Deck 32: Nursing Care of a Family With a School-Age Child

Question 1

While planning care for a 7-year-old patient, the nurse reminds the parents that children at this age are experiencing the "eraser" year. What does this mean?

A) The child wants to perform well.
B) The child believes in magical thinking.
C) The child is learning to write during this year.
D) The child tends to "erase" misdeeds or lie excessively.

Answer 1

The child wants to perform well.

Question 2

The school nurse is reviewing content to include in an assembly planned for school-age children that focuses on the 2020 National Health Goals for safety. What should the school nurse include in this presentation? (Select all that apply.)

A) Encourage the children to play outdoors and get exercise everyday.
B) Stress the need to sit in age-appropriate seats in cars and wear seatbelts.
C) Remind children how important it is to brush the teeth and see the dentist.
D) Explain how important it is for children to wear safety helmets when bicycling.
E) Offer suggestions to ensure an adequate intake of fruits and vegetables each day.

Answer 2

Stress the need to sit in age-appropriate seats in cars and wear seatbelts.
Explain how important it is for children to wear safety helmets when bicycling.

Question 3

The nurse is caring for a 9-year-old patient in the hospital. Which project should the nurse provide to help this child achieve the developmental task of industry?

A) Sew a purse that will take one afternoon.
B) Watch favorite programs on the television.
C) Design a puppet show that will take 2 weeks to plan.
D) Work on a scrapbook that will take 3 weeks to complete.

Answer 3

Sew a purse that will take one afternoon.

Question 4

While making a visit to the home of a family with a school-age child, the nurse observes a hunting rifle leaning against the wall in the dining room. Which nursing diagnosis should the nurse use to guide interventions for the family at this time?

A) Anxiety
B) Risk for injury
C) Health-seeking behaviors
D) Readiness for enhanced parenting

Question 5

When planning activities for school-age children, the nurse includes games that include competition. At which age are these kinds of games the most preferred by children?

A) 7 years old
B) 8 years old
C) 10 years old
D) 12 years old

Question 6

Why should the nurse carry information about the Boy Scouts when visiting families with male school-age children?

A) No girls are included in the organization.
B) Hiking is a favorite school-age activity.
C) Merit badges are rewarded for completing small tasks.
D) It strengthens relationships with fathers who participate in Boy Scouts.

Question 7

The nurse knows that being able to tell time helps a child become more independent. At which age should the nurse expect a school-age child to begin to tell time?

A) 6 years old
B) 7 years old
C) 8 years old
D) 9 years old

Question 8

While straightening the top drawer of a 10-year-old patient the nurse finds 48 packets of sugar. What should the nurse do at this time?

A) Advise the mother to have the child tested for diabetes.
B) Throw out the sugar because this will promote dental caries.
C) Place the sugar packets in the drawer as they were found.
D) Ask the mother if the child has a history of craving sweets.

Question 9

The nurse is talking with a mother who is concerned that a school-age child is experiencing stress and has been biting the fingernails since beginning the first grade. What should the nurse advise the mother to do about this problem?

A) Encourage the child to drink more milk for stronger nails.
B) Allow the child to choose a reward for not biting the nails.
C) Distract the child by teaching a new skill such as whistling.
D) Allow some time every day for the child to talk about new experiences.

Question 10

The nurse observes a school-age child categorize specific desk and clothing items in his hospital room. What cognitive behavior has this child mastered?

A) Decentering
B) Conservation
C) Class inclusion
D) Accommodation

Question 11

A mother is concerned that a 7-year-old child has taken money from a sibling's dresser several times. What should the nurse advise the mother about this behavior?

A) The child needs to be reminded of property rights.
B) Stealing is unusual for a 7-year-old and needs to be investigated.
C) The mother should purchase a bank for the other child that cannot be opened.
D) The mother should talk to the child's teacher about putting less pressure on the child.

Question 12

A 9-year-old girl tells the nurse about belonging to a spite club. How does belonging to this group support the child's development?

A) Fulfills peer group needs
B) Teaches the child leadership skills
C) Helps the child develop autonomy
D) Encourages the child to learn rules

Question 13

The mother of a school-age child is distraught because the child has been diagnosed with obesity. What actions should the nurse suggest to the mother to help the child with this problem? (Select all that apply.)

A) Explain that obesity will lead to an early death.
B) Maintain a balanced eating approach in the home.
C) Purchase books explaining the latest ways to lose weight.
D) Seek out a preteen weight loss group for the child to participate.
E) Encourage increased activity such as walking the dog after school.

Question 14

The nurse has been caring for a family with a school-age child who has school phobia. Which observation indicates that interventions have been successful?

A) The child stays home from school.
B) The child attends school every day.
C) The child decides daily about attending school.
D) The child's teacher is asked if attending school is a requirement.

Question 15

A 10-year-old child spends 2 hours alone every afternoon before the parents arrive home from work. Which safety measure should the nurse suggest the parents teach the child?

A) Preparing a no-cook snack after school
B) Lighting candles in case there is a power failure
C) Wearing the house key prominently around the neck
D) Telling people at school about being home alone or added safety

Question 16

A mother is concerned that a school-age child will pick up the habit of smoking because so many children in the school smoke. What should the nurse instruct the mother about this behavior?

A) Be a role model and do not smoke.
B) Remind the child that smoking costs money.
C) Discuss other tobacco choices that can be used instead.
D) Explain that the child can experiment with smoking when older.