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.
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Of what is this an example?
- A. Egocentrism
- B. Artificialism
- C. Animism
- D. Centering
Correct Answer: D
Rationale: Centering is the tendency to focus on a single characteristic of an object, like refusing peas because they are green.
Which major developmental tasks will the nurse expect a child to accomplish by the end of the preschool years?
- A. Development of parallel play
- B. Acceptance of separation
- C. Increased communication skills
- D. Consistent appetite
- E. Control of bodily functions
Correct Answer: B,C,E
Rationale: Preschoolers achieve acceptance of separation, increased communication skills, and control of bodily functions; parallel play is earlier, and appetite remains inconsistent.
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.
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 is the nurse's best advice to a parent about a preschooler's 'imaginary friend'?
- A. Having imaginary friends is a sign that the child has low self-esteem.
- B. It is common for preschoolers to have imaginary friends.
- C. Preschoolers invent an imaginary friend when they feel overwhelmed.
- D. The best approach to dealing with an imaginary friend is to ignore them.
Correct Answer: B
Rationale: Imaginary friends are common and normal in preschoolers, serving purposes like relieving loneliness or mastering fears.
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