Question 1

Which action should the nurse include when providing education regarding methods to enhance health promotion during a scheduled health maintenance visit for a 4-year-old child?&#10;A) Recognizing that food jags are common&#10;B) Mentioning the importance of foods high in sodium&#10;C) Encouraging the use of a high chair with a safety strap&#10;D) Recommending that the child consume high-fat foods&#10;

Accepted Answer

Food jags, where a child will only eat one particular food item meal after meal, are common in preschool-aged children and are considered a normal part of development. Recognizing and accepting this behavior can help parents manage their child's nutrition without unnecessary concern. Choices B, C, and D are not appropriate for health promotion in a 4-year-old. High sodium and high-fat foods are not recommended for healthy eating habits in children, and a 4-year-old is typically developmentally past the need for a high chair, focusing instead on safe, age-appropriate seating during meals.

Question 2

Which recommendations does the nurse make to the parents of a preschool-aged child who is experiencing frequent nightmares? (Select all that apply.)&#10;A) Reassure the child by back rubbing&#10;B) Repeat a nighttime routine,such as reading a story&#10;C) Bring the child to the parental bed&#10;D) Allow the child time to settle back into sleep&#10;E) Place a television in the child's room for distraction&#10;

Accepted Answer

Reassuring the child by back rubbing, repeating a nighttime routine, and allowing the child time to settle back into sleep are all appropriate and effective recommendations for managing frequent nightmares. Bringing the child to the parental bed and placing a television in the child's room for distraction, however, are not recommended as they can disrupt healthy sleeping patterns and reinforce the child's fear of being alone in their own bed.

Question 3

Which health screenings should the nurse include during a scheduled health maintenance visit for a preschool-aged patient? (Select all that apply.)&#10;A) Vision&#10;B) Obesity&#10;C) Lead&#10;D) Asthma&#10;E) Platelets&#10;

Accepted Answer

Vision&#10;Obesity&#10;Lead

Question 4

The nurse is preparing to assess a preschool-aged child who states,"This is Bella,my bear.People tell me that they can't hear Bella talking,but that hurts her feelings and makes her cry." When documenting this interaction in the child's medical record,which term should the nurse use?

A) Animism
B) Seriation
C) Conservation
D) Object permanence

Accepted Answer

The child's statement that the bear has feelings and can cry indicates a belief in animism, which is the attribution of life and consciousness to objects or animals. Seriation refers to the ability to arrange items in a logical order, conservation refers to the understanding that the quantity of a substance remains the same even when its appearance changes, and object permanence refers to the understanding that objects continue to exist even when they are out of sight. None of these concepts are relevant to the child's statement about the bear.

Question 5

Which action is appropriate when assisting a preschool-aged child with hand washing?&#10;A) Offering a hand towel to dry the hands&#10;B) Using hot water to wash the hands&#10;C) Singing the Happy Birthday song while washing the hands for timing purposes&#10;D) Rinsing the hands,ensuring that the hands are upright&#10;

Accepted Answer

Singing the Happy Birthday song while washing the hands for timing purposes is appropriate when assisting a preschool-aged child with hand washing. This ensures that the child is washing their hands for a sufficient amount of time (at least 20 seconds) to effectively clean their hands. Offering a hand towel to dry the hands is also appropriate. Using hot water to wash the hands and rinsing the hands, ensuring that the hands are upright, are not appropriate actions as hot water can scald a child's skin and rinsing with hands upright may cause water to run down their arm, getting their clothing wet.

Question 6

A pediatric nurse assesses the language skills of a preschool child.This nurse is assessing an aspect of which developmental domain?&#10;A) Physical&#10;B) Cognitive&#10;C) Psychosocial&#10;D) Moral/spiritual&#10;

Accepted Answer

Assessing language skills falls under the cognitive domain, which involves intellectual abilities such as thinking, reasoning, problem-solving, and language development.

Question 7

The nurse is providing education to the parents of a preschool-aged child.Which statement regarding infectious disease should the nurse include in the teaching session?&#10;A) &#34;Immunizations are voluntary prior to entering the public school system.&#34;&#10;B) &#34;Immunizations can increase the risk of your child developing ovarian cancer.&#34;&#10;C) &#34;Immunizations decrease your child's risk for developing autism spectrum disorder.&#34;&#10;D) &#34;Immunizations can decrease the risk for serious complications associated with communicable diseases.&#34;&#10;

Accepted Answer

The statement that immunizations can decrease the risk for serious complications associated with communicable diseases is the correct and most important statement for the nurse to include in the teaching session. Option A is incorrect because in most states, immunizations are required prior to entering the public school system. Option B is incorrect and unfounded as there is no evidence of a link between immunizations and ovarian cancer. Option C is also incorrect as countless studies have shown no association between immunizations and autism spectrum disorder.

Question 8

The mother of a 4-year-old male tells the clinic nurse that her son asked her about the differences in his anatomy and that of his baby sister.The nurse reassures the mother that this is normal behavior for her son because the child is in which of Freud's developmental stages?

A) Oral stage
B) Anal stage
C) Phallic stage
D) Latency stage

Accepted Answer

During the phallic stage (ages 3-6 years old), children become curious about the differences in genitalia between males and females, and may start to identify with their same-sex parent as a way of resolving the Oedipus or Electra complex. Therefore, it is normal for a 4-year-old male to ask about the differences between his and his baby sister's anatomy.

