The nurse is aware that by the age of , the first permanent teeth erupt.
Correct Answer: 6
Rationale: At the age of 6, the first permanent teeth erupt: the 6-year molars.
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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.
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 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.
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.
The school nurse is preserving a tooth that was knocked out on the school playground. What will the nurse be especially careful to do?
- A. Wrap the tooth loosely in a clean cloth.
- B. Rinse the tooth with alcohol.
- C. Handle the tooth only by the crown.
- D. Place the tooth in a warm environment.
Correct Answer: C
Rationale: When a permanent tooth is avulsed, the tooth should be picked up by the crown to prevent any further damage to the root and placed in milk until the child can be examined by a dentist.
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