

Question 6

What is one important consideration for the school nurse who is planning a class on bicycle safety?&#10;A) Most bicycle injuries involve collision with an automobile.&#10;B) Head injuries are the major cause of bicycle-related fatalities.&#10;C) Children should wear bicycle helmets if they ride on paved streets.&#10;D) Children should not ride double unless the bicycle has an extra-large seat.

Accepted Answer

The most important aspect of bicycle safety is to encourage the rider to use a protective helmet.Head injuries are the major cause of bicycle-related fatalities.Although motor vehicle collisions do cause injuries to bicyclists,most injuries result from falls.Children should always wear a properly fitted helmet approved by the Canadian Paediatric Society.They should not ride double.

Question 7

Which is the cause of Turner's syndrome?&#10;A) Absence of one of the X chromosomes&#10;B) Presence of an incomplete Y chromosome&#10;C) Precocious puberty in an otherwise healthy child&#10;D) Excess production of both androgens and estrogens

Accepted Answer

Turner's syndrome is caused by the absence of one of the X chromosomes.Most girls who have this disorder have one X chromosome missing from all cells.The Y chromosome is not part of the genetic makeup of girls.In girls with this syndrome,puberty is delayed and amenorrhea is a clinical manifestation.They often need hormone therapy to increase their levels of androgen and estrogen hormones.

Question 8

Which statement accurately describes physical development during the school-age years?&#10;A) The child's weight almost triples.&#10;B) A child grows an average of 5 cm per year.&#10;C) Few physical differences are apparent among children at the end of middle childhood.&#10;D) Fat gradually increases,which contributes to the child's heavier appearance.

Accepted Answer

In middle childhood,growth in height and weight occur at a slower pace.Between the ages of 6 and 12,children grow 5 cm per year.Children's weight will almost double during this stage;they gain 3 kg/year.At the end of middle childhood,girls grow taller and gain more weight than boys.Children take on a slimmer look with longer legs in middle childhood.

Question 9

Generally,what is the earliest age when puberty begins?&#10;A) 13 years in girls,13 years in boys&#10;B) 11 years in girls,11 years in boys&#10;C) 10 years in girls;12 years in boys&#10;D) 12 years in girls,10 years in boys

Accepted Answer

Secondary sex characteristics start to develop with the onset of puberty,which begins earlier in girls than it does in boys.Usually there is a 2-year difference in the age at onset between the sexes.

Question 10

Which sentence best describes the cognitive abilities of school-age children?&#10;A) They have developed the ability to reason abstractly.&#10;B) They become capable of scientific reasoning and formal logic.&#10;C) They progress from making judgements based on what they reason,to making judgements based on what they see.&#10;D) They have the ability to classify,group and sort,and hold a concept in their minds while making decisions based on that concept.

Accepted Answer

In Piaget's stage of concrete operations,children have the ability to group,sort,and make conceptual decisions.Children cannot reason abstractly until late adolescence.Scientific reasoning and formal logic are also skills of adolescents.Making judgements based on what the child sees versus what they reason is not a developmental skill.

Question 11

An 8-year-old girl tells the nurse that she has cancer because God is punishing her for "being bad." She shares her concern that,if she dies,she will go to hell.How should the nurse interpret this concern?

A) Such a belief is common at this age.
B) Such a belief forms the basis for most religions.
C) It is suggestive of excessive family pressure.
D) It is suggestive of the failure to develop a conscience.

Accepted Answer

The answer of An 8-year-old girl tells the nurse that...

Question 12

The nurse expects a child with post-traumatic stress disorder (PTSD)to be in the intense arousal response for what duration of time?&#10;A) 2 hours&#10;B) 2 days&#10;C) 2 weeks&#10;D) 2 months

Accepted Answer

The answer of The nurse expects a child with post-traumatic...

Question 13

Which is an important consideration when the nurse is discussing enuresis with the parents of a young child?&#10;A) Enuresis is more common in girls than in boys.&#10;B) Enuresis is neither inherited nor does it have a familial tendency.&#10;C) Organic causes that may be related to enuresis should be considered first.&#10;D) Psychogenic factors that cause enuresis persist into adulthood.

