Question 1

What describes moral development in younger school-age children?

Accepted Answer

A) The standards of behavior now come from within themselves. 
B) They do not yet experience a sense of guilt when they misbehave. 
C) They know the rules and behaviors expected of them but do not understand the reasons behind them. 
D) They no longer interpret accidents and misfortunes as punishment for misdeeds. 
A) The standards of behavior now come from within themselves. 
B) They do not yet experience a sense of guilt when they misbehave. 
C) They know the rules and behaviors expected of them but do not understand the reasons behind them. 
D) They no longer interpret accidents and misfortunes as punishment for misdeeds.

Question 2

A 9-year-old girl often comes to the school nurse complaining of stomach pains.Her teacher says that she is completing her schoolwork satisfactorily,but lately she has been somewhat aggressive and stubborn in the classroom.The school nurse should recognize this as:

Accepted Answer

A) Signs of stress. 
B) Developmental delay. 
C) A physical problem causing emotional stress. 
D) Lack of adjustment to the school environment. 
A) Signs of stress. 
B) Developmental delay. 
C) A physical problem causing emotional stress. 
D) Lack of adjustment to the school environment.

Question 3

Which statement best describes fear in school-age children?

Accepted Answer

A) They are increasingly fearful for body safety. 
B) Most of the new fears that trouble them are related to school and family. 
C) They should be encouraged to hide their fears to prevent ridicule by peers. 
D) Those who have numerous fears need continuous protective behavior by parents to eliminate these fears. 
A) They are increasingly fearful for body safety. 
B) Most of the new fears that trouble them are related to school and family. 
C) They should be encouraged to hide their fears to prevent ridicule by peers. 
D) Those who have numerous fears need continuous protective behavior by parents to eliminate these fears.

Question 4

The role of the peer group in the life of school-age children is that it:

Accepted Answer

A) Gives them an opportunity to learn dominance and hostility. 
B) Allows them to remain dependent on their parents for a longer time. 
C) Decreases their need to learn appropriate sex roles. 
D) Provides them with security as they gain independence from their parents. 
A) Gives them an opportunity to learn dominance and hostility. 
B) Allows them to remain dependent on their parents for a longer time. 
C) Decreases their need to learn appropriate sex roles. 
D) Provides them with security as they gain independence from their parents.

Question 5

What is descriptive of the play of school-age children?

Accepted Answer

A) Individuality in play is better tolerated than at earlier ages. 
B) Knowing the rules of a game gives an important sense of belonging. 
C) They like to invent games, making up the rules as they go. 
D) Team play helps children learn the universal importance of competition and winning. 
A) Individuality in play is better tolerated than at earlier ages. 
B) Knowing the rules of a game gives an important sense of belonging. 
C) They like to invent games, making up the rules as they go. 
D) Team play helps children learn the universal importance of competition and winning.

Question 6

A nurse is assessing an older school-age child recently admitted to the hospital.Which assessment indicates that the child is in an appropriate stage of cognitive development?

Accepted Answer

A) The child's addition and subtraction ability 
B) The child's ability to classify 
C) The child's vocabulary 
D) The child's play activity 
A) The child's addition and subtraction ability 
B) The child's ability to classify 
C) The child's vocabulary 
D) The child's play activity

Question 7

Peer victimization is becoming a significant problem for school-age children and adolescents in the United States.Parents should be educated regarding signs that a child is being bullied.These might include (select all that apply):

Accepted Answer

A) The child spends an inordinate amount of time in the nurse's office. 
B) Belongings frequently go missing or are damaged. 
C) The child wants to be driven to school. 
D) School performance improves. 
E) The child freely talks about his or her day. 
A) The child spends an inordinate amount of time in the nurse's office. 
B) Belongings frequently go missing or are damaged. 
C) The child wants to be driven to school. 
D) School performance improves. 
E) The child freely talks about his or her day.

Question 8

Generally the earliest age at which puberty begins is:

Accepted Answer

A) 13 years in girls, 13 years in boys. 
B) 11 years in girls, 11 years in boys. 
C) 10 years in girls, 12 years in boys. 
D) 12 years in girls, 10 years in boys. 
A) 13 years in girls, 13 years in boys. 
B) 11 years in girls, 11 years in boys. 
C) 10 years in girls, 12 years in boys. 
D) 12 years in girls, 10 years in boys.

