Nokea
The nurse is caring for a hospitalized 4-year-old boy. His parents tell the nurse they will be back to visit at 6 PM. When he asks the nurse when his parents are coming, what would the nurses best response be?
- A. They will be here soon.
- B. They will come after dinner.
- C. Let me show you on the clock when 6 PM is.
- D. I will tell you every time I see you how much longer it will be.
Correct Answer: B
Rationale: A 4-year-old child understands time in relation to events such as meals. Children perceive soon as a very short time. The nurse may lose the childs trust if his parents do not return in the time he perceives as soon. Children cannot read or use a clock for practical purposes until age 7 years. I will tell you every time I see you how much longer it will be assumes the child understands the concepts of hours and minutes, which does not occur until age 5 or 6 years.
You may also like to solve these questions
According to Piaget, magical thinking is the belief of which?
- A. Thoughts are all powerful.
- B. God is an imaginary friend.
- C. Events have cause and effect.
- D. If the skin is broken, the insides will come out.
Correct Answer: A
Rationale: Because of their egocentrism and transductive reasoning, preschoolers believe that thoughts are all powerful. Believing God is an imaginary friend is an example of concrete thinking in a preschoolers spiritual development. Cause-and-effect implies logical thought, not magical thinking. Believing that if the skin is broken, the insides will come out is an example of concrete thinking in development of body image.
In terms of cognitive development, a 5-year-old child should be expected to do which?
- A. Think abstractly.
- B. Use magical thinking.
- C. Understand conservation of matter.
- D. Understand another persons perspective.
Correct Answer: B
Rationale: Magical thinking is believing that thoughts can cause events. An example is thinking of the death of a parent might cause it to happen. Abstract thought does not develop until the school-age years. The concept of conservation is the cognitive task of school-age children, ages 5 to 7 years. A 5-year-old child cannot understand another persons perspective.
A 4-year-old boy is hospitalized with a serious bacterial infection. He tells the nurse that he is sick because he was bad. What is the nurses best interpretation of this comment?
- A. Sign of stress
- B. Common at this age
- C. Suggestive of maladaptation
- D. Suggestive of excessive discipline at home
Correct Answer: B
Rationale: Preschoolers cannot understand the cause and effect of illness. Their egocentrism makes them think they are directly responsible for events, making them feel guilt for things outside of their control. Children of this age react to stress by regressing developmentally or acting out. Maladaptation is unlikely. This comment does not imply excessive discipline at home.
A child age 4 1/2 years sometimes wakes her parents up at night screaming, thrashing, sweating, and apparently frightened, yet she is not aware of her parents presence when they check on her. She lies down and sleeps without any parental intervention. This is most likely what?
- A. Nightmare
- B. Sleep terror
- C. Sleep apnea
- D. Seizure activity
Correct Answer: B
Rationale: This is a description of a sleep terror. The child is observed during the episode and not disturbed unless there is a possibility of injury. A child who awakes from a nightmare is distressed. She is aware of and reassured by the parents presence. This is not the case with sleep apnea. This behavior is not indicative of seizure activity.
What characteristic best describes the language skills of a 3-year-old child?
- A. Asks meanings of words
- B. Follows directional commands
- C. Can describe an object according to its composition
- D. Talks incessantly regardless of whether anyone is listening
Correct Answer: D
Rationale: Because of the dramatic vocabulary increase at this age, 3-year-old children are known to talk incessantly regardless of whether anyone is listening. A 4- to 5-year-old child asks lots of questions and can follow simple directional commands. A 6-year-old child can describe an object according to its composition.