Nokea
A 9-year-old boy is often cranky and irritable, and his school performance has declined. What is the most probable factor causing this behavior?
- A. He sleeps only 6 to 7 hours a night.
- B. He eats eggs every day.
- C. He has a new dog.
- D. He plays about 1 to 3 hours each evening.
Correct Answer: A
Rationale: The 9-year-old child requires about 10 hours of sleep per night.
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A school-age child becomes frustrated with a school assignment and says, 'I can't do this!' What is the most developmentally supportive response from the parent?
- A. Ask, 'What is it that is so difficult?'
- B. Allow the child to quit the effort.
- C. Call in older siblings to help.
- D. Finish the project for them.
Correct Answer: A
Rationale: Helping the child focus on the problem that is keeping him from mastery can limit frustration. Quitting or having someone else finish is detrimental to the development of industry.
A 10-year-old child with disabilities is begging her parents for a dog. When at the pediatric clinic, the parents inquire about possible benefits pet ownership may provide to their child. What benefits of pet ownership should the nurse indicate? (Select all that apply.)
- A. Decrease the need for physical therapy
- B. Lower blood pressure
- C. Improve communication
- D. Foster trust
- E. Ease path to socialization
Correct Answer: B,C,D,E
Rationale: Studies have documented the positive influence of pet ownership on improving the medical and psychological outcome after illness or surgery. Disabled children especially benefit from interacting with pets.
What should the nurse keep in mind when planning to teach a class on nutrition to fourth-grade students?
- A. School-age children can concentrate on only one aspect of a situation.
- B. School-age children can think abstractly.
- C. School-age children are egocentric in their thinking.
- D. School-age children think logically and concretely.
Correct Answer: D
Rationale: Piaget refers to the thought process of this period as concrete operations, which involves logical thinking and an understanding of cause and effect.
The school nurse is planning sex education classes for school-age children. What should the nurse be sure to do?
- A. Use simple terms.
- B. Avoid slang or 'street' words and concepts.
- C. Keep topics on biological aspects of sexual development.
- D. Limit questions to keep content clear.
Correct Answer: A
Rationale: Using simple terms is essential but slang and street terms need to be clarified. Apply age-specific information across broad aspects of biological, social, and current attitudes.
A mother is concerned because her 9-year-old boy has developed the habit of twitching his eyes and flipping his hair while communicating with anyone. What is the best nursing response to this parent?
- A. This may indicate that he needs eyeglasses.'
- B. Children sometimes do these things for attention.'
- C. This behavior suggests low self-esteem.'
- D. Tics appear when a child is under stress.'
Correct Answer: D
Rationale: The child cannot help such actions and should not be scolded for them because they are mainly a result of tension.