Nokea
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.
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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 school nurse is preparing an educational program for new teachers regarding school-age children. What information is accurate for the nurse to include? (Select all that apply.)
- A. Participation in group activity increases.
- B. Egocentricity prevails.
- C. Thinking is logical.
- D. Preference is toward family interaction.
- E. Understand cause and effect.
Correct Answer: A,C,E
Rationale: Piaget refers to the thought processes of the school-age period as concrete operations. Concrete operations involve logical thinking and an understanding of cause and effect. The egocentric view of the preschool child is replaced by the ability to understand the point of view of another person.
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.
The nurse discusses preparation for school with the parents of a 6-year-old girl who will soon be starting first grade. What statement by the girl's father leads the nurse to determine that the parents understood the information?
- A. We should put a stop to her thumb-sucking.'
- B. We'll have a talk about what school is like.'
- C. We will let her walk to the bus stop by herself.'
- D. We'll have her meet some children who will be in her class.'
Correct Answer: D
Rationale: To prepare a child for school, parents can arrange for the child to meet other children who will be entering school with her.
A 9-year-old boy is often cranky and irritable, and his school performance has declined. What is the most probable factor causing this behavior?
- A. He sleeps only 6 to 7 hours a night.
- B. He eats eggs every day.
- C. He has a new dog.
- D. He plays about 1 to 3 hours each evening.
Correct Answer: A
Rationale: The 9-year-old child requires about 10 hours of sleep per night.