Question 1

The nurse is identifying outcomes for a family with a preschool-age child who has broken fluency. Which outcome would be the most appropriate for this family?

Accepted Answer

Calling attention to broken fluency can make the situation worse. The child should not be encouraged to speak if he or she does not want to. The parents should intercept any children who desire to finish the child with broken fluency's words or sentences. The child should not be punished or corrected for broken fluency because this is a normal part of speech development.

Question 2

The nurse is helping parents develop the developmental task of initiative in their preschool-age child. Which activity should the nurse suggest the parents implement?

Accepted Answer

To gain a sense of initiative, preschoolers need exposure to a wide variety of play materials so they can learn as much about how things work as possible. The parents should be urged to provide play materials that encourage creative play such as modeling clay. Any experience with free-form play is helpful. Street-crossing safety, following rules, and providing clothes that snap will not support the developmental task of initiative as much as providing a substance to experiment during play.

Question 3

The nurse is preparing an educational program for parents of preschool-age children to promote personal safety. Which information should the nurse include in this program? (Select all that apply.)

Accepted Answer

To promote personal safety in the preschool-age child, the nurse should instruct families to explain the role and purpose of police to the child and teach to never talk to or accept a ride from a stranger. Reducing the intake of fast-food items will help with weight control. Limiting exposure to household chores has no identified value. Chewing food thoroughly before swallowing can help with digestion and weight control.

Question 4

The nurse is caring for a preschool-age child who needs a CT scan. Which action should the nurse use to best prepare the child for this diagnostic test?

Accepted Answer

Because preschoolers' imagination is so active, this leads to several fears such as fear of the dark and mutilation. The nurse needs to help the child understand that the CT scanner is like a camera to take pictures of the body parts. Threatening the child to follow directions or becoming hurt plays into the child's fear of mutilation. Telling the child to behave creates a fear of punishment. Telling the child that the CT scan is a picture of the body's dark parts plays into the child's fear of the dark.

Question 5

Which type of play should the nurse encourage for a preschool-age child that is hospitalized?

Accepted Answer

Preschool-age children have active imaginations and dressing up to play house would be an appropriate play activity for the nurse to encourage. The child's fine motor skills are not developed to play an electronic handheld game. Children of this age are afraid of the dark so turning out the lights to play hide and seek is not appropriate. Planting flower bulbs is an activity that is too long-term for this age range.

Question 6

Which immunization should the nurse plan to administer to a preschooler during a health maintenance visit?

Accepted Answer

Influenza vaccination would be administered annually. The diphtheria, pertussis, and tetanus (DTaP) vaccination should be provided before the child starts school. Hepatitis B and tetanus booster are not identified as vaccinations appropriate for this age group.

Question 7

The mother of a female preschool-age child is concerned that the child is developing an unhealthy attachment to her father. About which behavior should the nurse instruct the mother?

Accepted Answer

An Electra complex is the attachment of a preschool girl to her father. This phenomenon in preschoolers is a normal part of maturing. Oedipus complex is the attachment of a preschool-age boy to his mother. There is not one specific Freudian complex. There is not an identified sexual identification complex.

Question 8

A preschool-age child tells the nurse about an imaginary friend. The parents are concerned because the child refuses to do anything without the friend's help. Which nursing diagnosis is most applicable for the family?

Accepted Answer

The parents need to understand that the child's behavior is not uncommon. Imaginary friends are common in the preschool-age child. The child's behavior is not abnormal. The child does not have a deep-set psychological need. The child is not at risk for social isolation.

Question 9

The nurse is observing the behavior of a preschool-age child and becomes concerned. Which observation suggests that the child's thinking is inconsistent with normal preschooler growth and development?

Accepted Answer

Many preschoolers have an imaginary friend who plays with them. Imaginary friends are a normal, creative part of the preschool years and can be invented by children who are surrounded by real playmates as well as by those who have few friends. As long as the child has exposure to real playmates and imaginary, do not take center stage in the child's life or prevent them from socializing with other children; the imaginary friend should not pose a problem. Refusing to go to bed without the friend, having the friend eat dinner with the family, and watching television with the imaginary friend are all acceptable behaviors by the preschool-age child.

Question 10

During an assessment, a preschool-age child tells the nurse about having 12 siblings. The nurse is aware that the child has two older brothers. What should the nurse respond to this child?

Accepted Answer

Stretching stories to make them seem more interesting is a phenomenon frequently encountered in preschoolers. This kind of storytelling should not be encouraged. The child should be helped to separate fact from fiction. The nurse should ask the child to say the names of the brothers the child really has. The nurse should not insult the child's counting ability. The nurse should not accuse the child of lying or making the child seem more important by having more brothers.

Question 11

A community health center is planning a seminar about the 2020 National Health Goals for preschool-age children. Which topics should be included in this seminar to address safety? (Select all that apply.)

Accepted Answer

The 2020 National Health Goals for preschool-age children focus on safety and include protecting preschoolers against secondhand smoke, using recommended automobile restraints, and fitting children with helmets before beginning bicycle riding. Removing houseplants and posting the telephone number of the poison control agency would be appropriate for families with toddlers.

Question 12

The mother of a preschool-age child is pregnant and wants to enroll the child in a child care program. When should the nurse suggest that the child be enrolled in this program?

Accepted Answer

If children are to start preschool or child care, it's best if they can do so either before the new baby is born or 2 or 3 months afterward. That way, children can perceive starting school as a result of maturity and not of being pushed out of the house by the new child. There is no time limit about when a child should start preschool. The mother should not explain to the child that the new baby will be taking up all of the mother's time.

Question 13

The parents of a preschool-age child are investigating child care centers to enroll the child. What should the nurse review with the parents prior to them making a decision? (Select all that apply.)

Accepted Answer

When investigating child care centers, the nurse should counsel the parents to find out about the child-staff ratio, parental visiting hours, the time the center has been in operation, and compliance with licenses and regulations. The payment plan might be important to the parents; however, it should not be the sole factor in making a decision about a child care center.

Question 14

The nurse instructs a mother on actions to prevent sibling rivalry between a preschool-age child and a newborn. Which observation indicates that instruction has been effective?

Accepted Answer

To help reduce sibling rivalry, the mother should set aside afternoon time for the preschool-age child while the baby naps. Sleeping when the baby sleep, asking if the preschool-age child likes the baby, and limiting gifts to the preschool-age child until behavior changes will promote sibling rivalry.

Question 15

The parents of a preschool-age child want to begin preparing the child to attend school. What should the nurse suggest the parents discuss with the child to help with this preparation?

Accepted Answer

If school is discussed as something to look forward to, as an adventure that will be satisfying and rewarding, a child comes to look forward to it as a positive experience. Pointing out how to get home from school might be more important than how to get to school. Warning about rules and expecting to work on the floor may cause the child to view school as punishment.

Quiz 31: Nursing Care of a Family With a Preschool Child