Deck 33: The Preschooler and Family

Question 1

In terms of cognitive development,the preschooler would be expected to engage in what behavior?

A) Use magical thinking
B) Think abstractly
C) Understand conservation of matter
D) Be able to comprehend another person's perspective

Answer 1

Use magical thinking

Question 2

Why are imaginary playmates beneficial to the preschool child?

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.

Answer 2

Become friends in times of loneliness.

Question 3

The nurse is caring for a hospitalized 4 year old.The parents tell the nurse that they will be back to visit at 6 PM.When the child asks the nurse,"when my 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 PM is."
D) "I will tell you every time I see you how much longer it will be."

Answer 3

"They will come after dinner."

Question 4

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

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

Question 5

The nurse is performing an assessment on a child and notes the presence of Koplik's spots.In which communicable disease are Koplik's spots present?

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

Question 6

The nurse is guiding parents in selecting a day care facility for their child.When making the selection,it is especially important to focus on which consideration?

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

Question 7

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

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

Question 8

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 they understand that there is no need to be afraid.

Question 9

What skill that the nurse should expect 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 10

Which accomplishment would 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 11

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

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

Question 12

Acyclovir is given to children with chickenpox for what purpose?

A) Minimize scarring
B) Decrease the number of lesions
C) Prevent aplastic anemia
D) Prevent spread of the disease

Question 13

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

A) Tie shoelaces
B) Use scissors or a pencil very well
C) Draw a person with 7 to 9 parts
D) Copy (draw) a circle.

Question 14

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

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

Question 15

During the preschool period,what should the emphasis of injury prevention be placed on?

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

Question 16

In terms of language and cognitive development,which behavior is expected of a 4-year-old child?

A) Thinking in abstract terms.
B) Following simple commands.
C) Understanding conservation of matter.
D) Comprehending another person's perspective.

Question 17

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

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

Question 18

By what age would the nurse expect that most children could understand 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 19

What 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 20

The parent of a 4 year old tells the nurse that the child believes "monsters and the boogeyman" are in the bedroom at night.What is the nurse's best suggestion for coping with this problem?

A) Insist that the child sleep with his parents until the fearful phase passes.
B) Suggest involving the child to find 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 the boogeyman do not exist.

Question 21

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) Sexual curiosity
C) Understand conservation of matter
D) Use sentences of eight words
E) Tell exaggerated stories

Question 22

Which is probably the most important criterion on which to base the decision to report suspected child abuse?

A) Inappropriate parental concern for the degree of injury
B) Absence of parents for questioning about child's injuries
C) Inappropriate response of child
D) Incompatibility between the history and injury observed

Question 23

Which is the causative agent of scarlet fever?

A) Enteroviruses
B) Corynebacterium organisms
C) Scarlet fever virus
D) Group A b-hemolytic streptococci (GABHS)

Question 24

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 25

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

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 26

A common characteristic of those who sexually abuse children is that they:

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

Question 27

Which play patterns does a 3-year-old child typically display? (Select all that apply.)

A) Imaginary play
B) Parallel play
C) Cooperative play
D) Structured play
E) Associative play

Question 28

Which common childhood communicable disease may cause severe defects in the fetus when it occurs in its congenital form?

A) Erythema infectiosum
B) Roseola
C) Rubeola
D) Rubella

Question 29

Which statement,made by a 4-year-old child's father,demonstrates an understanding about the care of the preschooler's teeth?

A) "Because the 'baby teeth' are not permanent, they are not important to the child."
B) "My son can be encouraged to brush his teeth after I have thoroughly cleaned his teeth."
C) "My son's 'permanent teeth' will begin to come in at 4 to 5 years of age."
D) "Fluoride supplements can be discontinued when my son's 'permanent teeth' erupt."