Question 1

A 4-year-old child tells the nurse she will not eat peas because they are green.Of what is this an example?

Accepted Answer

The tendency to concentrate on a single outstanding characteristic of an object while excluding other features is known as centering.

Question 2

A parent is concerned about her children's reaction should their grandmother die.What understanding will guide the nurse's response?

Accepted Answer

Between 3 and 4 years of age,the children become curious about death and dying.They may realize that others die,but they do not relate death to themselves.

Question 3

What should the nurse suggest as the most appropriate toy choice for a 3-year-old?

Accepted Answer

Large construction sets are suitable toys for the preschool-age child.

Question 4

How does the nurse characterize the play of 5-year-old children?

Accepted Answer

The 5-year-old child wants to play by the rules but cannot accept losing.The rules may be very strict or change as the game progresses.

Question 5

What type of play is most appropriate when planning care for a child with moderate intellectual deficiency?

Accepted Answer

The nurse must consider the child's mental age rather than her chronological age when selecting toys for play.

Question 6

Which statement best describes the 3-year-old child?

Accepted Answer

Three-year-old children are helpful and can assist in simple household chores.

Question 7

The parent of a  -year-old child tells the nurse,"My daughter points instead of speaking 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,what does the nurse suspect?

Accepted Answer

An expressive language delay is suspected when the child understands spoken language but is not talking.

Question 8

A 4-year-old child insists he has more money with a nickel than his father has with a dime.What is this perception,as described in Piaget's theory?

Accepted Answer

The intuitive stage,as described by Piaget,is prelogical thinking that is based on the outside appearance of objects.A nickel is larger than a dime and therefore more valuable.

Question 9

What is the nurse's best advice to a parent about a preschooler's "imaginary friend"?

Accepted Answer

Imaginary friends are common and normal during the preschool period and serve many purposes,such as relief from loneliness,mastery of fears,and acting as a scapegoat.

Question 10

A preschool child is asked,"Why do trees have leaves?" Which response would be an example of animism?

Accepted Answer

Animism describes the tendency of preschool children to attribute human characteristics to nonhuman objects.

Question 11

A 3-year-old child,while playing with his favorite toy in the playroom of the pediatric unit,is approached by another child who also wants to play with the same toy.What behavior will the nurse anticipate from this child?

Accepted Answer

The 3-year-old child is egocentric and likely will become angry when others attempt to take his or her possessions.

Question 12

What tasks would be appropriate to expect of a 5-year-old child?

Accepted Answer

Parents must consider developmental level and safety when asking the 5-year-old child to help with chores.

Question 13

What fear is unique to the preschool period?

Accepted Answer

The fear of bodily harm,particularly the loss of body parts,is unique to this stage.

Question 14

The parent of a  -year-old child tells the nurse,"Bedtime is difficult.I can't get my son to go to bed at night." The nurse and the child's mother discuss options.What intervention is the most appropriate choice?

Accepted Answer

Parents should engage the child in quiet activities before bedtime and establish a ritual that signals readiness for bedtime.

Question 15

What will children who are unable to express themselves with words often do?

Accepted Answer

Children with delayed communication skills will frequently have tantrums and act out when they are unable to make their needs known.

Question 16

What intervention might the nurse suggest as helpful for the child with enuresis?

Accepted Answer

If a child is experiencing enuresis,liquids after dinner should be limited and the child should routinely void before going to bed.

Question 17

What is the most appropriate intervention when dealing with occasional aggression in a 4-year-old child?

Accepted Answer

Time-out periods,usually lasting 1 minute per year of age,with the child sitting in a chair or corner,are considered an effective disciplinary technique.

Question 18

The nurse is discussing preschoolers' sexual curiosity with the parent.What statement by the mother leads the nurse to determine that the mother understands the information?

Accepted Answer

Parents should provide sex education at the time the child asks about sex.

Question 19

The parents of a 4-year-old boy are concerned because they have noticed him frequently touching his penis.What knowledge would act as the basis for the nurse's response?

Accepted Answer

Masturbation at this age is common and indicates that the preschooler has a normal curiosity about sexuality.

Question 20

A father is concerned about how long his preschool-age child will continue sucking his thumb.What is the most helpful response from the nurse?

Accepted Answer

Most children give up the habit of thumb-sucking by the time they reach school.

Quiz 18: The Preschool Child