Test bank for wongs nursing care of infants and children multimedia enhanced version 9th edition download

645 TOP: Nursing Process: Assessment Maintenance MSC: Client Needs: Health Promotion and 2.. 650 TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance 3..

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Wong’s Nursing Care of Infants and Children Study Aid 9th Edition Test Bank –

Hockenberry

Sample

Chapter 17: Health Promotion of the School-Age Child and Family

Test Bank

MULTIPLE CHOICE

1 Which of the following statements accurately describes physical

development during the school-age years?

a Child’s weight almost triples

b Muscles become functionally mature

c Boys and girls double strength and physical capabilities

d Fat gradually increases, which contributes to

child’s heavier appearance

ANS: C

Boys and girls double both strength and physical capabilities Their consistent refinement

in coordination increases their poise and skill In middle childhood, growth in height and weight occurs at a slower pace Between the ages of 6 and 12 years, children grow 5

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increases, muscles are still functionally immature when compared with those of

adolescents This age-group is more easily injured by overuse Children take on a

slimmer look with longer legs in middle childhood

DIF: Cognitive Level: Comprehension REF: p 645

TOP: Nursing Process: Assessment

Maintenance

MSC: Client Needs: Health Promotion and

2 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 of the following?

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

ANS: C

Classification skills involve the ability to group objects according to the attributes they have in common School-age children can place things in a sensible and logical order, group and sort, and hold a concept in their mind while they make decisions based on that concept Individuals who are not twins engage in classification at this age Psychosocial behavior at this age is described according to Erikson’s stage of industry versus

inferiority

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TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance

3 Which of the following statements 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 has knowledge of 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

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Maintenance

4 An 8-year-old girl tells the nurse that she has cancer because God is punishing her for “being bad.” The nurse should interpret this as being which of the following?

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

ANS: A

Children at this age may view illness or injury as a punishment for a real or imagined misbehavior School-age children expect to be punished and tend to choose a punishment that they think “fits the crime.” This is a common belief and not related to excessive family pressure Many faiths do not include a God that causes cancer in response for

“bad” behavior This statement reflects the child’s belief in what is right and wrong

TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity

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

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a Decreases their need to learn appropriate sex roles

b Gives them an opportunity to learn dominance and

hostility

c Allows them to remain dependent on their parents for a

longer time

d Provides them with security as they gain independence

from their parents

ANS: D

Peer-group identification is an important factor in gaining independence from parents Through peer relationships, children learn ways to deal with dominance and hostility They also learn how to relate to people in positions of leadership and authority and how

to explore ideas and the physical environment A child’s concept of appropriate sex roles

is influenced by relationship with peers

Maintenance

6 Which of the following is descriptive of the social development of school-age children?

a Identification with peers is minimum

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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

ANS: B

Identification with peers is a strong influence in children’s gaining independence from parents Interaction among peers leads to the formation of close friendships with same-sex peers—“best friends.” Daily relationships with age-mates in the school setting provide important social interaction for school-age children During later school years, groups are composed predominantly of children of the same sex Conforming to the rules of the peer group provides children with a sense of security and relieves them of the responsibility of making decisions

Maintenance

7 Which of the following statements 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

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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

Maintenance

8 A parent asks about whether a 7-year-old is able to care for a dog Based on the child’s age, the nurse suggests:

a caring for an animal requires more maturity than

the average 7-year-old possesses

b this will help the parent identify the child’s weaknesses

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c a dog can help the child develop confidence and

Maintenance

9 The school nurse has been asked to begin teaching sex education in the fifth grade The nurse should recognize that:

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

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At 10 to 11 years old, fifth graders are not too young to speak about physiologic changes

in their bodies Preadolescents need precise and concrete information

TOP: Integrated Process: Teaching/Learning

MSC: Client Needs: Health Promotion and Maintenance

10 Which of the following is descriptive of the play of school-age children?

a They like to invent games, making up the rules as

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d Team play helps children learn the universal importance

of competition and winning

ANS: C

Play involves increased physical skill, intellectual ability, and fantasy Children form groups and cliques and develop a sense of belonging to a team or club At this age, children begin to see the need for rules Conformity and ritual permeate their play Their games have fixed and unvarying rules, which may be bizarre and extraordinarily rigid With team play, children learn about competition and the importance of winning, an attribute highly valued in the United States but not in all cultures

