Nokea
A mother reports that she has a new job and her 12-year-old child is home alone for a time after school. Which statement made by the parent alerts the nurse to a potentially unsafe situation for this child?
- A. I told him that he could invite a few friends after school.'
- B. I put a list of emergency numbers next to the telephone.'
- C. Last week we made a first aid kit together.'
- D. There is a neighbor available in case of an emergency.'
Correct Answer: A
Rationale: Latchkey children are subject to a higher rate of accidents. Permitting school-age children and their friends to be home alone in an unsupervised environment is an unsafe situation.
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The nurse is assessing a school-age child. What will the nurse expect in regard to physical development of this child?
- A. Growth of 3 to 6 inches per year
- B. Gain of 5 to 7 pounds per year
- C. Increase of head circumference by 1 inch per year
- D. A visual acuity of 20/20 by 9 years of age
Correct Answer: B
Rationale: During the school-age period, the average weight gain per year is generally 5.5 to 7 pounds.
What is the best suggestion by the nurse for an appropriate toy for a hospitalized 6-year-old boy?
- A. Handheld video game
- B. MP3 player
- C. Adventure book
- D. Jigsaw puzzle
Correct Answer: A
Rationale: The 6-year-old child can perform numerous feats that require muscle coordination. At this age, the handheld video game will offer competition without overexertion.
A parent asked the nurse, 'At what age are children capable of assuming more responsibility for personal belongings?' What is the nurse's best response based on knowledge of growth and development?
- A. 6 years
- B. 7 years
- C. 9 years
- D. 12 years
Correct Answer: C
Rationale: The 9-year-old child is dependable and assumes more responsibility for personal belongings.
What statement by an 11-year-old child leads the nurse to determine he has moved from the mind-set of egocentrism?
- A. I am a member of the best Cub Scout group in the world.'
- B. I must do my homework before I can play.'
- C. My dad can do anything!'
- D. I'm sorry. I bet that hurt your feelings.'
Correct Answer: D
Rationale: The ability to see another's point of view indicates moving away from egocentrism into a more altruistic mind-set.
A parent confides in the school nurse that her 8-year-old twins argue and bicker constantly. What is the best response by the nurse?
- A. Express alarm at the constant aggression.
- B. Voice concern and investigate referral for counseling.
- C. Inquire about what punitive action the parents have taken to stop it.
- D. Offer reassurance that such behavior is normal for 8-year-olds.
Correct Answer: D
Rationale: Argumentative and competitive behavior is normal in 8-year-olds.