Question 1

A 9-year-old child has just been diagnosed with recurrent abdominal pain (RAP).What should the nurse state when preparing the family for discharge?

Accepted Answer

A)  "Your child should be on a high-fibre diet." 
B)  "You may give your child a stimulant laxative once a week." 
C)  "You should avoid administering antispasmodics." 
D)  "Your child may place ice packs on the abdomen when pain occurs." 
A)  "Your child should be on a high-fibre diet." 
B)  "You may give your child a stimulant laxative once a week." 
C)  "You should avoid administering antispasmodics." 
D)  "Your child may place ice packs on the abdomen when pain occurs." A

Question 2

Which is an important consideration when the nurse is discussing enuresis with the parents of a young child?

Accepted Answer

A)  Enuresis is more common in girls than in boys. 
B)  Enuresis is neither inherited nor does it have a familial tendency. 
C)  Organic causes that may be related to enuresis should be considered first. 
D)  Psychogenic factors that cause enuresis persist into adulthood. 
A)  Enuresis is more common in girls than in boys. 
B)  Enuresis is neither inherited nor does it have a familial tendency. 
C)  Organic causes that may be related to enuresis should be considered first. 
D)  Psychogenic factors that cause enuresis persist into adulthood. C

Question 3

Which statement accurately describes physical development during the school-age years?

Accepted Answer

A)  The child's weight almost triples. 
B)  A child grows an average of 5 cm per year. 
C)  Few physical differences are apparent among children at the end of middle childhood. 
D)  Fat gradually increases, which contributes to the child's heavier appearance. 
A)  The child's weight almost triples. 
B)  A child grows an average of 5 cm per year. 
C)  Few physical differences are apparent among children at the end of middle childhood. 
D)  Fat gradually increases, which contributes to the child's heavier appearance. B

Question 4

Which of the following is a characteristic of children with depression?

Accepted Answer

A)  Increased range of affective response 
B)  Preoccupation with the need to perform well in school 
C)  Change in appetite, resulting in weight loss or gain 
D)  Tendency to prefer play instead of schoolwork 
A)  Increased range of affective response 
B)  Preoccupation with the need to perform well in school 
C)  Change in appetite, resulting in weight loss or gain 
D)  Tendency to prefer play instead of schoolwork

Question 5

Which statement best describes 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 judgements 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 judgements 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 6

The nurse expects a child with post-traumatic stress disorder ( PTSD )to be in the intense arousal response for what duration of time?

Accepted Answer

A)  2 hours 
B)  2 days 
C)  2 weeks 
D)  2 months 
A)  2 hours 
B)  2 days 
C)  2 weeks 
D)  2 months

Question 7

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 one of the following?

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 8

A group of boys,ages 9 and 10 years,have formed a "boys-only" club that is open to neighbourhood and school friends who have skateboards.How should this be interpreted?

Accepted Answer

A)  It is behaviour that encourages bullying and sexism. 
B)  It is behaviour that reinforces poor peer relationships. 
C)  It is characteristic of social development at this age. 
D)  It is characteristic of children who later are at risk for gang involvement. 
A)  It is behaviour that encourages bullying and sexism. 
B)  It is behaviour that reinforces poor peer relationships. 
C)  It is characteristic of social development at this age. 
D)  It is characteristic of children who later are at risk for gang involvement.

Question 9

What is one important consideration for the school nurse who is planning a class on bicycle safety?

Accepted Answer

A)  Most bicycle injuries involve collision with an automobile. 
B)  Head injuries are the major cause of bicycle-related fatalities. 
C)  Children should wear bicycle helmets if they ride on paved streets. 
D)  Children should not ride double unless the bicycle has an extra-large seat. 
A)  Most bicycle injuries involve collision with an automobile. 
B)  Head injuries are the major cause of bicycle-related fatalities. 
C)  Children should wear bicycle helmets if they ride on paved streets. 
D)  Children should not ride double unless the bicycle has an extra-large seat.

Question 10

Which sentence best describes the cognitive abilities of school-age children?

Accepted Answer

A)  They have developed the ability to reason abstractly. 
B)  They become capable of scientific reasoning and formal logic. 
C)  They progress from making judgements based on what they reason, to making judgements based on what they see. 
D)  They have the ability to classify, group and sort, and hold a concept in their minds while making decisions based on that concept. 
A)  They have developed the ability to reason abstractly. 
B)  They become capable of scientific reasoning and formal logic. 
C)  They progress from making judgements based on what they reason, to making judgements based on what they see. 
D)  They have the ability to classify, group and sort, and hold a concept in their minds while making decisions based on that concept.

Question 11

Which statement describes moral development in younger school-age children?

Accepted Answer

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

Question 12

Which statement best describes the play of school-age children?

Accepted Answer

A)  Individuality in play is better tolerated than it was at earlier ages. 
B)  Knowing the rules of a game provides 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 it was at earlier ages. 
B)  Knowing the rules of a game provides 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 13

Generally,what is the earliest age when puberty begins?