Question 9

Which parental statement during a scheduled health maintenance assessment for a preschool-aged child causes the nurse concern?&#10;A) &#34;We have dinner together as a family each evening.&#34;&#10;B) &#34;We are so proud that our child is able to recognize letters of the alphabet.&#34;&#10;C) &#34;Our child wakes up each night screaming because of nightmares.&#34;&#10;D) &#34;Our child attends a day-care program 3 days per week.&#34;&#10;

Accepted Answer

Nightmares are a common occurrence in preschool-aged children, but waking up screaming every night may indicate an unresolved issue or emotional disturbance. The nurse should explore this further with the parents and possibly refer the child for additional evaluation. The other options provided are positive statements about the child's development and family routine.

Question 10

Which question allows the nurse to assess a preschool-aged child for delayed peer relationships?&#10;A) &#34;Can your child independently dress each day?&#34;&#10;B) &#34;Does your child play with the other children in the playroom?&#34;&#10;C) &#34;Has your child ever thought that asthma is a punishment?&#34;&#10;D) &#34;Does your child become anxious before respiratory treatments?&#34;&#10;

Accepted Answer

Asking if the child plays with other children in the playroom allows the nurse to assess for delayed peer relationships, which is a common developmental concern in preschool-aged children. Choice A assesses for independence in dressing, choice C assesses for misconceptions about asthma, and choice D assesses for anxiety before respiratory treatments.

Question 11

Which teaching points regarding pertussis should the nurse include in an educational session in the community? (Select all that apply.)&#10;A) &#34;This infection manifests on the scalp.&#34;&#10;B) &#34;This infection will cause a scalelike rash.&#34;&#10;C) &#34;This infection may cause the formation of scars.&#34;&#10;D) &#34;This infection will cause violent coughing to occur.&#34;&#10;E) &#34;This infection can be prevented through immunization.&#34;&#10;

Accepted Answer

The answer of Which teaching points regarding pertussis should the...

Question 12

The nurse is conducting a health history for a preschool-aged patient.Which should the nurse anticipate regarding language development at the age of 4 years?&#10;A) Using 50 words&#10;B) Knowing 900 words&#10;C) Answering simple questions with simple answers&#10;D) Articulating complex and compound sentences&#10;

Accepted Answer

The answer of The nurse is conducting a health history...

Question 13

The nurse is conducting a physical assessment for a preschool-aged child.When plotting the child's body mass index (BMI),the nurse notes that the child is in the 90th percentile.Which action by the nurse is most appropriate?

A) Referring the child to a nutritionist
B) Conducting a developmental assessment
C) Assessing the child's level of activity
D) Checking the child's blood glucose level

Accepted Answer

The answer of The nurse is conducting a physical assessment...

Question 14

Which result does the nurse anticipate when providing care to a preschool-aged child who successfully completes tasks associated with this stage of Erikson's theory of psychosocial development?&#10;A) Faith and optimism&#10;B) Devotion and fidelity&#10;C) Direction and purpose&#10;D) Self-control and willpower&#10;

Accepted Answer

The answer of Which result does the nurse anticipate when...

Question 15

Which type of play should the nurse encourage when providing age-appropriate care to a preschool-aged child?&#10;A) Team&#10;B) Parallel&#10;C) Solitary&#10;D) Associative&#10;

Accepted Answer

The answer of Which type of play should the nurse...

Question 16

According to Erikson,which should the nurse anticipate when assessing a preschool-aged child?&#10;A) Being engaged in tasks&#10;B) Questioning sexual identity&#10;C) Having highly imaginative thoughts&#10;D) Wanting to participate in organized activities&#10;

Accepted Answer

The answer of According to Erikson,which should the nurse anticipate...

Question 17

Which statements should the nurse include in an educational session for a preschool-aged patient diagnosed with enuresis? (Select all that apply.)&#10;A) &#34;Bed-wetting might occur because of anxiety.&#34;&#10;B) &#34;A diagnosis of enuresis occurs when bed-wetting occurs nightly.&#34;&#10;C) &#34;Girls are more likely to experience bed-wetting than boys.&#34;&#10;D) &#34;Bed-wetting can alter a child's social experiences.&#34;&#10;E) &#34;Nightmares are often associated with bed-wetting.&#34;&#10;

Accepted Answer

The answer of Which statements should the nurse include in...

Question 18

For which immunization booster does the nurse provide parental education during the health maintenance visit for a 4-year-old patient?&#10;A) Hepatitis B&#10;B) Haemophilus influenzae type B&#10;C) Inactivated poliovirus (IPV)&#10;D) Human papillomavirus (HPV)&#10;

Accepted Answer

The answer of For which immunization booster does the nurse...

Question 19

Which activity should the nurse identify as a safety risk for a preschool-aged patient?&#10;A) The parents are participating in a methadone program.&#10;B) The parents consume alcohol on a daily basis.&#10;C) The child watches television for 2 hours each day.&#10;D) The child is permitted to swim in the family pool unsupervised.&#10;

Accepted Answer

The answer of Which activity should the nurse identify as...

Question 20

Which growth characteristic should the nurse anticipate when assisting with the physical examination process?&#10;A) An increase in physical growth&#10;B) The need for snacks due to blood glucose instability&#10;C) The eruption of 15 of the 20 deciduous teeth&#10;D) A weight gain of 5 lb per year&#10;

Accepted Answer

The answer of Which growth characteristic should the nurse anticipate...

Deck 23: Health Promotion of the Preschooler