Deck 12: Health Promotion and Maintenance of the School-Age Child

Question 1

An 11-year-old child tells the nurse that she is having trouble falling asleep at night. What recommendations will the nurse make? Standard Text: Select all that apply.

A)"Drink a cup of warm tea at nighttime to induce sleep."
B)"Try to follow a nighttime routine."
C)"Avoid sleeping late in the morning or taking a nap."
D)"Exercise 30 minutes before bedtime to tire the body out."
E)"Darken the room at bedtime."

Answer 1

"Try to follow a nighttime routine."
"Darken the room at bedtime."

Question 2

The nurse is caring for a young child in the clinic. The mother tells the nurse the child sleepwalks every night. Which statement by the nurse is appropriate?

A)"Are you concerned the child is not getting enough sleep?"
B)"What time does your child go to bed at night?"
C)"What do you know about children who sleepwalk?"
D)"Is the child experiencing any stress at home?"

Answer 2

"Is the child experiencing any stress at home?"

Question 3

Which of these aspects of developmental health supervision should be included in each health care visit of young children?

A)Discussions of discipline with the parents
B)Toilet training guidelines
C)Referrals to community agencies
D)Patient and family education

Answer 3

Patient and family education

Question 4

While teaching the parents of a school-age child about coping with divorce, the nurse instructs the parents to:

A)Explain to the child why their marriage fell apart, being sure to identify each partner's role in the divorce.
B)Be sure the child understands the divorce is not the child's fault.
C)Spend less time with the child so he doesn't feel the tension between the parents.
D)Allow the child to stay with only one parent until the divorce becomes final.

Question 5

A nurse obtains a nutritional health history from a 10-year-old child. Which of these food selections, if consumed on a regular basis, should lead the nurse to become concerned about the need for improving oral hygiene?

A)Fluoridated water
B)Sorbet and yogurt
C)Peanuts and peanut butter crackers
D)Gummy bears and licorice

Question 6

The nurse asks the parent during a clinic visit about the nutritional intake of her eight-year-old child. The mother tells the nurse she leaves early for work and her teen sibling takes care of the meals. What response by the nurse regarding nutrition is appropriate?

A)Provide information about healthy meals and snacks that are easy for school-age children and teens to prepare.
B)Provide a meal plan for the mother to take to her daughter.
C)Provide sample recipes for the mother.
D)Provide coupons for the mother when going to the grocery store.

Question 7

The parents of a school-age child report that they allow their child to eat anything because the child is a "picky" eater. Which is the best response the nurse should make to the parent?

A)"Continue to allow this, because he eventually will begin to eat properly."
B)"Can you try allowing this to continue but only every other day?"
C)"I think you must not be good role models, so let's talk about your eating habits."
D)"Let's talk about what types of food are consumed when your child chooses."

Question 8

During a well-child visit, the mother tells the nurse that her 11-year-old child is having problems controlling his temper. The mother states that when he gets mad, he often destroys things including his own possessions. The child recently smashed his bicycle, and the mother wonders how she should handle him. The nurse would suggest:

A)Spanking him when he displays this behavior because he knows better.
B)Not replacing the bike and explaining to him that when he breaks something, it will not be replaced.
C)When the child gets angry, the mother will need to yell at the child in order for the child to hear her response.
D)Discussing the child's behavior with the pediatrician so that the child can be placed on mood-altering medications.

Question 9

While teaching the parent of school-age children about self-esteem, the nurse instructs the parents to:

A)Limit the amount of compliments given to the child.
B)Point out the child's deficiencies in a nice way while providing suggestions for improvement.
C)Establish the goals they want the child to achieve at a predetermined time.
D)Build on the child's strengths and talents.

Question 10

The teacher reports to the nurse that despite adequate intelligence, a child is not performing well in school. The nurse's initial assessments would include:

A)Talking with the child to determine if there are family stressors, such as divorce, that are interfering with the child's performance.
B)Conducting a vision and hearing screening.
C)Determining if there is conflict between the child and the teacher.
D)Observing the child in the classroom to see interactions between the child and others.

Question 11

As children grow and develop, their interests and activities change. Place the following childhood activities in order from interests of a 5-year-old to interests of a 12-year-old. Standard Text: Click and drag the options below to move them up or down.

