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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.
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The nurse advises the parents of a 6-year-old child to try and ensure at least hours of sleep daily for the child.
Correct Answer: 11
Rationale: The 6-year-old school-age child needs at least 11 hours of sleep.
What type of relationships are the preferred social interactions for the school-age child?
- A. Heterosexual interest groups
- B. Association with one 'best friend'
- C. Rigidly organized groups with complex rules
- D. Same-sex peer groups
Correct Answer: D
Rationale: The preferred social interaction of the school-age child is in same-sex peer groups or cliques.
A seventh-grade girl tells the school nurse that her art teacher, a woman, is her hero. What is the most appropriate interpretation of the girl's comment?
- A. The student may be exploring her career options.
- B. The comment is cause for concern about sexual abuse.
- C. The child may have difficulty interacting with her peers.
- D. Hero worship is a normal phenomenon.
Correct Answer: D
Rationale: School-age children tend to admire their teachers and adult companions. For the 11- to 12-year-old, hero worship is a normal phenomenon.
When asked about her activities, a 10-year-old girl responded, 'I like school. I play the flute in the school band, and I take tennis lessons.' What does the nurse know these activities will help this child develop?
- A. Initiative
- B. Industry
- C. Identity
- D. Intimacy
Correct Answer: B
Rationale: The school-age period is referred to by Erikson as the stage of industry. Successful participation in activities facilitates the child's sense of industry.
A parent states, 'My 7-year-old really wants a dog. His 10-year-old brother has allergies to animal dander. I don't know what to do.' What type of pet should the nurse suggest as the best choice?
- A. A small breed of dog because the large dogs produce more allergens.
- B. An older unneutered dog that produces fewer allergens than a younger one.
- C. A cat because it requires less care and is less allergenic.
- D. A poodle, which does not shed, making it a good choice for people with allergies.
Correct Answer: D
Rationale: The poodle does not have a shed cycle and so it may be the least offensive pet for the allergic child.