Deck 13: Health Promotion of the Preschooler and Family

Question 1

A 4-year-old child is hospitalized with a serious bacterial infection.The child tells the nurse that he is sick because he was "bad." Which is the nurse's best interpretation of this comment?

A)Sign of stress
B)Common at this age
C)Suggestive of maladaptation
D)Suggestive of excessive discipline at home

Answer 1

Common at this age

Question 2

A nurse is assessing a preschool-age child and notes the child exhibits magical thinking.According to Piaget,which describes magical thinking?

A)Events have cause and effect.
B)God is like an imaginary friend.
C)Thoughts are all-powerful.
D)If the skin is broken, the child's insides will come out.

Answer 2

Thoughts are all-powerful.

Question 3

During the preschool period,injury prevention efforts should emphasize:

A)constant vigilance and protection.
B)punishment for unsafe behaviors.
C)education for safety and potential hazards.
D)limitation of physical activities.

Answer 3

education for safety and potential hazards.

Question 4

The parent of a 4-year-old boy tells the nurse that the child believes that monsters and boogeymen are in his bedroom at night.The nurse's best suggestion for coping with this problem is to:

A)let the child sleep with his parents.
B)keep a night-light on in the child's bedroom.
C)help the child understand that these fears are illogical.
D)tell the child frequently that monsters and boogeymen do not exist.

Question 5

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 6

Which is a useful skill that the nurse should expect a 5-year-old child to be able to master?

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

Question 7

A nurse,instructing parents of a hospitalized preschool child,explains that which is descriptive of the preschooler's understanding of time?

A)Has no understanding of time
B)Associates time with events
C)Can tell time on a clock
D)Uses terms like "yesterday" appropriately

Question 8

The nurse is guiding parents in selecting a daycare facility for their child.Which is especially important to consider when making the selection?

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

Question 9

Imaginary playmates are beneficial to the preschool child because they:

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

Question 10

Parents tell the nurse that they found their 3-year-old daughter and a male cousin of the same age inspecting each other closely as they used the bathroom.Which is the most appropriate recommendation the nurse should make?

A)Punish children so this behavior stops.
B)Neither condone nor condemn the curiosity.
C)Allow children unrestricted permission to satisfy this curiosity.
D)Get counseling for this unusual and dangerous behavior.

Question 11

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

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

Question 12

By which age should the nurse expect that most children could obey prepositional phrases such as "under," "on top of," "beside," and "behind"?

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

Question 13

A 4-year-old child tells the nurse that she does not want another blood sample drawn because "I need all my insides,and I don't want anyone taking them out." Which is the nurse's best interpretation of this?

A)Child is being overly dramatic.
B)Child has a disturbed body image.
C)Preschoolers have poorly defined body boundaries.
D)Preschoolers normally have a good understanding of their bodies.

Question 14

Which play is most typical of the preschool period?

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

Question 15

Parents are concerned that their child is showing aggressive behaviors.Which suggestion should the nurse make to the parents?

A)Supervise television viewing.
B)Ignore the behavior.
C)Punish the child for the behavior.
D)Accept the behavior if the child is male.

Question 16

Preschoolers' fears can best be dealt with by which intervention?

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 the fears are
D)Ridiculing their fears so that they understand that there is no need to be afraid

Question 17

In terms of fine motor development,which should the 3-year-old child be expected to do?

A)Lace shoes and tie shoelaces with a bow.
B)Use scissors to cut pictures, and print a few numbers.
C)Draw a person with seven parts and correctly identify the parts.
D)Draw a circle and name what has been drawn.

Question 18

Which accurately describes the speech of the preschool child?

A)Dysfluency in speech patterns is normal.
B)Sentence structure and grammatic usage are limited.
C)By age 5 years, child can be expected to have a vocabulary of about 1000 words.
D)Rate of vocabulary acquisition keeps pace with the degree of comprehension of speech.

Question 19

Which should the nurse expect of a healthy 3-year-old child?

A)Jump rope.
B)Ride a two-wheel bicycle.
C)Skip on alternate feet.
D)Balance on one foot for a few seconds.

Question 20

A nurse is teaching parents about language development for preschool children.Which dysfunctional speech pattern is a normal characteristic the parents might expect?

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

Question 21

Which snack should the nurse recommend parents offer to their slightly overweight preschool child?

A)Carbonated beverage
B)10% fruit juice
C)Low fat chocolate milk
D)Whole milk

Question 22

Which toys should a nurse provide to promote imaginative play for a 3-year-old hospitalized child? (Select all that apply.)

A)Plastic telephone
B)Hand puppets
C)Jigsaw puzzle (100 pieces)
D)Farm animals and equipment
E)Jump rope

Question 23

In terms of language and cognitive development,a 4-year-old child would be expected to have which traits? (Select all that apply.)

A)Think in abstract terms.
B)Follow directional commands.
C)Understand conservation of matter.
D)Use sentences of eight words.
E)Tell exaggerated stories.f. Comprehend another person's perspective.

Question 24

The recommendation for calcium for children 1 to 3 years of age is _____ milligrams.(Record your answer in a whole number.)