Question 1

A school-age child becomes frustrated with a school assignment and says,"I can't do this!" What is the most developmentally supportive response from the parent?

Accepted Answer

Helping the child focus on the problem that is keeping him from mastery can limit frustration.Quitting or having someone else finish is detrimental to the development of industry.

Question 2

A mother reports that she has a new job and her 12-year-old child is home alone for a time after school.Which statement made by the parent alerts the nurse to a potentially unsafe situation for this child?

Accepted Answer

Latchkey children are subject to a higher rate of accidents.Permitting school-age children and their friends to be home alone in an unsupervised environment is an unsafe situation.

Question 3

A parent confides in the school nurse that her 8-year-old twins argue and bicker constantly.What is the best response by the nurse?

Accepted Answer

Argumentative and competitive behavior is normal in 8-year-olds.

Question 4

A seventh-grade girl tells the school nurse that her art teacher,a woman,is her hero.What is the most appropriate interpretation of the girl's comment?

Accepted Answer

School-age children tend to admire their teachers and adult companions.For the 11- to 12-year-old,hero worship is a normal phenomenon.

Question 5

A 9-year-old boy is often cranky and irritable,and his school performance has declined.What is the most probable factor causing this behavior?

Accepted Answer

The 9-year-old child requires about 10 hours of sleep per night.

Question 6

What is best for the nurse to suggest to the parents of an overweight 9-year-old child to help prevent obesity?

Accepted Answer

Regular physical activity reduces weight.

Question 7

The nurse discusses preparation for school with the parents of a 6-year-old girl who will soon be starting first grade.What statement by the girl's father leads the nurse to determine that the parents understood the information?

Accepted Answer

To prepare a child for school,parents can arrange for the child to meet other children who will be entering school with her.

Question 8

What type of relationships are the preferred social interactions for the school-age child?

Accepted Answer

The preferred social interaction of the school-age child is in same-sex peer groups or cliques.

Question 9

The nurse is assessing a school-age child.What will the nurse expect in regard to physical development of this child?

Accepted Answer

During the school-age period,the average weight gain per year is generally 5.5 to 7 pounds.

Question 10

What should the nurse keep in mind when planning to teach a class on nutrition to fourth-grade students?

Accepted Answer

Piaget refers to the thought process of this period as concrete operations,which involves logical thinking and an understanding of cause and effect.

Question 11

What is the best suggestion by the nurse for an appropriate toy for a hospitalized 6-year-old boy?

Accepted Answer

The 6-year-old child can perform numerous feats that require muscle coordination.At this age,the handheld video game will offer competition without overexertion.

Question 12

Which stage of cognitive development is a 9-year-old child in according to Piaget?

Accepted Answer

School-age children are in the concrete operations stage of cognitive development.

Question 13

The nurse is advising parents of a 10-year-old boy about the most developmentally supportive experiences for their son.What is the best experience for this child according to Erikson's theory?

Accepted Answer

The child who is successful in activities will feel positively about himself or herself.

Question 14

A parent asked the nurse,"At what age are children capable of assuming more responsibility for personal belongings?" What is the nurse's best response based on knowledge of growth and development?

Accepted Answer

The 9-year-old child is dependable and assumes more responsibility for personal belongings.

Question 15

A mother is concerned because her 9-year-old boy has developed the habit of twitching his eyes and flipping his hair while communicating with anyone.What is the best nursing response to this parent?

Accepted Answer

The child cannot help such actions and should not be scolded for them because they are mainly a result of tension.

Question 16

A parent states,"My 7-year-old really wants a dog.His 10-year-old brother has allergies to animal dander.I don't know what to do." What type of pet should the nurse suggest as the best choice?

Accepted Answer

The poodle does not have a shed cycle and so it may be the least offensive pet for the allergic child.

Question 17

When asked about her activities,a 10-year-old girl responded,"I like school.I play the flute in the school band,and I take tennis lessons." What does the nurse know these activities will help this child develop?

Accepted Answer

The school-age period is referred to by Erikson as the stage of industry.Successful participation in activities facilitates the child's sense of industry.

Question 18

The school nurse is preserving a tooth that was knocked out on the school playground.What will the nurse be especially careful to do?

Accepted Answer

When a permanent tooth is avulsed,the tooth should be picked up by the crown to prevent any further damage to the root and placed in milk until the child can be examined by a dentist.

Question 19

The parents of an 8-year-old child tell the nurse the child wakes the household crying out during his frequent nightmares.What is the nurse's most helpful response to explain nightmares?

Accepted Answer

The nightmares experienced by an 8-year-old child are an extension of their characteristic fear of mutilation.

Question 20

What statement by an 11-year-old child leads the nurse to determine he has moved from the mind-set of egocentrism?

Accepted Answer

The ability to see another's point of view indicates moving away from egocentrism into a more altruistic mind-set.

Quiz 19: The School-Age Child