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Of what is this an example?
- A. Egocentrism
- B. Artificialism
- C. Animism
- D. Centering
Correct Answer: D
Rationale: Centering is the tendency to focus on a single characteristic of an object, like refusing peas because they are green.
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What knowledge would act as the basis for the nurse's response?
- A. This behavior indicates a normal curiosity about sexuality.
- B. Masturbation suggests the boy has an excessive fear of castration.
- C. It is usually a result of discomfort from a penile rash or irritation.
- D. The behavior is abnormal and the child should be referred for counseling.
Correct Answer: A
Rationale: Masturbation at this age is common and indicates normal curiosity about sexuality in preschoolers.
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.
What intervention is the most appropriate choice?
- A. Allow the child to put himself to bed when he is tired.
- B. Let the child read in his room until he falls asleep.
- C. Establish a bedtime routine and use it consistently.
- D. Tire him out with physical activity before bedtime.
Correct Answer: C
Rationale: A consistent bedtime routine with quiet activities signals readiness for sleep and helps establish good sleep habits.
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.
Based on the parent's comment, what does the nurse suspect?
- A. Age-appropriate language development
- B. An expressive language delay
- C. A receptive language delay
- D. A potential hearing deficit
Correct Answer: B
Rationale: An expressive language delay is suspected when a child understands spoken language but does not speak, as in pointing instead of talking.