Nokea
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.
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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.
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.
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 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.
What basic 'feeling' words should the nurse use in attempting to help a 7-year-old girl express her feelings about being in a new school? (Select all that apply.)
- A. Mad
- B. Glad
- C. Sad
- D. Scared
- E. Jealous
Correct Answer: A,B,C,D
Rationale: The words 'mad,' 'glad,' 'sad,' and 'scared' are basic feeling words that can prompt a young child to better express his or her feelings.