Deck 38: The Preschooler and Family

Question 1

What activity can the nurse expect of a healthy 3-year-old child?

A) The child is able to jump rope.
B) The child can ride a two-wheeled bicycle.
C) The child can skip on alternate feet.
D) The child can balance on one foot for a few seconds.

Answer 1

The child can balance on one foot for a few seconds.

Question 2

The nurse is caring for a hospitalized 4-year-old boy,Ryan.His parents tell the nurse that they will be back to visit at 6 p.m.When Ryan asks the nurse when his parents are coming,what is the nurse's best response?

A) "They will be here soon."
B) "They will come after dinner."
C) "Let me show you on the clock when 6 p.m. is."
D) "I will tell you every time I see you how much longer it will be."

Answer 2

"They will come after dinner."

Question 3

Which phrase is most descriptive of a preschooler's understanding of time?

A) A preschooler has no understanding of time.
B) A preschooler associates time with events.
C) A preschooler can tell time on a clock.
D) A preschooler uses terms like "yesterday" appropriately.

Answer 3

A preschooler associates time with events.

Question 4

Which type of play is most typical of the preschool period?

A) Solitary
B) Parallel
C) Associative
D) Team

Question 5

Why are imaginary playmates beneficial to the preschool child?

A) They take the place of social interactions.
B) They take the place of pets and other toys.
C) They become friends in times of loneliness.
D) They accomplish what the child has already successfully accomplished.

Question 6

Which one of the following is a useful skill that the nurse expects a 5-year-old child to be able to master?

A) Tie shoelaces.
B) Use a knife to cut meat.
C) Hammer a nail.
D) Make change from a quarter.

Question 7

In terms of fine motor development,what is a 3-year-old child expected to do?

A) Tie shoelaces.
B) Use scissors or a pencil very well.
C) Draw a person with seven to nine parts.
D) Copy (draw) a circle.

Question 8

What is one normal characteristic of language development for a preschool-age child?

A) Lisp
B) Stammering
C) Echolalia
D) Repetition without meaning

Question 9

Why is Acyclovir (Zovirax)given to children with chickenpox?

A) It minimizes scarring.
B) It decreases the number of lesions.
C) It prevents aplastic anemia.
D) It prevents the spread of the disease.

Question 10

To prevent varicella,what may be given to high-risk children after exposure to chickenpox?

A) Acyclovir
B) Vitamin A
C) Diphenhydramine hydrochloride
D) Varicella zoster immune globulin (VZIG)

Question 11

Which one of the following methods is the best way to deal with preschoolers' fears?

A) Actively involving them in finding practical methods to deal with the frightening experience
B) Forcing them to confront the frightening object or experience in the presence of their parents
C) Using logical persuasion to explain away their fears and help them recognize how unrealistic they are
D) Ridiculing their fears so they understand that there is no need to be afraid

Question 12

In terms of cognitive development,what is expected of a 5-year-old child?

A) The child can use magical thinking.
B) The child is able to think abstractly.
C) The child can understand the conservation of matter.
D) The child may be unable to comprehend another person's perspective.

Question 13

In terms of language and cognitive development,which one of the following can be expected from a 5-year-old child?

A) Think in abstract terms.
B) Follow 3 commands in succession.
C) Understand conservation of matter.
D) Comprehend another person's perspective.

Question 14

By what age does a nurse expect most children to obey directions using prepositional phrases such as "under," "on top of," "beside," and "in back of"?

A) 18 months
B) 24 months
C) 3 years
D) 4 years

Question 15

Vitamin A supplementation may be recommended for a young child who has which one of the following diseases?

A) Mumps
B) Rubella
C) Measles ( rubeola )
D) Erythema infectiosum

Question 16

Which characteristic best describes the language of a 3-year-old child?

A) Asks meanings of words
B) Follows directional commands
C) Describes an object according to its composition
D) Talks incessantly, regardless of whether anyone is listening

Question 17

During the preschool period,which one of the following methods should be emphasized to prevent injury?

A) Constant vigilance and protection
B) Punishment for unsafe behaviours
C) Education about safety and potential hazards
D) Limitation of physical activities

Question 18

A 4-year-old boy is hospitalized with a serious bacterial infection.He tells the nurse that he is sick because he was "bad." What is the best way for the nurse to interpret this comment?

A) It is a sign of stress.
B) It is a common belief at this age.
C) It is suggestive of maladaptation.
D) It is suggestive of excessive discipline at home.

Question 19

The nurse is guiding parents in selecting a daycare facility for their child.When making the selection,which one of the following factors is it especially important to consider?

A) Structured learning environment
B) Socioeconomic status of children
C) Cultural similarities of children
D) Teachers knowledgeable about development

Question 20

The parent of a 4-year-old son tells the nurse that the child believes "monsters and the boogeyman" are in his bedroom at night.What is the best suggestion the nurse can make for coping with this issue?

A) Insist that the child sleep with his parents until the fearful phase passes.
B) Suggest involving the child in finding a practical solution, such as a night light.
C) Help the child understand that these fears are illogical.
D) Tell the child frequently that monsters and boogeyman do not exist.

Question 21

Which sentence below best describes a child who is abused by the parent(s)?

A) The child unintentionally contributes to the abusing situation.
B) The child belongs to a low socioeconomic population.
C) The child is healthier than the non-abused siblings.
D) The child abuses siblings in the same way as he or she is abused by the parent(s).

Question 22

What is the most important criterion on which to base the decision to report suspected abuse?

A) Unintentional injury
B) An arm fracture
C) Blunt trauma to the abdomen
D) Incompatibility between history and injury

Question 23

Which condition does not require strict isolation for a child who is hospitalized?

A) Mumps
B) Parvovirus B19
C) Exanthema subitum ( roseola )
D) Erythema infectiosum ( fifth disease )

Question 24

In which communicable disease are Koplik spots present?

A) Rubella
B) Measles ( rubeola )
C) Chickenpox ( varicella )
D) Exanthema subitum ( roseola )

Question 25

Which is one common characteristic among those who sexually abuse children?

A) They pressure the victim into secrecy.
B) They are usually unemployed and unmarried.
C) They are unknown to victims and their families.
D) They have many victims and abuse each only once.

Question 26

When is a child with chickenpox considered to be no longer contagious?

A) When fever is absent
B) When the lesions are crusted
C) 24 hours after the lesions erupt
D) 8 days after the onset of illness