Chapter 14 - Health Promotion of the School Age Child and Family Flashcards

1
Q

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

a. The childs weight almost triples.
b. Muscles become functionally mature.
c. Boys and girls double strength and physical capabilities.
d. Fat gradually increases, which contributes to childrens heavier appearance.

A

c. Boys and girls double strength and physical capabilities.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

The parents of 9-year-old twin children tell the nurse, They have filled up their bedroom with collections of rocks, shells, stamps, and bird nests. The nurse should recognize that this is which?

a. Indicative of giftedness
b. Indicative of typical twin behavior
c. Characteristic of cognitive development at this age
d. Characteristic of psychosocial development at this age

A

c. Characteristic of cognitive development at this age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What statement characterizes moral development in the older school-age child?

a. Rule violations are viewed in an isolated context.
b. Judgments and rules become more absolute and authoritarian.
c. The child remembers the rules but cannot understand the reasons behind them.
d. The child is able to judge an act by the intentions that prompted it rather than just by the consequences.

A

d. The child is able to judge an act by the intentions that prompted it rather than just by the consequences.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

An 8-year-old girl tells the nurse that she has cancer because God is punishing her for being bad. What should the nurse interpret this as?

a. A common belief at this age
b. Indicative of excessive family pressure
c. Faith that forms the basis for most religions
d. Suggestive of a failure to develop a conscience

A

a. A common belief at this age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is descriptive of the social development of school-age children?

a. Identification with peers is minimum.
b. Children frequently have best friends.
c. Boys and girls play equally with each other
d. Peer approval is not yet an influence for the child to conform

A

b. Children frequently have best friends.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What statement best describes the relationship school-age children have with their families?

a. Ready to reject parental controls
b. Desire to spend equal time with family and peers
c. Need and want restrictions placed on their behavior by the family
d. Peer group replaces the family as the primary influence in setting standards of behavior and rules

A

c. Need and want restrictions placed on their behavior by the family

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

A parent asks about whether a 7-year-old child is able to care for a dog. Based on the child age, what does the nurse suggest?

a. Caring for an animal requires more maturity than the average 7-year-old possesses.
b. This will help the parent identify the childs weaknesses.
c. A dog can help the child develop confidence and emotional health.
d. Cats are better pets for school-age children.

A

c. A dog can help the child develop confidence and emotional health.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

The school nurse has been asked to begin teaching sex education in the fifth grade. What should the nurse recognize?

a. Questions need to be discouraged in this setting.
b. Most children in the fifth grade are too young for sex education.
c. Sexuality is presented as a normal part of growth and development.
d. Correct terminology should be reserved for children who are older.

A

c. Sexuality is presented as a normal part of growth and development.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

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

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

A

c. Knowing the rules of a game gives an important sense of belonging.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

The school nurse is providing guidance to families of children who are entering elementary school. What is essential information to include?

a. Meet with teachers only at scheduled conferences.
b. Encourage growth of a sense of responsibility in children.
c. Provide tutoring for children to ensure mastery of material.
d. Homework should be done as soon as child comes home from school.

A

b. Encourage growth of a sense of responsibility in children.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

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

a. Cheating during games is now more common.
b. Stealing can occur because their sense of property rights is limited.
c. Lying is used to meet expectations set by others that they have been unable to attain.
d. Dishonesty results from the inability to distinguish between fact and fantasy.

A

c. Lying is used to meet expectations set by others that they have been unable to attain.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

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

a. Signs of stress
b. Developmental delay
c. Lack of adjustment to school environment
d. Physical problem that needs medical intervention

A

a. Signs of stress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What statement best describes fear in school-age children?

a. Increasing concerns about bodily safety overwhelm them.
b. They should be encouraged to hide their fears to prevent ridicule by peers.
c. Most of the new fears that trouble them are related to school and family.
d. Children with numerous fears need continuous protective behavior by parents to eliminate these fears.

A

c. Most of the new fears that trouble them are related to school and family.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

A school-age child has begun to sleepwalk. What does the nurse advise the parents to perform?

a. Wake the child and help determine what is wrong.
b. Leave the child alone unless he or she is in danger of harming him- or herself or others.
c. Arrange for psychologic evaluation to identify the cause of stress.
d. Keep the child awake later in the evening to ensure sufficient tiredness for a full night of sleep.

A

b. Leave the child alone unless he or she is in danger of harming him- or herself or others.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

The school nurse is discussing after-school sports participation with parents of children age 10 years. The nurses presentation includes which important consideration?

a. Teams should be gender specific.
b. Organized sports are not appropriate at this age.
c. Competition is detrimental to the establishment of a positive self-image.
d. Sports participation is encouraged if the type of sport is appropriate to the childs abilities.

A

d. Sports participation is encouraged if the type of sport is appropriate to the childs abilities.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What do nursing interventions to promote health during middle childhood include?

a. Stress the need for increased calorie intake to meet increased demands.
b. Instruct parents to defer questions about sex until the child reaches adolescence.
c. Advise parents that the child will need increasing amounts of rest toward the end of this period.
d. Educate parents about the need for good dental hygiene because these are the years in which permanent teeth erupt.

A

d. Educate parents about the need for good dental hygiene because these are the years in which permanent teeth erupt.

17
Q

The school nurse needs to obtain authorization for a child who requires medications while at school. From whom does the nurse obtain the authorization?

a. The parents
b. The pharmacist
c. The school administrator
d. The prescribing practitioner

A

a. The parents

18
Q

What is an important consideration in preventing injuries during middle childhood?

a. Achieving social acceptance is a primary objective.
b. The incidence of injuries in girls is significantly higher than it is in boys.
c. Injuries from burns are the highest at this age because of fascination with fire.
d. Lack of muscular coordination and control results in an increased incidence of injuries

A

a. Achieving social acceptance is a primary objective.

19
Q

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

a. Teach children about 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

b. Teach basic rules of water safety.