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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.
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What behavior will the nurse anticipate from this child?
- A. Will play well with the other child.
- B. Will give the toy up and then not play anymore.
- C. Will become angry and a physical response might ensue.
- D. Will ignore the toy and go on to something else.
Correct Answer: C
Rationale: A 3-year-old is egocentric and likely to become angry or physical when someone tries to take their toy.
What developmental milestone(s) assist the 5-year-old boy toward developing his sexual identity?
- A. Begins to be less focused on his mother.
- B. Ignores both parents totally.
- C. Regresses to a more infantile level.
- D. Forms a romantic attachment to the mother.
- E. Identifies with the parent of the same sex.
Correct Answer: A,D,E
Rationale: A 5-year-old boy develops sexual identity by becoming less mother-focused, forming a romantic attachment to the mother, and identifying with the father.
What is the most helpful response from the nurse?
- A. Most children will stop thumb-sucking naturally by school age.'
- B. Over-the-counter treatments that give a bad taste can be placed on the thumb to discourage the practice.'
- C. Consistently touching the child's fingers whenever he sucks his thumb is most effective.'
- D. Thumb-sucking is detrimental to the eruption of the child's teeth and must be stopped as soon as possible.'
Correct Answer: A
Rationale: Most children naturally stop thumb-sucking by school age, requiring no intervention.
Which bedtime preparation rituals are the most appropriate for the nurse to suggest?
- A. Telling a story
- B. Placing a favorite toy in bed
- C. Placing a glass of water at the bedside
- D. Turning on a night-light
- E. Playing energetically
Correct Answer: A,B,C,D
Rationale: Telling a story, placing a favorite toy in bed, providing water, and using a night-light are soothing bedtime rituals; energetic play is stimulating.
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.