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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.
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Which stage of cognitive development is a 9-year-old child in according to Piaget?
- A. Formal operations
- B. Preoperational
- C. Concrete operations
- D. Sensorimotor
Correct Answer: C
Rationale: School-age children are in the concrete operations stage of cognitive development.
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.
The school nurse is preserving a tooth that was knocked out on the school playground. What will the nurse be especially careful to do?
- A. Wrap the tooth loosely in a clean cloth.
- B. Rinse the tooth with alcohol.
- C. Handle the tooth only by the crown.
- D. Place the tooth in a warm environment.
Correct Answer: C
Rationale: When a permanent tooth is avulsed, the tooth should be picked up by the crown to prevent any further damage to the root and placed in milk until the child can be examined by a dentist.
The nurse discusses preparation for school with the parents of a 6-year-old girl who will soon be starting first grade. What statement by the girl's father leads the nurse to determine that the parents understood the information?
- A. We should put a stop to her thumb-sucking.'
- B. We'll have a talk about what school is like.'
- C. We will let her walk to the bus stop by herself.'
- D. We'll have her meet some children who will be in her class.'
Correct Answer: D
Rationale: To prepare a child for school, parents can arrange for the child to meet other children who will be entering school with her.
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.