Question 1

What describes the cognitive abilities of school-age children?

Accepted Answer

A) Have developed the ability to reason abstractly 
B) Become capable of scientific reasoning and formal logic 
C) Progress from making judgments based on what they reason to making judgments based on what they see 
D) Have the ability to classify,group and sort,and hold a concept in their minds while making decisions based on that concept 
A) Have developed the ability to reason abstractly 
B) Become capable of scientific reasoning and formal logic 
C) Progress from making judgments based on what they reason to making judgments based on what they see 
D) Have the ability to classify,group and sort,and hold a concept in their minds while making decisions based on that concept D

Question 2

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:

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. C

Question 3

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. D

Question 4

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 5

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 6

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 7

A characteristic of children with depression is:

Accepted Answer

A) Increased range of affective response. 
B) Preoccupation with 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 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 8

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 9

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 10

A mother calls the school nurse saying that her daughter has developed a school phobia. She has been out of school 3 days. The nurse's recommendations should include:

Accepted Answer

A) Immediately returning the child to school. 
B) Explaining to the child that this is the last day she can stay home. 
C) Determining the cause of the phobia before returning child to school. 
D) Seeking professional counseling before forcing child to return to school. 
A) Immediately returning the child to school. 
B) Explaining to the child that this is the last day she can stay home. 
C) Determining the cause of the phobia before returning child to school. 
D) Seeking professional counseling before forcing child to return to school.

Question 11

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 12

Turner's syndrome is suspected in an adolescent girl with short stature. This is caused by:

Accepted Answer

A) Absence of one of the X chromosomes. 
B) Presence of an incomplete Y chromosome. 
C) Precocious puberty in an otherwise healthy child. 
D) Excess production of both androgens and estrogens. 
A) Absence of one of the X chromosomes. 
B) Presence of an incomplete Y chromosome. 
C) Precocious puberty in an otherwise healthy child. 
D) Excess production of both androgens and estrogens.

Question 13

An important consideration for the school nurse who is planning a class on bicycle safety is:

Accepted Answer

A) Most bicycle injuries involve collision with an automobile. 
B) Head injuries are the major causes 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 causes 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 14

An important consideration when the nurse is discussing enuresis with the parents of a young child is that:

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.

Question 15

When teaching injury prevention during the school-age years,the nurse should include:

Accepted Answer

A) Teach the need to fear strangers. 
B) Teach basic rules of water safety. 
C) Avoid letting children cook in microwave ovens. 
D) Caution children against engaging in competitive sports. 
A) Teach the need to fear strangers. 
B) Teach basic rules of water safety. 
C) Avoid letting children cook in microwave ovens. 
D) Caution children against engaging in competitive sports.

Question 16

A 9-year-old child has just been diagnosed with recurrent abdominal pain (RAP). What should the nurse include in preparing the family for discharge? Choose all that apply.

Accepted Answer

A) "Your child should be on a high-fiber diet." 
B) "You may give your child a stimulant laxative once a week." 
C) "You should help your child with bowel training to establish regular bowel habits." 
D) "Your child may place ice packs on the abdomen when pain occurs." 
A) "Your child should be on a high-fiber diet." 
B) "You may give your child a stimulant laxative once a week." 
C) "You should help your child with bowel training to establish regular bowel habits." 
D) "Your child may place ice packs on the abdomen when pain occurs."

Question 17

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 18

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 19

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 20

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.

Exam 39: The School-Age Child and Family

What describes the cognitive abilities of school-age children?

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:

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:

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 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:

What describes moral development in younger school-age children?

A characteristic of children with depression is:

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

Which statement best describes fear in school-age children?

A mother calls the school nurse saying that her daughter has developed a school phobia. She has been out of school 3 days. The nurse's recommendations should include:

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

Turner's syndrome is suspected in an adolescent girl with short stature. This is caused by:

An important consideration for the school nurse who is planning a class on bicycle safety is:

An important consideration when the nurse is discussing enuresis with the parents of a young child is that:

When teaching injury prevention during the school-age years,the nurse should include:

A 9-year-old child has just been diagnosed with recurrent abdominal pain (RAP). What should the nurse include in preparing the family for discharge? Choose all that apply.

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

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

Generally the earliest age at which puberty begins is:

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

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Pregnancy at Risk: Preexisting Conditions

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Management of Discomfort

Fetal Assessment During Labor

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Maternal Physiologic Changes

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