Nokea
What does including play in the plan of care for a 5-year-old allow the child to do?
- A. Exercise his imagination.
- B. Assume a role and act it out.
- C. Offer an emotional outlet.
- D. Avoid magical thinking.
- E. Interact with other children.
Correct Answer: A,B,C,E
Rationale: Play enables preschoolers to exercise imagination, assume roles, express emotions, and interact with others; it involves magical thinking.
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What will children who are unable to express themselves with words often do?
- A. Become reclusive and introspective.
- B. Develop other methods of verbal communication.
- C. Engage in more creative play.
- D. Have tantrums and act out.
Correct Answer: D
Rationale: Children with delayed communication skills often have tantrums and act out when unable to express their needs.
Which statement by a parent indicates the need for further education?
- A. I continue to provide a great deal of indirect supervision for my child.'
- B. My stairway is always free of clutter.'
- C. I only leave my child in the car for brief moments.'
- D. Medications are kept in a locked cabinet.'
Correct Answer: C
Rationale: Leaving a child alone in a car, even briefly, is unsafe due to risks like heatstroke or abduction, indicating a need for further education.
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.
When planning an activity for a 3-year-old child, the nurse bases the plan on the average attention span of __ minutes.
Correct Answer: 15
Rationale: The average attention span of a 3-year-old is about 15 minutes, guiding activity planning.
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.