Nokea
What developmental milestone(s) assist the 5-year-old boy toward developing his sexual identity?
- A. Begins to be less focused on his mother.
- B. Ignores both parents totally.
- C. Regresses to a more infantile level.
- D. Forms a romantic attachment to the mother.
- E. Identifies with the parent of the same sex.
Correct Answer: A,D,E
Rationale: A 5-year-old boy develops sexual identity by becoming less mother-focused, forming a romantic attachment to the mother, and identifying with the father.
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What type of play is most appropriate when planning care for a child with moderate intellectual deficiency?
- A. Exercise leg and arm muscles.
- B. Be educationally oriented to make up for lost time.
- C. Be adjusted to mental age rather than chronological age.
- D. Involve contact sports and aggressive physical activity with other children.
Correct Answer: C
Rationale: Play should be tailored to the child's mental age, not chronological age, for appropriate engagement.
How does the nurse characterize the play of 5-year-old children?
- A. Enjoying rough and tumble play
- B. Playing well-organized games
- C. Following rules
- D. Preferring inside activities
Correct Answer: C
Rationale: Five-year-olds want to play by rules but struggle with losing, often having strict or changing rules during play.
What knowledge would act as the basis for the nurse's response?
- A. This behavior indicates a normal curiosity about sexuality.
- B. Masturbation suggests the boy has an excessive fear of castration.
- C. It is usually a result of discomfort from a penile rash or irritation.
- D. The behavior is abnormal and the child should be referred for counseling.
Correct Answer: A
Rationale: Masturbation at this age is common and indicates normal curiosity about sexuality in preschoolers.
What intervention might the nurse suggest as helpful for the child with enuresis?
- A. Applying an electric pad that gently shocks the child
- B. Waking the child several times during the night to urinate
- C. Decreasing fluid intake after the evening meal
- D. Increasing dietary fiber intake
Correct Answer: C
Rationale: Limiting liquids after dinner and voiding before bed are effective strategies for managing enuresis.
Which bedtime preparation rituals are the most appropriate for the nurse to suggest?
- A. Telling a story
- B. Placing a favorite toy in bed
- C. Placing a glass of water at the bedside
- D. Turning on a night-light
- E. Playing energetically
Correct Answer: A,B,C,D
Rationale: Telling a story, placing a favorite toy in bed, providing water, and using a night-light are soothing bedtime rituals; energetic play is stimulating.