A)Hass-defined hobbies such as model building, building with wood, needlepoint
B)Colors in coloring book, mostly staying inside the lines
C)Learns to ride a two-wheel bicycle without training wheels; reads first readers
D)Belongs to the basketball team or cheerleading squad at school

Question 12

The teacher has referred a 10-year-old boy to the school nurse. The school nurse knows that the child is an only child with a single mother who works full time and is going to school. Which additional finding would the nurse identify as putting the child at risk for mental health issues?

A)The child is well nourished, wears glasses, and wears clothing styles that matches the other boys in his class.
B)The boy has a grandmother, aunts, and several cousins living nearby.
C)The family attends church on a regular basis.
D)The child is not involved in community social activities and does not play sports.The child states he plays video games at home after school.

Question 13

A six-year-old child is being seen in the clinic for a well-child visit. The child is visibly nervous and fearful of the nurse and the nurse's actions. The nurse should:

A)Ask the parent to leave the examination room as this is probably the cause of the child's nervousness.
B)Assure the child that you will not hurt her.
C)Say to the child: "Tell me why you are so nervous."
D)Explain to the child what you are doing in terms the child can understand.Explain the equipment and, when possible, let the child handle the equipment first.

Question 14

A six-year-old child is being seen by the nurse for well-child checkup. The parent tells the nurse that they live on a farm and their water supply is from a well. Which should be the nurse's main concern about the child's oral care?

A)Use of teeth whitener
B)Use of fluoride
C)Use of mouthwash
D)How many teeth have been lost

Question 15

The nurse is visiting with a school-age child in the clinic. The child states to the nurse, "Friends are giving me cigarettes to smoke." What is the best response by the nurse?

A)"Tell them 'no,' don't do it again, and don't tell anyone."
B)"Smoking occasionally will not hurt you."
C)Show the child a model of lungs with smoke damage then have the child try to breathe through a straw.
D)Explain to the child the risks associated with smoking.

Question 16

The nurse and a young mother are discussing ways to best prepare children for starting school. What would be the best suggestion for the nurse to make?

A)Teach the child the alphabet and how to count.
B)Encourage the mother to tell the child how much she will miss the child while the child is at school.
C)Help the child relate to other adults and separate from the mother by planning play dates and short stays with sitters.
D)Plan for an older child to accompany the child and introduce the child to the teacher on the first day of school.

Question 17

The school nurse is teaching a class about safety. The nurse will teach the children that they should wear protective athletic gear when participating in selected activities. Which of these activities requires protective athletic gear?

A)Gymnastics
B)Swimming
C)Skateboarding
D)Basketball

Question 18

A nurse observes the parent-child interaction during the six-year-old well-child checkup and notes that the parent speaks harshly to the child and uses negative remarks when speaking with the nurse. Which statement by the nurse would be most beneficial?

A)Addressing the child, the nurse says, "Are you unhappy when Mommy talks to you like this?"
B)"I am going to refer you for counseling, because your interactions with your child seem so negative."
C)"Perhaps you should leave the room so that I can speak with your child privately."
D)"Let's talk privately.Let's discuss ways you can speak to your child in a positive tone."

Question 19

A nine-year-old child who has been followed in the same pediatric health care home since birth has come in for a well-child visit. A nurse who measures the height and weight of the child documents 35th percentile for height and 90th percentile for weight. How should the nurse interpret these data?

A)The child is obese and needs dietary counseling.
B)The child is beginning a growth spurt.
C)As soon as the child begins the adolescent growth spurt, the height and weight measurements will normalize.
D)The parents are most likely below the 50th percentile for height and weight.

Question 20

The school health nurse is evaluating the home environments of several children as they relate to child safety. Which of these activities places a child at greatest risk for bodily harm?

A)The parents consume alcohol on a daily basis.
B)The child is permitted to participate, unsupervised, in target practice with a revolver.
C)The child is a latchkey child.
D)The parents are in a methadone program.

Question 21

The nurse in the well-child clinic is concerned with injury prevention and includes topics appropriate to the age and behaviors of the child. Which injury prevention topics would be appropriate to prevent hearing loss?

A)The five-year-old child should wear ear plugs when swimming to prevent otitis media.
B)The 12-year-old child should restrict noise levels when listening to music through earphones.
C)The bike helmet for a seven-year-old should be carefully fitted to prevent damage to the ear canal.
D)The nine-year-old child should avoid sports activities that involve cheering crowds to prevent hearing loss.