Deck 8: Health Promotion for the School-Age Child

Question 1

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.What action by the nurse is most appropriate?

A) Reassure the child that she is not being punished.
B) Share concerns about development with the parents.
C) Request a child-life specialist to intervene.
D) Have the chaplain console the child.

Answer 1

Reassure the child that she is not being punished.

Question 2

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.

Answer 2

sex can be presented as a normal part of growth and development.

Question 3

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) "If we have a fire, we have to meet at the neighbor's house."
D) "If there is a fire I will go back for my cat Fluffy because she will be scared."

Answer 3

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

Question 4

A parent reports getting annoyed with a 6-year-old child who seems to always get cranky and irritable when playing with friends.What suggestion by the nurse is best?

A) Maybe he should not play with those friends anymore.
B) The parents should monitor the children's play more closely.
C) When the child gets cranky he should be told to rest.
D) The parents should assess the child's diet for protein.

Question 5

Which does the nurse teach as an appropriate disciplinary intervention for the school-age child?

A) Time-out periods
B) Consequences that are consistent with the behavior
C) Physical punishment
D) Lectures about inappropriate behavior

Question 6

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 7

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.What action by the school nurse is most appropriate?

A) Assess the child for unusual stress.
B) Perform a detailed physical exam.
C) Call the parents in for a conference.
D) Screen the child for developmental delay.

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

A nurse is interested in preventing injuries to children while they play.What action by the nurse would most likely lead to the biggest impact?

A) Volunteering for an organization that gives away bicycle helmets.
B) Providing education on the need for knee pads when skating.
C) Teaching parents that children too big for child care seats should sit in the front seat.
D) Encouraging children to play only on formal, constructed playgrounds.

Question 10

A parent of a chubby 8-year-old wants to know how to keep the child from gaining more weight.What response by the nurse is best?

A) Do not allow your child to snack.
B) Make a school lunch every day.
C) Model the behaviors you'd like to see.
D) Place your child on a restricted diet.

Question 11

A school nurse reports to the parents that their child is complaining of frequent headaches.What suggestion does the nurse offer to the parents?

A) A complete neurologic workup
B) A vision screening exam
C) Decreased amount of household stress
D) Assessment for seasonal allergies

Question 12

A nurse is assessing an 8-year-old child.Which finding leads the nurse to conduct further assessment?

A) Understands that his or her point of view is not the only one
B) Enjoys telling riddles and silly jokes
C) Demonstrates the principle of object conservation
D) Engages in fantasy and magical thinking

Question 13

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

A) "My child is playing soccer on a team this year."
B) "He is always active with his friends playing games."
C) "I limit his television watching to about 2 hours a day."
D) "I am glad his coach emphasizes winning and discipline in today's society."

Question 14

The nurse is providing anticipatory guidance for parents of a school-age child.Which behavior does the nurse suggest to 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 with them
D) Decreasing expectations to eliminate potential failures

Question 15

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 16

The nurse is talking to a 7-year-old boy during a well-child clinic visit.The boy states "I am a Power Ranger,so don't make me angry!" What action by the nurse is best?

A) Ask the child about other friends he might play with.
B) Find out why the child thinks he is a Power Ranger.
C) Ask the parents if he has any opposite sex friends.
D) Conduct further developmental screening on the child.

Question 17

In providing anticipatory guidance to parents,which parental behavior does the nurse teach as 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 18

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 are at risk for membership in gangs.

Question 19

Which activity does the nurse recommend to help develop fine motor skills in the school-age child?

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

Question 20

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

A) Give the child a collection of similar objects, and ask him or her to organize them.
B) Ask the child to perform a series of math problems using subtraction.
C) Determine the child's vocabulary and reading comprehension.
D) Find out what play activities the child enjoys engaging in.

Question 21

The nurse teaches parents signs that a child might be being bullied or otherwise victimized.What signs does the nurse include in this teaching? (Select all that apply.)

A) 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

A parent is worried that a child is not eating well.What does the nurse teach the parent to address this problem?

A) Limit sports and team events that occur over the dinner hour.
B) Pack a nutritious lunch to take to school every day.
C) Teach about healthy snacks available at school.
D) Ensure the child gets 2 cups of milk products a day.

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 attend 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 student nurse learns that which factors place children at risk for malocclusion? (Select all that apply.)

A) Sucking the thumb
B) Mouth breathing
C) Cleft palate
D) Early loss of "baby" teeth
E) Heredity

Question 25

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

A) Recognizes that 1 lb of feathers is equal to 1 lb of metal
B) Recognizes that he can be a son, brother, or nephew at the same time
C) Understands the principles of adding, subtracting, and reversibility
D) Has thinking that is characterized by egocentrism, animism, and centration
E) Often solves problems with random guessing instead of logic

Question 26

Which interventions should the nurse teach that are appropriate for preventing childhood obesity? (Select all that apply.)

A) Establish consistent times for meals and snacks.
B) Sign your child up for sports teams.
C) Teach the family and child how to prepare foods in a healthy manner.
D) Show the family how to read food labels.
E) Limit computer and television time.

Question 27

A school-age child got a hand-knitted sweater from a relative as a gift.The child refuses to wear it,and it is causing a great deal of conflict in the family as the relative wants to see the child in it.What information can the nurse provide the family about this issue?

A) This is a time when strict discipline is needed and should be enforced.
B) It's best to choose your battles carefully or you'll fight over everything.
C) Teach the child a polite way of expressing dislike for the sweater.
D) Children this age find it painful to be different from their peers.