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.
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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.
The school nurse is preparing an educational program for new teachers regarding school-age children. What information is accurate for the nurse to include? (Select all that apply.)
- A. Participation in group activity increases.
- B. Egocentricity prevails.
- C. Thinking is logical.
- D. Preference is toward family interaction.
- E. Understand cause and effect.
Correct Answer: A,C,E
Rationale: Piaget refers to the thought processes of the school-age period as concrete operations. Concrete operations involve logical thinking and an understanding of cause and effect. The egocentric view of the preschool child is replaced by the ability to understand the point of view of another person.
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.
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.
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