San Jacinto College - RNSG 2201

Chapter 14: Health Promotion of the School-Age Child and Family Hockenberry: Wong’s Essentials of Pediatric Nursing, 10th Edition

MULTIPLE CHOICE

1)The nurse is teaching a group of 10- to 12-year-old children about physical development during the school-age years. Which statement made by a participant, indicates the correct understanding of the teaching?

1. 1. “My body weight will be almost triple in the next few years.”
   2. “I will grow an average of 2 inches per year from this point on.”
   3. “There are not that many physical differences among school-age children.”
   4. “I will have a gradual increase in fat, which may contribute to a heavier appearance.”

2. What is the earliest age at which puberty begins?
   1. 9
   2. 10
   3. 11
   4. 12

3. Which describes the cognitive abilities of school-age children?
   1. Have developed the ability to reason abstractly
   2. Are capable of scientific reasoning and formal logic
   3. Progress from making judgments based on what they reason to making judgments based on what they see
   4. Are able to classify, to group and sort, and to hold a concept in their minds while making decisions based on that concept

4. Which describes moral development in younger school-age children?
   1. The standards of behavior now come from within themselves.
   2. They do not yet experience a sense of guilt when they misbehave.
   3. They know the rules and behaviors expected of them but do not understand the reasons behind them.
   4. They no longer interpret accidents and misfortunes as punishment for misdeeds.

5. Which statement characterizes moral development in the older school-age child?
   1. They are able to judge an act by the intentions that prompted it rather than just by the consequences.
   2. Rules and judgments become more absolute and authoritarian.
   3. They view rule violations in an isolated context.
   4. They know the rules but cannot understand the reasons behind them.

6. 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. How should the nurse interpret this statement?
   1. A common belief at this age
   2. A belief that forms the basis for most religions
   3. Suggestive of excessive family pressure

1. 4. Suggestive of a failure to develop a conscience

7. Parents ask the nurse whether it is common for their school-age child to spend a lot of time with peers. The nurse should respond, explaining that the role of the peer group in the life of school-age children provides:
   1. opportunity to become defiant.
   2. time to remain dependent on their parents for a longer time.
   3. time to establish a one-on-one relationship with the opposite sex.
   4. security as they gain independence from their parents.

8. 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. How should this be interpreted?
   1. Behavior that encourages bullying and sexism
   2. Behavior that reinforces poor peer relationships
   3. Characteristic of social development at this age
   4. Characteristic of children who later are at risk for membership in gangs

9. A school nurse observes school-age children playing at recess. Which is descriptive of the play the nurse expects to observe?
   1. Individuality in play is better tolerated than at earlier ages.
   2. Knowing the rules of a game gives an important sense of belonging.
   3. They like to invent games, making up the rules as they go.

1. 4. Team play helps children learn the universal importance of competition and winning.

10. Bullying can be common during the school-age years. The nurse should recognize that which applies to bullying?
    1. Can have a lasting effect on children
    2. Is not a significant threat to self-concept
    3. Is rarely based on anything that is concrete
    4. Is usually ignored by the child who is being bullied

11. Which is characteristic of dishonest behavior in children ages 8 to 10 years?
    1. Cheating during games is now more common.
    2. Lying results from the inability to distinguish between fact and fantasy.
    3. They may steal because their sense of property rights is limited.
    4. They may lie to meet expectations set by others that they have been unable to attain.

12. 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 has been somewhat aggressive and stubborn in the classroom. How should the nurse interpret this behavior?
    1. A sign of stress
    2. A developmental delay
    3. A physical problem
    4. A lack of adjustment to school

13. Which statement best describes fear in the school-age child?
    1. They are increasingly fearful for body safety.
    2. Most of the new fears that trouble them are related to school and family.
    3. They should be encouraged to hide their fears to prevent ridicule by peers.
    4. Those who have numerous fears need continuous protective behavior by parents to eliminate these fears.

14. The father of a 12-year-old child tells the nurse that he is concerned about his son getting “fat.” His son is at the 50th percentile for height and the 75th percentile for weight on the growth chart. What is the most appropriate nursing action?
    1. Reassure the father that his child is not fat
    2. Reassure the father that his child is just growing
    3. Suggest a low-calorie, low-fat diet
    4. Explain that this is typical of the growth pattern of boys at this age

15. A child has an evulsed (knocked-out) tooth. Which medium should the nurse instruct the parents to place the tooth in for transport to the dentist?
    1. In cold milk
    2. In cold water
    3. In warm salt water
    4. In a dry, clean jar

16. The school nurse has been asked to begin teaching sex education in the fifth grade. What should the nurse recognize about this age group?
    1. Children in fifth grade are too young for sex education.
    2. Children should be discouraged from asking too many questions.
    3. Correct terminology should be reserved for children who are older.
    4. Sex can be presented as a normal part of growth and development.

17. The school nurse is conducting a class on bicycle safety. Which statement made by a participant indicates a need for further teaching?
    1. “Most bicycle injuries occur from a fall off the bicycle.”
    2. “Head injuries are the major causes of bicycle-related fatalities.”
    3. “I should replace my helmet every 5 years.”
    4. “I can ride double with a friend if the bicycle has an extra-large seat.”

18. When teaching injury prevention during the school-age years, what should the nurse include?
    1. Teach children to fear strangers.
    2. Teach basic rules of water safety.
    3. Avoid letting child cook in microwave ovens.
    4. Caution child against engaging in competitive sports.

19. A nurse is teaching parents of kindergarten children general guidelines to assist their children in school. Which statement by the parents indicates they understand the teaching?
    1. “We will only meet with the teacher if problems occur.”
    2. “We will discourage hobbies so our child focuses on schoolwork.”
    3. “We will plan a trip to the library as often as possible.”
    4. “We will expect our child to make all As in school.”

20. A school nurse is teaching dental health practices to a group of sixth-grade children. How often should the nurse recommend the children brush their teeth?
    1. Twice a day
    2. Three times a day

1. 3. After meals
   4. After meals, after snacks, and at bedtime

21. Parents of a 12-year-old child ask the clinic nurse, “How many hours of sleep should our child get?” The nurse should respond that 12-year-old children need how many hours of sleep at night?
    1. 8
    2. 9
    3. 10
    4. 11

22. A nurse planning care for a school-age child should take into account that which thought process is seen at this age?
    1. Animism
    2. Magical thinking
    3. Ability to conserve
    4. Thoughts are all-powerful

23. A school-age child falls on the playground and has a small laceration on the forearm. The school nurse should do which to cleanse the wound?
    1. Slowly pour hydrogen peroxide over wound.

1. 2. Soak arm in warm water and soap for at least 30 minutes.
   3. Gently cleanse with sterile pad and a non-stinging povidone-iodine solution.
   4. Wash wound gently with mild soap and water for several minutes.

MULTIPLE RESPONSE

1. A nurse is planning care for a 7-year-old child hospitalized with osteomyelitis. Which activities should the nurse plan to bring from the playroom for the child?
   1. Paper and some paints
   2. Board games
   3. Jack-in-the-box
   4. Stuffed animals
   5. Computer games

2. A nurse teaches parents that team play is important for school-age children. Which can children develop by experiencing team play?
   1. Achieve personal goals over group goals.
   2. Learn complex rules.
   3. Experience competition.
   4. Learn about division of labor.