Question 1

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 prevent ridicule by peers.&#10;D)Those who have numerous fears need continuous protective behavior by parents to eliminate these fears.

Accepted Answer

During the school-age years children experience a wide variety of fears,but new fears related predominantly to school and family bother children during this time. During the middle-school years children become less fearful of body safety than they were as preschoolers. Parents and other persons involved with children should discuss their fear with them individually or as a group activity. Sometimes school-age children hide their fears to avoid being teased. Hiding the fears does not end them and may lead to phobias.

Question 2

What is characteristic of dishonest behavior in children ages 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 to which they have been unable to measure up. Cheating usually becomes less frequent as the child matures. In this age group children are able to distinguish between fact and fantasy. Young children may lack a sense of property rights;older children may steal to supplement an inadequate allowance,or it may be an indication of serious problems.

Question 3

The role of the peer group in the life of school-age children is that it:&#10;A)Gives them an opportunity to learn dominance and hostility.&#10;B)Allows them to remain dependent on their parents for a longer time.&#10;C)Decreases their need to learn appropriate sex roles.&#10;D)Provides them with security as they gain independence from their parents.

Accepted Answer

Peer-group identification is an important factor in gaining independence from 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 explore ideas and the physical environment. Peer-group identification helps in gaining independence rather than remaining dependent. A child's concept of appropriate sex roles is influenced by relationships with peers.

Question 4

What is descriptive of the play of school-age children?&#10;A)Individuality in play is better tolerated than at earlier ages.&#10;B)Knowing the rules of a game gives 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,an attribute highly valued in the United States.

Question 5

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. The nurse should interpret this as being:

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

Accepted Answer

Children at this age may view illness or injury as a punishment for a real or imagined mystique. The belief in divine punishment is common at this age.

Question 6

An important consideration when the nurse is discussing enuresis with the parents of a young child is that:&#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

Organic causes that may be related to enuresis should be ruled out before psychogenic factors are considered. Enuresis is more common in boys and has a strong familial tendency. Nocturnal bed-wetting usually ceases long before adulthood.

Question 7

An important consideration for the school nurse who is planning a class on bicycle safety is:&#10;A)Most bicycle injuries involve collision with an automobile.&#10;B)Head injuries are the major causes 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. The child should always wear a properly fitted helmet approved by the U.S. Consumer Product Safety Commission. Children should not ride double.

Question 8

The nurse is assisting the family of a child with a history of encopresis. What should be included in the nurse's discussion with this family?&#10;A)Instruct the parents to sit the child on the toilet at twice-daily routine intervals.&#10;B)Instruct the parents that the child will probably need to have daily enemas.&#10;C)Suggest the use of stimulant cathartics weekly.&#10;D)Reassure the family that most problems are resolved successfully,with some relapses during periods of stress.

Accepted Answer

Children may be unaware of a prior sensation and unable to control the urge once it begins. They may be so accustomed to bowel accidents that they are unable to smell or feel it. Family counseling is directed toward reassurance that most problems resolve successfully,although relapses during periods of stress are possible. Constipation is the most common cause of encopresis. This should be corrected,and,if the condition persists,behavioral therapy may be necessary. Relief of fecal impaction does not require daily enemas. Dietary changes are necessary and would be more beneficial that cathartics.

Question 9

The father of 12-year-old Ryan tells the nurse that he is concerned about his son getting &#34;fat.&#34; Ryan's body mass index for age is at the 60th percentile. The most appropriate nursing action is to:&#10;A)Reassure the father that Ryan is not &#34;fat.&#34;&#10;B)Reassure the father that Ryan is just a growing child.&#10;C)Suggest a low-calorie,low-fat diet.&#10;D)Explain that this is typical of the growth pattern of boys at this age.

Accepted Answer

This is a characteristic pattern of growth in preadolescent boys,in which the growth in height has slowed in preparation for the pubertal growth spurt but weight is still gained. This should be reviewed with both the father and Ryan,and a plan should be developed to maintain physical exercise and a balanced diet. Saying that Ryan is not "fat" is false reassurance. His weight is high for his height. Ryan needs to maintain his physical activity. The father is concerned;an explanation is required. A nutritional diet with physical activity should be sufficient to maintain his balance.

Question 10

What describes the cognitive abilities of school-age children?&#10;A)Have developed the ability to reason abstractly&#10;B)Become capable of scientific reasoning and formal logic&#10;C)Progress from making judgments based on what they reason to making judgments based on what they see&#10;D)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 and sort and make conceptual decisions. Children cannot reason abstractly until late adolescence. Scientific reasoning and formal logic is a skill of adolescents. Making judgments on what the child sees versus what they reason is not a developmental skill.

Question 11

When teaching injury prevention during the school-age years,the nurse should include:&#10;A)Teach the need to fear strangers.&#10;B)Teach basic rules of water safety.&#10;C)Avoid letting children cook in microwave ovens.&#10;D)Caution children against engaging in competitive sports.

Accepted Answer

The answer of When teaching injury prevention during the school-age...

Question 12

Generally the earliest age at which puberty begins is:&#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

The answer of Generally the earliest age at which puberty...

Question 13

Which statement characterizes 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 judgments 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 characterizes moral development in older...

Question 14

The school nurse has been asked to begin teaching sex education in the 5th grade. The nurse should recognize that:&#10;A)Children in 5th 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 15

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 2 inches 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

The answer of Which statement accurately describes physical development during...

Question 16

A mother calls the school nurse saying that her daughter has developed a school phobia. She has been out of school 3 days. The nurse's recommendations should include:&#10;A)Immediately returning the child to school.&#10;B)Explaining to the child that this is the last day she can stay home.&#10;C)Determining the cause of the phobia before returning child to school.&#10;D)Seeking professional counseling before forcing child to return to school.

Accepted Answer

The answer of A mother calls the school nurse saying...

Question 17

What describes moral development in younger school-age children?&#10;A)The standards of behavior 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 behaviors 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 What describes moral development in younger school-age...

Question 18

Turner's syndrome is suspected in an adolescent girl with short stature. This is caused by:&#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

The answer of Turner's syndrome is suspected in an adolescent...

Question 19

A group of boys ages 9 and 10 years have formed a &#34;boys-only&#34; club that is open to neighborhood and school friends who have skateboards. This should be interpreted:&#10;A)Behavior that encourages bullying and sexism.&#10;B)Behavior that reinforces poor peer relationships.&#10;C)Characteristic of social development of this age.&#10;D)Characteristic of children who later are at risk for membership in gangs.

Accepted Answer

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

Question 20

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. The school nurse should recognize this as:

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

Accepted Answer

The answer of A 9-year-old girl often comes to the...

Question 21

A characteristic of children with depression is:&#10;A)Increased range of affective response.&#10;B)Preoccupation with 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 A characteristic of children with depression is:&#10;A)Increased...

Question 22

A 9-year-old child has just been diagnosed with recurrent abdominal pain (RAP). What should the nurse include in preparing the family for discharge? Choose all that apply.&#10;A)&#34;Your child should be on a high-fiber diet.&#34;&#10;B)&#34;You may give your child a stimulant laxative once a week.&#34;&#10;C)&#34;You should help your child with bowel training to establish regular bowel habits.&#34;&#10;D)&#34;Your child may place ice packs on the abdomen when pain occurs.&#34;

Accepted Answer

The answer of A 9-year-old child has just been diagnosed...

Deck 39: The School-Age Child and Family