Maintenance

11 The school nurse is providing guidance to families of children who are entering elementary school Essential information to include is:

a meet with teachers only at scheduled conferences

b encourage growth of a sense of responsibility in children

c provide tutoring for child to ensure mastery of material

d homework should be done as soon as child comes

home from school

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Maintenance

12 Which of the following 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

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ANS: C

Older school-age children may lie to meet expectations set by others to which they have been unable to measure up Cheating usually becomes less frequent as the child matures Young children may lack a sense of property rights; older children may steal to

supplement an inadequate allowance, or it may be an indication of serious problems In this age-group, children are able to distinguish between fact and fantasy

TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance

13 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 of the following?

a Signs of stress

b Developmental delay

c Lack of adjustment to school environment

d Physical problem that needs medical intervention

ANS: A

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Signs of stress include stomach pains or headache, sleep problems, bed-wetting, changes

in eating habits, aggressive or stubborn behavior, reluctance to participate, or regression

to earlier behaviors The child is completing school work satisfactorily; any

developmental delay would have been diagnosed earlier The teacher reports that this is a departure from the child’s normal behavior Adjustment issues would most likely be evident soon after a change Medical intervention is not immediately required

Recognizing that this constellation of symptoms can indicate stress, the nurse should help the child identify sources of stress and how to use stress reduction techniques The parents are involved in the evaluation process

TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity

14 Which one of the following statements best describes fear in the school-age

child? 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

ANS: C

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related predominantly to school and family bother children during this time Parents and other persons involved with children should discuss children’s fear with them

individually or as a group activity Sometimes school-age children hide their fears to avoid being teased Hiding the fears does not end them and may lead to phobias

DIF: Cognitive Level: Application REF: p 664

Maintenance

15 A school-age child has begun to sleepwalk The nurse advises the parents to:

a wake the child and help determine what is wrong

b leave the child alone unless he or she is in danger

of harming self 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

ANS: B

Sleepwalking is usually self-limiting and requires no treatment The child usually moves about restlessly and then returns to bed Usually the actions are repetitive and clumsy The child should not be awakened unless in danger If there is a need to awaken the child,

it should be done by calling the child’s name to gradually bring to a state of alertness

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Some children, who are usually well behaved and tend to repress feelings, may

sleepwalk due to strong emotions These children usually respond to relaxation

techniques before bedtime If a child is overly fatigued, sleepwalking can increase

MSC: Client Needs: Physiological Integrity: Basic Care and Comfort

16 The school nurse is discussing after-school sports participation with parents of children age 10 years The nurse’s presentation includes which of the following important considerations?

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 child’s abilities

ANS: D

Virtually every child is suited for some type of sport The child should be matched to the type of sport appropriate to his or her abilities and physical and emotional makeup At this age, girls and boys have the same basic structure and similar responses to exercise and training After puberty, teams should be gender specific because of the increased

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acquisition The emphasis should be on playing and learning Children do enjoy

appropriate levels of competition

17 Nursing interventions to promote health during middle childhood include which

of the following?

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,

since these are the years in which permanent teeth erupt

ANS: D

The permanent teeth erupt during the school-age years Good dental hygiene and regular attention to dental caries are vital parts of health supervision during this period Caloric needs are decreased in relation to body size for this age-group Balanced nutrition is

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essential to promote growth Questions about sex should be addressed honestly as

the child asks questions The child usually no longer needs a nap, but most require

approximately 11 hours of sleep each night at age 5 and 9 hours at age 12

18 When a child requires medication in school, authorization is required from:

to receive over-the-counter medications with parental permission The pharmacist may be asked to appropriately label the medication for use at the school, but authorization is not required The school administration should have a policy in place that facilitates the

administration of medications for children who need them The prescribing

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