What is the best suggestion by the nurse for an appropriate toy for a hospitalized 6-year-old boy?
- A. Handheld video game
- B. MP3 player
- C. Adventure book
- D. Jigsaw puzzle
Correct Answer: A
Rationale: The 6-year-old child can perform numerous feats that require muscle coordination. At this age, the handheld video game will offer competition without overexertion.
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The nurse advises the parents of a 6-year-old child to try and ensure at least hours of sleep daily for the child.
Correct Answer: 11
Rationale: The 6-year-old school-age child needs at least 11 hours of sleep.
What statement by an 11-year-old child leads the nurse to determine he has moved from the mind-set of egocentrism?
- A. I am a member of the best Cub Scout group in the world.'
- B. I must do my homework before I can play.'
- C. My dad can do anything!'
- D. I'm sorry. I bet that hurt your feelings.'
Correct Answer: D
Rationale: The ability to see another's point of view indicates moving away from egocentrism into a more altruistic mind-set.
A parent confides in the school nurse that her 8-year-old twins argue and bicker constantly. What is the best response by the nurse?
- A. Express alarm at the constant aggression.
- B. Voice concern and investigate referral for counseling.
- C. Inquire about what punitive action the parents have taken to stop it.
- D. Offer reassurance that such behavior is normal for 8-year-olds.
Correct Answer: D
Rationale: Argumentative and competitive behavior is normal in 8-year-olds.
Parents ask the pediatric nurse how school life might influence their growing child. What area of development will the nurse indicate that school affects the least?
- A. Moral development
- B. Social development
- C. Physical development
- D. Cognitive development
Correct Answer: C
Rationale: Physical development is the least affected by school life. Moral development occurs as they have experience with, and understand, rules and fairness in the school setting.
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.
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