Question 1

During the psychosocial portion of the nursing assessment a school-age child states, "I know I am not as good as them, so I just play by myself at recess every day." Which conclusion by the nurse is accurate?

Accepted Answer

The child's statement suggests that they feel inferior to others and do not feel good about themselves. This indicates a decreased self-esteem. The other answer choices are not supported by the child's statement.

Question 2

Which is the most appropriate assessment question for the nurse to ask when collecting nutritional data from an adolescent client?

Accepted Answer

This question addresses the adolescent's perception of their body image and weight, which is crucial for understanding their nutritional habits and potential issues like eating disorders.

Question 3

The nurse is planning care for an adolescent whose parents have both recently been laid off from their jobs. Which is the priority diagnosis for the adolescent and family?

Accepted Answer

The priority diagnosis for the adolescent and family would be Imbalanced Nutrition: Less than body requirements, as the family's financial situation may impact their ability to access healthy and nutritious food for proper growth and development. It is important to address this issue early on to prevent potential long-term consequences.

Question 4

A nurse obtains a nutritional health history from a 10-year-old child. Which food increases the risk for dental caries necessitating education regarding oral hygiene?

Accepted Answer

Gummy bears and licorice are high in sugar content and stick to the teeth, increasing the risk for dental caries. Sorbet and yogurt are generally low in sugar and less likely to contribute to dental caries. Fluoridated water actually helps prevent dental caries. Peanuts and crackers are low in sugar and less likely to contribute to dental caries.

Question 5

The nurse notes dental issues during the assessment of an adolescent client. Which topics will the nurse explore further to determine the cause of the issues? Select all that apply.

Accepted Answer

The answer of The nurse notes dental issues during the...

Question 6

The mother of a 12-year-old child informs the nurse that the child's father died from sudden cardiac death at 44 years old. Which laboratory tests does the nurse anticipate will be prescribed by the healthcare provider?

Accepted Answer

Given the family history of sudden cardiac death, the healthcare provider is likely to prescribe a lipid profile to assess the child's cardiovascular health and determine if there are any risk factors for developing heart disease. A chest x-ray, CBC with differential, or EEG would not be helpful in assessing the child's risk for cardiovascular disease.

Question 7

Which will the nurse include in the assessment process for a school-age child who is exhibiting poor school performance? Select all that apply.

Accepted Answer

The answer of Which will the nurse include in the...

Question 8

The school nurse is planning an education program for fourth-grade children regarding prepubescent changes. What nursing action will make the educational program successful?

Accepted Answer

Discussing program content with the parents is essential for a successful educational program for fourth-grade children regarding prepubescent changes. This allows nurses to understand cultural and social considerations that may affect the way children and their families receive this education. It also helps parents reinforce the information at home and continue the conversation with their children.

Question 9

An overweight school-age girl states, "I would like to be more active but my parents won't let me try out for the soccer team." Which is an appropriate nursing action based on this statement?

Accepted Answer

Encouraging the parents to investigate the option of ride sharing with a classmate's family is an appropriate nursing action as it addresses the child's desire to be more active by potentially allowing her to participate in soccer. Referring the child to the school psychologist or suggesting board games does not address the issue at hand, and telling the child to report food intake to the school nurse may not be within the school nurse's scope of practice or may not be the most effective approach to promoting physical activity.

Quiz 36: Health Promotion and Maintenance: the School-Age Child and the Adolescent