Nokea
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.
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When asked about her activities, a 10-year-old girl responded, 'I like school. I play the flute in the school band, and I take tennis lessons.' What does the nurse know these activities will help this child develop?
- A. Initiative
- B. Industry
- C. Identity
- D. Intimacy
Correct Answer: B
Rationale: The school-age period is referred to by Erikson as the stage of industry. Successful participation in activities facilitates the child's sense of industry.
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 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.
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.
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.