Nokea
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.
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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.
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 planning sex education classes for school-age children. What should the nurse be sure to do?
- A. Use simple terms.
- B. Avoid slang or 'street' words and concepts.
- C. Keep topics on biological aspects of sexual development.
- D. Limit questions to keep content clear.
Correct Answer: A
Rationale: Using simple terms is essential but slang and street terms need to be clarified. Apply age-specific information across broad aspects of biological, social, and current attitudes.
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 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.