Accepted Answer

The answer of Which is an important consideration when the...

Question 14

Which statement best describes fear in school-age children?&#10;A) They are increasingly fearful for body safety.&#10;B) Most of the new fears that trouble them are related to school and family.&#10;C) They should be encouraged to hide their fears to avoid ridicule from peers.&#10;D) Those who have numerous fears need continuous protective behaviour from parents to eliminate them.

Accepted Answer

The answer of Which statement best describes fear in school-age...

Question 15

Which statement describes moral development in younger school-age children?&#10;A) The standards of behaviour now come from within themselves.&#10;B) They do not yet experience a sense of guilt when they misbehave.&#10;C) They know the rules and behaviours expected of them but do not understand the reasons behind them.&#10;D) They no longer interpret accidents and misfortunes as punishment for misdeeds.

Accepted Answer

The answer of Which statement describes moral development in younger...

Question 16

The father of 12-year-old Ryan tells the nurse that he is concerned about his son getting "fat." Ryan's body mass index for his age is at the sixtieth percentile.Which action is the most appropriate for the nurse to take?

A) Reassure the father that Ryan is not "fat."
B) Reassure the father that Ryan is just a growing child.
C) Suggest a low-calorie,low-fat diet.
D) Explain that this is typical of the growth pattern for boys his age.

Accepted Answer

The answer of The father of 12-year-old Ryan tells the...

Question 17

Which statement best describes moral development in older school-age children?&#10;A) They are able to judge an act by the intentions that prompted it rather than just by the consequences.&#10;B) Rules and judgements become more absolute and authoritarian.&#10;C) They view rule violations in an isolated context.&#10;D) They know the rules but cannot understand the reasons behind them.

Accepted Answer

The answer of Which statement best describes moral development in...

Question 18

A group of boys,ages 9 and 10 years,have formed a &#34;boys-only&#34; club that is open to neighbourhood and school friends who have skateboards.How should this be interpreted?&#10;A) It is behaviour that encourages bullying and sexism.&#10;B) It is behaviour that reinforces poor peer relationships.&#10;C) It is characteristic of social development at this age.&#10;D) It is characteristic of children who later are at risk for gang involvement.

Accepted Answer

The answer of A group of boys,ages 9 and 10...

Question 19

What should the nurse include in her lesson when teaching injury prevention to school-age children?&#10;A) The need to fear strangers.&#10;B) The basic rules of water safety&#10;C) To avoid cooking with microwave ovens&#10;D) Caution against engaging in competitive sports

Accepted Answer

The answer of What should the nurse include in her...

Question 20

The school nurse has been asked to begin teaching sex education in grade 5.What should the nurse recognize about this grade level and sex education?&#10;A) Children in the fifth grade are too young for sex education.&#10;B) Children should be discouraged from asking too many questions.&#10;C) Correct terminology should be reserved for children who are older.&#10;D) Sex can be presented as a normal part of growth and development.

Accepted Answer

The answer of The school nurse has been asked to...

Question 21

Which characteristics would the nurse expect when assessing a child for the presence of depression? Select all that apply.Express answer in small letters followed by a comma and a space-e.g. ,a,b,c&#10;A) Anxiety&#10;B) Diarrhea&#10;C) Increased motor activity&#10;D) Hypersomnia&#10;E) Increase in extracurricular activities&#10;F) Exaggerated facial expressions&#10;G) Tendency to be alone most of the time

Accepted Answer

The answer of Which characteristics would the nurse expect when...

Question 22

Which is a characteristic of children with depression?&#10;A) Increased range of affective response&#10;B) Preoccupation with the need to perform well in school&#10;C) Change in appetite,resulting in weight loss or gain&#10;D) Tendency to prefer play instead of schoolwork

Accepted Answer

The answer of Which is a characteristic of children with...

Deck 38: The School-Age Child and Family