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 14

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 concern?

Accepted Answer

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

Question 15

What is the role of the peer group in the life of school-age children?

Accepted Answer

A)  It gives them an opportunity to learn dominance and hostility. 
B)  It allows them to remain dependent on their parents for a longer time. 
C)  It decreases their need to learn appropriate sex roles. 
D)  It provides them with security as they gain independence from their parents. 
A)  It gives them an opportunity to learn dominance and hostility. 
B)  It allows them to remain dependent on their parents for a longer time. 
C)  It decreases their need to learn appropriate sex roles. 
D)  It provides them with security as they gain independence from their parents.

Question 16

The school nurse has been asked to begin teaching sex education in Grade 5.What should the nurse recognize about this grade level and sex education?

Accepted Answer

A)  Children in the fifth 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 the fifth 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 17

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 avoid ridicule from peers. 
D)  Those who have numerous fears need continuous protective behaviour from parents to eliminate them. 
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 avoid ridicule from peers. 
D)  Those who have numerous fears need continuous protective behaviour from parents to eliminate them.

Question 18

What should the nurse include in her lesson when teaching injury prevention to school-age children?

Accepted Answer

A)  The need to fear strangers 
B)  The basic rules of water safety 
C)  To avoid cooking with microwave ovens 
D)  Caution against engaging in competitive sports 
A)  The need to fear strangers 
B)  The basic rules of water safety 
C)  To avoid cooking with microwave ovens 
D)  Caution against engaging in competitive sports

Question 19

What is characteristic of dishonest behaviour in children aged 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 20

A mother calls the school nurse saying that her daughter has developed a school phobia.She has been out of school for 3 days.What action should the nurse recommend?

Accepted Answer

A)  Immediately return the child to school. 
B)  Explain to the child that this is the last day she can stay home. 
C)  Determine the cause of the phobia before returning child to school. 
D)  Seek professional counselling before forcing the child to return to school. 
A)  Immediately return the child to school. 
B)  Explain to the child that this is the last day she can stay home. 
C)  Determine the cause of the phobia before returning child to school. 
D)  Seek professional counselling before forcing the child to return to school.

Exam 39: The School-Age Child and Family

A 9-year-old child has just been diagnosed with recurrent abdominal pain (RAP).What should the nurse state when preparing the family for discharge?

Which is an important consideration when the nurse is discussing enuresis with the parents of a young child?

Which statement accurately describes physical development during the school-age years?

Which of the following is a characteristic of children with depression?

Which statement best describes moral development in older school-age children?

The nurse expects a child with post-traumatic stress disorder ( PTSD )to be in the intense arousal response for what duration of time?

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 one of the following?

A group of boys,ages 9 and 10 years,have formed a "boys-only" club that is open to neighbourhood and school friends who have skateboards.How should this be interpreted?

What is one important consideration for the school nurse who is planning a class on bicycle safety?

Which sentence best describes the cognitive abilities of school-age children?

Which statement describes moral development in younger school-age children?

Which statement best describes the play of school-age children?

Generally,what is the earliest age when puberty begins?

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 concern?

What is the role of the peer group in the life of school-age children?

The school nurse has been asked to begin teaching sex education in Grade 5.What should the nurse recognize about this grade level and sex education?

Which statement best describes fear in school-age children?

What should the nurse include in her lesson when teaching injury prevention to school-age children?

What is characteristic of dishonest behaviour in children aged 8 to 10 years?

A mother calls the school nurse saying that her daughter has developed a school phobia.She has been out of school for 3 days.What action should the nurse recommend?

Contemporary Perinatal Nursing in Canada

The Family and Culture

Community Care

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Health Assessment

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Infertility, contraception, and Abortion

Preconception, genetics, conception, and Fetal Development

Anatomy and Physiology of Pregnancy

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Pregnancy Risk Factors and Assessment: Maternal and Fetal

Pregnancy at Risk: Gestational Conditions

Pregnancy at Risk: Pre-Existing Conditions

Labour and Birth Processes

Comfort Measures for Labour

Fetal Health Surveillance During Labour

Nursing Care During Labour and Birth

Labour and Birth at Risk

Maternal Physiological Changes

Nursing Care During the Fourth Trimester

Transition to Parenthood

Postpartum Complications

Physiological Adaptations of the Newborn

Nursing Care of the Newborn

Newborn Nutrition and Feeding

Infants With Gestational Age-Related Problems

The Newborn at Risk: Acquired and Congenital Problems

Contemporary Pediatric Nursing in Canada

Community-Based Nursing Care of the Child and Family

Family Influences on Child Health Promotion

Social, cultural, and Religious Influences on Child Health Promotion

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Communication, history, physical, and Developmental Assessment

Pain Assessment and Management

The Infant and Family

The Toddler and Family

The Preschooler and Family

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Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

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