Deck 8: Health Promotion for the School-Age Child

Question 1

A nurse is assessing an older school-age child recently admitted to the hospital.Which assessment indicates that the child is in an appropriate stage of cognitive development?

A) The child's addition and subtraction ability
B) The child's ability to classify
C) The child's vocabulary
D) The child's play activity

Answer 1

The child's ability to classify

Question 2

A school nurse is conducting a class on safety for a group of school-age children.Which statement indicates that the children may need further teaching?

A) "My sister and I know two different ways to get out of the house."
B) "I can dial 911 if there is a fire or a burglar in the house."
C) "My mother has told us that if we have a fire, we have to meet at the neighbor's house."
D) "If there is a fire I will have to go back in for my cat Fluffy because she will be scared."

Answer 2

"If there is a fire I will have to go back in for my cat Fluffy because she will be scared."

Question 3

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

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

Answer 3

A belief common at this age

Question 4

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

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

Question 5

Which demonstrates the school-age child's developing logic in the stage of concrete operations? Select all that apply.

A) The school-age child is able to recognize that 1 lb of feathers is equal to 1 lb of metal.
B) The school-age child is able to recognize that he can be a son, brother, or nephew at the same time.
C) The school-age child understands the principles of adding, subtracting, and reversibility.
D) The school-age child has thinking that is characterized by egocentrism, animism, and centration.

Question 6

Which comment is most developmentally typical of a 7-year-old boy?

A) "I am a Power Ranger, so don't make me angry."
B) "I don't know whether I like Mary or Joan better."
C) "My mom is my favorite person in the world."
D) "Jimmy is my best friend."

Question 7

The ability to mentally understand that 1 + 3 = 4 and 4 - 1 = 3 occurs in which stage of cognitive development?

A) Concrete operations
B) Formal operations
C) Intuitive thought
D) Preoperations

Question 8

Which statement is the most accurate about moral development in the 9-year-old school-age child?

A) Right and wrong are based on physical consequences of behavior.
B) The child obeys parents because of fear of punishment.
C) The school-age child conforms to rules to please others.
D) Parents are the determiners of right and wrong for the school-age child.

Question 9

An important consideration for the school nurse who is planning a class on bicycle safety is

A) Most bicycle injuries involve collision with an automobile.
B) Head injuries are the major causes of bicycle-related fatalities.
C) Children should wear bicycle helmets if they ride on paved streets.
D) Children should not ride double unless the bicycle has an extra-large seat.

Question 10

Which interventions are appropriate for preventing childhood obesity? Select all that apply.

A) Establish consistent times for meals and snacks.
B) Eliminate all snacks. Eat three nutritious meals a day.
C) Teach the family and child how to select foods and prepare foods.
D) Encourage schools to provide snack machines with popcorn, cookies, and diet soda.
E) Limit computer and television time.

Question 11

A group of boys ages 9 and 10 years have formed a "boys-only" club that is open to neighborhood and school friends who have skateboards.This should be interpreted as

A) Behavior that encourages bullying and sexism
B) Behavior that reinforces poor peer relationships
C) Characteristic of social development of this age
D) Characteristic of children who later are at risk for membership in gangs

Question 12

Which is an appropriate disciplinary intervention for the school-age child?

A) Using time-out periods
B) Using a consequence that is consistent with the inappropriate behavior
C) Using physical punishment
D) Using lengthy dialog about inappropriate behavior

Question 13

Which behavior by parents or teachers will best assist the child in negotiating the developmental task of industry?

A) Identifying failures immediately and asking the child's peers for feedback
B) Structuring the environment so that the child can master tasks
C) Completing homework for children who are having difficulty in completing assignments
D) Decreasing expectations to eliminate potential failures

Question 14

Which behavior is not demonstrated in the 8-year-old child?

A) Understands that his or her point of view is not the only one
B) Enjoys telling riddles and silly jokes
C) Understands that pouring liquid from a small to large container does not change the amount
D) Engages in fantasy and magical thinking

Question 15

In providing anticipatory guidance to parents,which parental behavior is the most important in fostering moral development?

A) Telling the child what is right and wrong
B) Vigilantly monitoring the child and her peers
C) Weekly family meetings to discuss behavior
D) Living as the parents say they believe

Question 16

Which activity is most appropriate for developing fine motor skills in the school-age child?

A) Drawing
B) Singing
C) Soccer
D) Swimming

Question 17

Which statement made by a mother of a school-age boy indicates a need for further teaching?

A) "My child is playing soccer this year."
B) "He is always busy with his friends playing games. He is very active."
C) "I limit his television watching to about 2 hours a day."
D) "I am glad his coach is a good role model. He emphasizes the importance of winning in today's society. The kids really are disciplined."

Question 18

The school nurse has been asked to begin teaching sex education in the 5th grade.The nurse should recognize that

A) Children in 5th grade are too young for sex education.
B) Children should be discouraged from asking too many questions.
C) Correct terminology should be reserved for children who are older.
D) Sex can be presented as a normal part of growth and development.

Question 19

A school nurse is teaching a health class for 5th grade children.The nurse plans to include which statement to best describe growth in the early school-age period?

A) Boys grow faster than girls.
B) Puberty occurs earlier in boys than in girls.
C) Puberty occurs at the same age for all races and ethnicities.
D) It is a period of rapid physical growth.

Question 20

In general,the earliest age at which puberty begins is ____ years in girls and _____ years in boys.

A) 13; 13
B) 11; 11
C) 10; 12
D) 12; 10

Question 21

Peer victimization is becoming a significant problem for school-age children and adolescents in the United States.Parents should be educated regarding signs that a child is being bullied.These might include (select all that apply)

A) The child spends an inordinate amount of time in the nurse's office.
B) Belongings frequently go missing or are damaged.
C) The child wants to be driven to school.
D) School performance improves.
E) The child freely talks about his day.

Question 22

____________________ is the leading cause of death in children of every age-group beyond 1 year of age.

Question 23

Which strategies can a nurse teach to parents of a child experiencing uncomplicated school refusal? Select all that apply.

A) The child should be allowed to stay home until the anxiety about going to school is resolved.
B) Parents should be empathetic yet firm in their insistence that the child attends school.
C) A modified school attendance may be necessary.
D) Parents need to pick the child up at school whenever the child wants to come home.
E) Parents need to communicate with the teachers about the situation.

Question 24

The number of hours spent sleeping decreases as the child grows older.Children ages 6 and 7 years require approximately 9 or 10 hours of sleep per night.Is this statement true or false?

Question 25

Primary (deciduous)teeth are replaced by permanent teeth.By adulthood the child will have __________ permanent teeth.

Question 26

Children have a total of __________ primary (deciduous)teeth that they begin to lose when they are school age.

Question 27

A nurse is planning a class for school-age children on obesity.Which percentile does the body mass index (BMI)need to exceed for a child to be assessed as obese?