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How does the nurse characterize the play of 5-year-old children?
- A. Enjoying rough and tumble play
- B. Playing well-organized games
- C. Following rules
- D. Preferring inside activities
Correct Answer: C
Rationale: Five-year-olds want to play by rules but struggle with losing, often having strict or changing rules during play.
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What behavior will the nurse anticipate from this child?
- A. Will play well with the other child.
- B. Will give the toy up and then not play anymore.
- C. Will become angry and a physical response might ensue.
- D. Will ignore the toy and go on to something else.
Correct Answer: C
Rationale: A 3-year-old is egocentric and likely to become angry or physical when someone tries to take their toy.
What is the nurse's best advice to a parent about a preschooler's 'imaginary friend'?
- A. Having imaginary friends is a sign that the child has low self-esteem.
- B. It is common for preschoolers to have imaginary friends.
- C. Preschoolers invent an imaginary friend when they feel overwhelmed.
- D. The best approach to dealing with an imaginary friend is to ignore them.
Correct Answer: B
Rationale: Imaginary friends are common and normal in preschoolers, serving purposes like relieving loneliness or mastering fears.
What type of play is most appropriate when planning care for a child with moderate intellectual deficiency?
- A. Exercise leg and arm muscles.
- B. Be educationally oriented to make up for lost time.
- C. Be adjusted to mental age rather than chronological age.
- D. Involve contact sports and aggressive physical activity with other children.
Correct Answer: C
Rationale: Play should be tailored to the child's mental age, not chronological age, for appropriate engagement.
The nurse points out what advantage(s) of a nursery school or preschool experience?
- A. Increasing self-confidence
- B. Fostering group cooperation
- C. Detecting adjustment problems
- D. Attainment of toilet training skills
- E. Playing experiences with other children
Correct Answer: A,B,C,E
Rationale: Preschool fosters self-confidence, group cooperation, social skills, and early detection of adjustment problems; toilet training typically occurs before preschool.
What understanding will guide the nurse's response?
- A. Children are unlikely to notice their grandmother's absence if no one reminds them.
- B. Young children often understand that other people die, but do not equate it with themselves.
- C. The children's response will depend entirely on whether they have been acquainted with death before this.
- D. Children can understand the concept of a higher being much like adults can.
Correct Answer: B
Rationale: Between 3 and 4 years, children understand others may die but do not relate death to themselves.