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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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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.
What fear is unique to the preschool period?
- A. Water
- B. Animals
- C. Bodily harm
- D. Death
Correct Answer: C
Rationale: The fear of bodily harm, especially loss of body parts, is unique to the preschool developmental stage.
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 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.