Nokea
The nurse is advising parents of a 10-year-old boy about the most developmentally supportive experiences for their son. What is the best experience for this child according to Erikson's theory?
- A. Constant variety of activities
- B. Successful performance in Little League
- C. Feeling healthy and strong
- D. Having a girlfriend
Correct Answer: B
Rationale: The child who is successful in activities will feel positively about himself or herself.
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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.
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.
The nurse is assessing a school-age child. What will the nurse expect in regard to physical development of this child?
- A. Growth of 3 to 6 inches per year
- B. Gain of 5 to 7 pounds per year
- C. Increase of head circumference by 1 inch per year
- D. A visual acuity of 20/20 by 9 years of age
Correct Answer: B
Rationale: During the school-age period, the average weight gain per year is generally 5.5 to 7 pounds.
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.
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.