Nokea
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.
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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.
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.
The pediatric nurse is presenting school-age children with information on safety issues to follow when going home alone. What guidelines should they be educated to follow? (Select all that apply.)
- A. Ask for identification before letting someone in the house.
- B. Never accept rides with strangers.
- C. Keep doors locked.
- D. Do not enter house if door is ajar.
- E. Walk to and from school with friends.
Correct Answer: B,C,D,E
Rationale: Strangers should never be allowed in the house. Children should be instructed never to accept rides with strangers, to keep doors locked, not to enter the house if the door is ajar, and to walk to and from school with friends.
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.
A 10-year-old child with disabilities is begging her parents for a dog. When at the pediatric clinic, the parents inquire about possible benefits pet ownership may provide to their child. What benefits of pet ownership should the nurse indicate? (Select all that apply.)
- A. Decrease the need for physical therapy
- B. Lower blood pressure
- C. Improve communication
- D. Foster trust
- E. Ease path to socialization
Correct Answer: B,C,D,E
Rationale: Studies have documented the positive influence of pet ownership on improving the medical and psychological outcome after illness or surgery. Disabled children especially benefit from interacting with pets.