Nokea
The parents of an 8-year-old child tell the nurse the child wakes the household crying out during his frequent nightmares. What is the nurse's most helpful response to explain nightmares?
- A. They are a normal extension of the child's fear of mutilation.
- B. They are an abnormal response to repressed feelings.
- C. They are a common result of latent sexuality.
- D. They are a side effect of overactivity and stimulation.
Correct Answer: A
Rationale: The nightmares experienced by an 8-year-old child are an extension of their characteristic fear of mutilation.
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A mother is concerned because her 9-year-old boy has developed the habit of twitching his eyes and flipping his hair while communicating with anyone. What is the best nursing response to this parent?
- A. This may indicate that he needs eyeglasses.'
- B. Children sometimes do these things for attention.'
- C. This behavior suggests low self-esteem.'
- D. Tics appear when a child is under stress.'
Correct Answer: D
Rationale: The child cannot help such actions and should not be scolded for them because they are mainly a result of tension.
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.
What basic 'feeling' words should the nurse use in attempting to help a 7-year-old girl express her feelings about being in a new school? (Select all that apply.)
- A. Mad
- B. Glad
- C. Sad
- D. Scared
- E. Jealous
Correct Answer: A,B,C,D
Rationale: The words 'mad,' 'glad,' 'sad,' and 'scared' are basic feeling words that can prompt a young child to better express his or her feelings.
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.
The pediatric nurse is presenting school-age children with information on safety issues to follow when going home alone. What guidelines should they be educated to follow? (Select all that apply.)
- A. Ask for identification before letting someone in the house.
- B. Never accept rides with strangers.
- C. Keep doors locked.
- D. Do not enter house if door is ajar.
- E. Walk to and from school with friends.
Correct Answer: B,C,D,E
Rationale: Strangers should never be allowed in the house. Children should be instructed never to accept rides with strangers, to keep doors locked, not to enter the house if the door is ajar, and to walk to and from school with friends.