Deck 18: The Preschool Child

Question 1

A 4-year-old child tells the nurse that he will not eat peas because they are green. This is an example of:

A) Egocentrism
B) Artificialism
C) Animism
D) Centering

Answer 1

Centering

Question 2

Which of the following statements best describes the 3-year-old child?

A) Boisterous, tattles on others
B) Aggressive, shows off
C) Helpful, wants to assist with chores
D) Talkative, inquisitive about the environment

Answer 2

Helpful, wants to assist with chores

Question 3

The parent of a 4 1/2 -year-old child tells the nurse, "Bedtime is difficult. I can't get my child to bed at night." The nurse and the child's mother discuss options and decide that the best choice would be to:

A) Allow the child to put himself to bed when he is tired.
B) Let the child read in his room until he falls asleep.
C) Establish a bedtime routine and use it consistently.
D) Tire him out with physical activity before bedtime.

Answer 3

Establish a bedtime routine and use it consistently.

Question 4

The nurse characterizes the play of 5-year-old children as:

A) Rough and tumble play
B) Well-organized games
C) Following rules
D) Prefer inside activities

Question 5

The nurse suggests that the most appropriate toy choice for a 3-year-old would be:

A) A board game
B) A small pet, such as a goldfish
C) A large construction set
D) Push-pull toys

Question 6

The nurse suggests measures that might be helpful for the child with enuresis, such as:

A) Apply an electric pad that gently shocks the child.
B) Wake the child several times during the night to urinate.
C) Decrease fluid intake after the evening meal.
D) Increase dietary fiber intake.

Question 7

The nurse understands that a fear unique to the preschool period is:

A) Fear of water
B) Fear of animals
C) Fear of bodily harm
D) Fear of death

Question 8

When discussing preschoolers' sexual curiosity with the parent, the nurse determines that the parent understands the information when she states she would:

A) "Make up funny words for body parts."
B) "Distract my child with a toy if she asks about sex."
C) "Answer her questions when she asks."
D) "Tell her to ask me again when she is 6 years old."

Question 9

The intervention that is most effective in dealing with occasional aggression in a 4-year-old child is:

A) Have the child take a time-out in the corner for 4 minutes.
B) Spank the child at the time of the incident.
C) Take away television privileges for the day.
D) Send the child to his room for 30 minutes.

Question 10

A 4-year-old child insists that he has more money with a nickel than his father has with a dime. The nurse is aware that this perception is described in Piaget's theory as:

A) Egocentrism
B) Artificialism
C) Animism
D) Centering

Question 11

The tasks that would be appropriate to expect of a 5-year-old would be:

A) Setting the table with paper plates
B) Washing the dirty knives
C) Carrying glasses from the table to the sink
D) Scrubbing out the sink with cleanser

Question 12

A preschool-age child is asked, "Why do trees have leaves?" Which of the following responses would be an example of animism?

A) "So I can have shade over my sandbox."
B) "Because God made them that way."
C) "To hide behind when they are scared."
D) "For the squirrels to play in."

Question 13

The nurse suggests that bedtime preparation be preceded by rituals, such as: Select all that apply.

A) Telling a story
B) Placing a favorite toy in bed
C) Placing a glass of water at the bedside
D) Turning on a night light
E) Playing energetically

Question 14

A 3-year-old child, while playing with her favorite toy in the playroom of the pediatric unit, is approached by another child who also wants to play with the same toy. The nurse anticipates that the 3-year-old will:

A) Play well with the other child
B) Give the toy up and then not play any more
C) Become angry and a physical response might ensue
D) Ignore the toy and go on to something else

Question 15

The parent of a 3 1/2 -year-old child tells the nurse, "My daughter points whenever she wants me to get something for her but she understands me when I ask her to do something." Based on the parent's comment, the nurse recognizes that:

A) The child's language development is age-appropriate.
B) The child may have expressive language delay.
C) The child has a receptive language delay.
D) The child should have her hearing tested.

Question 16

A parent is concerned about her children's reaction should their grandmother die. In planning a response, the nurse is guided by the understanding that:

A) Children are unlikely to notice their grandmother's absence if no one reminds them.
B) Young children often understand that other people die, but do not equate it with themselves.
C) The children's response will depend entirely on whether they have been acquainted with death before this.
D) Children can understand the concept of a higher being much like adults can.

Question 17

The parents of a 4-year-old boy are concerned because they have noticed him frequently touching his penis. The nurse would base a response on the knowledge that:

A) This behavior indicates a normal curiosity about sexuality.
B) Masturbation suggests the boy has an excessive fear of castration.
C) It is usually a result of discomfort from a penile rash or irritation.
D) The behavior is abnormal and the child should be referred for counseling.

Question 18

In planning care for a moderately retarded child, the type of play most appropriate is:

A) Play should exercise leg and arm muscles.
B) Play should be educationally oriented to make up for lost time.
C) Play should be adjusted to her mental age rather than her chronological age.
D) Play is not a necessary component of the care of a mentally retarded child.

Question 19

The nurse's best advice to a parent about a preschooler's "imaginary friend" would be that:

A) Imaginary friends is a sign that the child has a low self-esteem.
B) It is common for preschoolers to have imaginary friends.
C) The preschooler invents an imaginary friend when he feels overwhelmed.
D) The best approach to dealing with an imaginary friend is to ignore them.

Question 20

A parent is concerned about how to make his preschool-age child stop sucking his thumb and asks the nurse for suggestions. The nurse's most helpful response would be:

A) Most children will stop thumb-sucking naturally by school age.
B) Over-the-counter treatments that give a bad taste can be placed on the thumb to discourage the practice.
C) Consistently touching the child's fingers whenever he sucks his thumb is most effective.
D) Thumb-sucking is detrimental to the eruption of the child's teeth and must be stopped as soon as possible.

Question 21

The nurse points out that among the advantages of a nursery school experience are: Select all that apply.

A) Increasing self-confidence
B) Fostering group cooperation
C) Detecting adjustment problems
D) Enhancing social skills
E) Playing experiences with other children
F) None of the above

Question 22

When planning an activity for a 3-year-old, the nurse bases the plan on the average attention span of ____________________ minutes.

Question 23

Play that is designed to retrain muscles or improve eye-hand coordination is considered ____________________ play.

Question 24

The nurse planning a seminar on safety for the preschooler will focus on: Select all that apply.

A) Poison
B) Burns
C) Falls
D) Abduction
E) Car-pedestrian
F) None of the above