Question 1

A group of boys ages 9 and 10 years have formed a &#34;boy's-only&#34; club that is open to neighborhood and school friends who have skateboards. This should be interpreted as which of the following?&#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&#10;

Accepted Answer

This behavior is typical of the social development of children ages 9 and 10, who often form groups based on common interests or activities. It reflects their desire for belonging and identity within a peer group, rather than indicating a predisposition towards negative behaviors such as bullying, sexism, or gang involvement.

Question 2

A 9-year-old girl often comes to the school nurse complaining of stomach pains. Her teacher says she is completing her school work satisfactorily, but lately, has been somewhat aggressive and stubborn in the classroom. The school nurse should recognize this as which of the following?

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

Signs of stress

Accepted Answer

The symptoms described, such as stomach pains, aggression, and stubbornness, can be manifestations of stress in children. These behaviors and physical complaints can often be a child's way of expressing emotional distress.

Question 3

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.&#10;

Accepted Answer

Puberty typically begins at an earlier age in girls than in boys. For girls, it can start as early as 10 years old, while for boys, it often begins around 12 years old.

Question 4

Which of the following 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, to group and sort, and to hold a concept in their minds while making decisions based on that concept&#10;

Accepted Answer

School-age children, typically those in the concrete operational stage according to Piaget's theory of cognitive development, have the ability to classify, group, sort, and hold concepts in their minds while making decisions based on those concepts. They are not yet fully capable of abstract reasoning, scientific reasoning, or formal logic, which develop in the formal operational stage, typically beginning in adolescence. They also move from reasoning based on direct observations to more logical thinking processes.

Question 5

The father of 12-year-old Ryan tells the nurse that he is concerned about his son getting "fat." Ryan is at the 50th percentile for height and the 75th percentile for weight on the growth chart. The most appropriate nursing action is which of the following?

A)Reassure father that Ryan is not "fat."
B)Reassure father that Ryan is just a growing child.
C)Suggest a low-calorie, low-fat diet.
D)Explain that this is typical of the growth pattern of boys at this age.

Accepted Answer

Ryan's growth pattern, being at the 50th percentile for height and the 75th percentile for weight, does not necessarily indicate an unhealthy condition. It's important to understand that children grow at different rates and patterns. The nurse's role is to provide accurate information about growth and development. Explaining that this pattern can be typical for boys at Ryan's age helps address the father's concern with factual information, without making unnecessary assumptions about Ryan's health or suggesting interventions that may not be appropriate.

Question 6

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.&#10;

Accepted Answer

Sex education can be appropriately tailored to the developmental level of fifth graders, presenting sex as a normal part of growth and development. This approach helps foster a healthy understanding of sexuality from a young age.

Question 7

Which of the following statements accurately describes physical development during the school-age years?&#10;A)Child's weight almost triples.&#10;B)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 child's heavier appearance.&#10;

Accepted Answer

During the school-age years, a child typically grows about 2 inches per year. This is a general trend observed in physical development during this period.

Question 8

A child has an evulsed (knocked-out) tooth. The parents are reluctant to try to reimplant the tooth. In which of the following should the tooth be placed for transport to the dentist?&#10;A)Cold milk&#10;B)Cold water&#10;C)Warm salt water&#10;D)Dry, clean jar&#10;

Accepted Answer

Cold milk is the best medium for transporting a knocked-out tooth because it has a compatible osmolality with the root cells, helping to preserve the vitality of the periodontal ligament cells.

Question 9

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 which of the following?

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

This belief reflects a stage of development where children at this age often see events as caused by their own actions or behaviors, which is a common cognitive pattern. They may not fully understand the complexity of illness and can interpret it as a punishment for their perceived misdeeds.

Question 10

Which of the following is an important consideration for the school nurse who is planning a class on bicycle safety?&#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 a bicycle helmet if they ride on paved streets.&#10;D)Children should not ride double unless bicycle has an extra-large seat.&#10;

Accepted Answer

Head injuries are the major cause of bicycle-related fatalities, emphasizing the importance of wearing helmets to prevent such injuries. This is a critical consideration for a school nurse planning a bicycle safety class.

Question 11

Which of the following is characteristic of dishonest behavior in children age 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.&#10;

Accepted Answer

The answer of Which of the following is characteristic of...

Question 12

Which of the following statements characterizes moral development in the older school-age child?&#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.&#10;

Accepted Answer

The answer of Which of the following statements characterizes moral...

Question 13

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

Accepted Answer

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

Question 14

Which of the following 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.&#10;

Accepted Answer

The answer of Which of the following is descriptive of...

Question 15

Which of the following statements best describes the relationship school-age children have with their families?&#10;A)Children desire to spend equal time with family and peers.&#10;B)Children are prepared to reject parental controls.&#10;C)Children need and want restrictions placed on their behavior by the family.&#10;D)The peer group replaces the family as the primary influence in setting standards of behavior and rules.&#10;

Accepted Answer

The answer of Which of the following statements best describes...

Question 16

Which one of the following statements best describes fear in the school-age child?&#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 that have numerous fears need continuous protective behavior by parents to eliminate these fears.&#10;

Accepted Answer

The answer of Which one of the following statements best...

Question 17

Teasing can be common during the school-age years. The nurse should recognize that which of the following applies to teasing?&#10;A)Can have a lasting effect on children&#10;B)Is not a significant threat to self-concept&#10;C)Is rarely based on anything that is concrete&#10;D)Is usually ignored by the child who is being teased&#10;

Accepted Answer

The answer of Teasing can be common during the school-age...

Question 18

What is the role of the peer group in the life of school-age children?&#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&#10;

Accepted Answer

The answer of What is the role of the peer...

Question 19

Which of the following 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.&#10;

Accepted Answer

The answer of Which of the following describes moral development...

Deck 15: Health Promotion of the School-Age Child and Family