Parents ask the pediatric nurse how school life might influence their growing child. What area of development will the nurse indicate that school affects the least?
- A. Moral development
- B. Social development
- C. Physical development
- D. Cognitive development
Correct Answer: C
Rationale: Physical development is the least affected by school life. Moral development occurs as they have experience with, and understand, rules and fairness in the school setting.
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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.
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 is best for the nurse to suggest to the parents of an overweight 9-year-old child to help prevent obesity?
- A. Use whole milk as a between-meal snack because it is more filling than skim milk.
- B. Feed the child before family meal times to monitor intake more closely.
- C. Encourage the child to engage in physical activity for at least an hour a day.
- D. Remove all sweets and junk food from the house.
Correct Answer: C
Rationale: Regular physical activity reduces weight.
Which stage of cognitive development is a 9-year-old child in according to Piaget?
- A. Formal operations
- B. Preoperational
- C. Concrete operations
- D. Sensorimotor
Correct Answer: C
Rationale: School-age children are in the concrete operations stage of cognitive development.
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.
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