Question 9

The father of 12-year-old Ryan tells the nurse that he is concerned about his son getting "fat." Ryan's body mass index for age is at the 60th percentile.The most appropriate nursing action is to:

Accepted Answer

A) Reassure the father that Ryan is not "fat." 
B) Reassure the father that Ryan is just a growing child. 
C) Suggest a low-calorie, low-fat diet. 
D) Explain that this is typical of the growth pattern of boys at this age. 
A) Reassure the father that Ryan is not "fat." 
B) Reassure the father that Ryan is just a growing child. 
C) Suggest a low-calorie, low-fat diet. 
D) Explain that this is typical of the growth pattern of boys at this age.

Question 10

Which behavior is not normally demonstrated in the 8-year-old child?

Accepted Answer

A) Understands that his or her point of view is not the only one 
B) Enjoys telling riddles and silly jokes 
C) Understands that pouring liquid from a small to a large container does not change the amount 
D) Engages in fantasy and magical thinking 
A) Understands that his or her point of view is not the only one 
B) Enjoys telling riddles and silly jokes 
C) Understands that pouring liquid from a small to a large container does not change the amount 
D) Engages in fantasy and magical thinking

Question 11

Because school-age children have developed increased muscular coordination and can apply cognitive ability to their behavior, the number of injuries in middle childhood is diminished compared to early childhood. Even so, injuries still occur near home and school. The most effective means of prevention is education for both the child and family regarding the hazards of risk-taking and the improper use of equipment. Please match the developmental ability of the school-age child with the injury for which he or she is at risk.

-Is apt to overdo

Accepted Answer

A) Motor vehicle accidents 
B) Drowning 
C) Burns 
D) Poisoning 
E) Bodily damage 
A) Motor vehicle accidents 
B) Drowning 
C) Burns 
D) Poisoning 
E) Bodily damage

Question 12

Which statement characterizes moral development in older school-age children?

Accepted Answer

A) They are able to judge an act by the intentions that prompted it rather than just by the consequences. 
B) Rules and judgments become more absolute and authoritarian. 
C) They view rule violations in an isolated context. 
D) They know the rules but cannot understand the reasons behind them. 
A) They are able to judge an act by the intentions that prompted it rather than just by the consequences. 
B) Rules and judgments become more absolute and authoritarian. 
C) They view rule violations in an isolated context. 
D) They know the rules but cannot understand the reasons behind them.

Question 13

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.The nurse should interpret this as being:

Accepted Answer

A) A belief common at this age. 
B) A belief that forms the basis for most religions. 
C) Suggestive of excessive family pressure. 
D) Suggestive of a failure to develop a conscience. 
A) A belief common at this age. 
B) A belief that forms the basis for most religions. 
C) Suggestive of excessive family pressure. 
D) Suggestive of a failure to develop a conscience.

Question 14

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.This should be interpreted as:

Accepted Answer

A) Behavior that encourages bullying and sexism. 
B) Behavior that reinforces poor peer relationships. 
C) Characteristic of social development of this age. 
D) Characteristic of children who later are at risk for membership in gangs. 
A) Behavior that encourages bullying and sexism. 
B) Behavior that reinforces poor peer relationships. 
C) Characteristic of social development of this age. 
D) Characteristic of children who later are at risk for membership in gangs.

Question 15

A nurse is teaching parents of first-grade children general guidelines to assist their children in adapting to school.Which statement by the parents indicates they understand the teaching?

Accepted Answer

A) "We will only meet with the teacher if problems occur." 
B) "We will discourage hobbies so our child focuses on schoolwork." 
C) "We will plan a trip to the library as often as possible." 
D) "We will expect our child to make all As in school." 
A) "We will only meet with the teacher if problems occur." 
B) "We will discourage hobbies so our child focuses on schoolwork." 
C) "We will plan a trip to the library as often as possible." 
D) "We will expect our child to make all As in school."

Question 16

What is characteristic of dishonest behavior in children ages 8 to 10 years?

