Nokea
The parent of a 4-year-old boy tells the nurse that the child believes monsters and bogeymen are in his bedroom at night. What is the nurses best suggestion for coping with this problem?
- A. Let the child sleep with his parents.
- B. Keep a night light on in the childs bedroom.
- C. Help the child understand that these fears are illogical.
- D. Tell the child that monsters and bogeymen do not exist.
Correct Answer: B
Rationale: Involve the child in problem solving. A night light shows a child that imaginary creatures do not lurk in the darkness. Letting the child sleep with his parents will not get rid of the fears. A 4-year-old child is in the preconceptual stage and cannot understand logical thought.
You may also like to solve these questions
A 4-year-old child tells the nurse that she doesnt want another blood sample drawn because I need all of my insides and I dont want anyone taking them out. What is the nurses best interpretation of this?
- A. The child is being overly dramatic.
- B. The child has a disturbed body image.
- C. Preschoolers have poorly defined body boundaries.
- D. Preschoolers normally have a good understanding of their bodies.
Correct Answer: C
Rationale: Preschoolers have little understanding of body boundaries, which leads to fears of mutilation. The child is not capable of being dramatic at this age. She truly has fear. Body image is just developing in school-age children. Preschoolers do not have good understanding of their bodies.
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.
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.
The nurse is planning to bring a preschool child a toy from the playroom. What toy is appropriate for this age group?
- A. Building blocks
- B. A 500-piece puzzle
- C. Paint by number picture
- D. Farm animals and equipment
Correct Answer: D
Rationale: The most characteristic and pervasive preschooler activity is imitative, imaginative, and dramatic play. Farm animals and equipment would provide hours of self-expression. Building blocks are appropriate for older infants and toddlers. A 500-piece puzzle or a paint by number picture would be appropriate for a school-age child.
What is descriptive of the nutritional requirements of preschool children?
- A. The quality of the food consumed is more important than the quantity.
- B. The average daily intake of preschoolers should be about 3000 calories.
- C. Nutritional requirements for preschoolers are very different from requirements for toddlers.
- D. Requirements for calories per unit of body weight increase slightly during the preschool period.
Correct Answer: A
Rationale: Parents need to be reassured that the quality of food eaten is more important than the quantity. Children are able to self-regulate their intake when offered foods high in nutritional value. The average daily caloric intake should be approximately 1800 calories. Toddlers and preschoolers have similar nutritional requirements. There is an overall slight decrease in needed calories and fluids during the preschool period.