What intervention is the most appropriate choice?
- A. Allow the child to put himself to bed when he is tired.
- B. Let the child read in his room until he falls asleep.
- C. Establish a bedtime routine and use it consistently.
- D. Tire him out with physical activity before bedtime.
Correct Answer: C
Rationale: A consistent bedtime routine with quiet activities signals readiness for sleep and helps establish good sleep habits.
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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 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.
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.
What is the most appropriate intervention when dealing with occasional aggression in a 4-year-old child?
- A. Have the child take a time-out in the corner for 4 minutes.
- B. Spank the child at the time of the incident.
- C. Take away television privileges for the day.
- D. Send the child to his room for 30 minutes.
Correct Answer: A
Rationale: A time-out of 1 minute per year of age (4 minutes for a 4-year-old) is an effective disciplinary technique.
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