Accepted Answer

A) Cheating during games is now more common. 
B) Lying results from the inability to distinguish between fact and fantasy. 
C) They may steal because their sense of property rights is limited. 
D) They may lie to meet expectations set by others that they have been unable to attain. 
A) Cheating during games is now more common. 
B) Lying results from the inability to distinguish between fact and fantasy. 
C) They may steal because their sense of property rights is limited. 
D) They may lie to meet expectations set by others that they have been unable to attain.

Question 17

The school nurse has been asked to begin teaching sex education in the 5th grade.The nurse should recognize that:

Accepted Answer

A) Children in 5th grade are too young for sex education. 
B) Children should be discouraged from asking too many questions. 
C) Correct terminology should be reserved for children who are older. 
D) Sex can be presented as a normal part of growth and development. 
A) Children in 5th grade are too young for sex education. 
B) Children should be discouraged from asking too many questions. 
C) Correct terminology should be reserved for children who are older. 
D) Sex can be presented as a normal part of growth and development.

Question 18

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?

Accepted Answer

A) 8 
B) 9 
C) 10 
D) 11 
A) 8 
B) 9 
C) 10 
D) 11

Question 19

A child has an evulsed (knocked-out)tooth.In which medium should the nurse instruct the parents to place the tooth for transport to the dentist?

Accepted Answer

A) Cold milk 
B) Cold water 
C) Warm salt water 
D) A dry, clean jar 
A) Cold milk 
B) Cold water 
C) Warm salt water 
D) A dry, clean jar

Exam 34: The School-Age Child and Family

What describes moral development in younger school-age children?

A 9-year-old girl often comes to the school nurse complaining of stomach pains.Her teacher says that she is completing her schoolwork satisfactorily,but lately she has been somewhat aggressive and stubborn in the classroom.The school nurse should recognize this as:

Which statement best describes fear in school-age children?

The role of the peer group in the life of school-age children is that it:

What is descriptive of the play of school-age children?

A nurse is assessing an older school-age child recently admitted to the hospital.Which assessment indicates that the child is in an appropriate stage of cognitive development?

Peer victimization is becoming a significant problem for school-age children and adolescents in the United States.Parents should be educated regarding signs that a child is being bullied.These might include (select all that apply):

Generally the earliest age at which puberty begins is:

The father of 12-year-old Ryan tells the nurse that he is concerned about his son getting "fat." Ryan's body mass index for age is at the 60th percentile.The most appropriate nursing action is to:

Which behavior is not normally demonstrated in the 8-year-old child?

Which statement characterizes moral development in older school-age children?

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.The nurse should interpret this as being:

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.This should be interpreted as:

A nurse is teaching parents of first-grade children general guidelines to assist their children in adapting to school.Which statement by the parents indicates they understand the teaching?

What is characteristic of dishonest behavior in children ages 8 to 10 years?

The school nurse has been asked to begin teaching sex education in the 5th grade.The nurse should recognize that:

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?

A child has an evulsed (knocked-out)tooth.In which medium should the nurse instruct the parents to place the tooth for transport to the dentist?

21st Century Maternity Nursing

Community Care: the Family and Culture

Assessment and Health Promotion

Reproductive System Concerns

Infertility,contraception,and Abortion

Genetics, conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care of the Family During Pregnancy

Maternal and Fetal Nutrition

Assessment of High Risk Pregnancy

Pregnancy at Risk: Preexisting Conditions

Pregnancy at Risk: Gestational Conditions

Labor and Birth Processes

Pain Management

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Labor and Birth Complications

Maternal Physiologic Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Postpartum Complications

Physiologic and Behavioral Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

The High Risk Newborn

21st Century Pediatric Nursing

Family, social, cultural, and Religious Influences on Child Health Promotion

Developmental and Genetic Influences on Child Health Promotion

Communication, history, and Physical Assessment

Pain Assessment and Management in Children

The Infant and Family

The Toddler and Family

The Preschooler and Family

The Adolescent and Family

Chronic Illness, disability, and End-Of-Life Care

Impact of Cognitive or Sensory Impairment on the Child and Family

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

Gastrointestinal Dysfunction

Cardiovascular Dysfunction

Hematologic and Immunologic Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

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