Nokea
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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Which statement best describes the 3-year-old child?
- A. Boisterous, tattles on others
- B. Aggressive, shows off
- C. Helpful, wants to assist with chores
- D. Talkative, inquisitive about the environment
Correct Answer: C
Rationale: Three-year-old children are helpful and can assist in simple household chores, reflecting their developmental stage.
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.
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.
Based on the parent's comment, what does the nurse suspect?
- A. Age-appropriate language development
- B. An expressive language delay
- C. A receptive language delay
- D. A potential hearing deficit
Correct Answer: B
Rationale: An expressive language delay is suspected when a child understands spoken language but does not speak, as in pointing instead of talking.
What understanding will guide the nurse's response?
- A. Children are unlikely to notice their grandmother's absence if no one reminds them.
- B. Young children often understand that other people die, but do not equate it with themselves.
- C. The children's response will depend entirely on whether they have been acquainted with death before this.
- D. Children can understand the concept of a higher being much like adults can.
Correct Answer: B
Rationale: Between 3 and 4 years, children understand others may die but do not relate death to themselves.