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What should the nurse keep in mind when planning to teach a class on nutrition to fourth-grade students?
- A. School-age children can concentrate on only one aspect of a situation.
- B. School-age children can think abstractly.
- C. School-age children are egocentric in their thinking.
- D. School-age children think logically and concretely.
Correct Answer: D
Rationale: Piaget refers to the thought process of this period as concrete operations, which involves logical thinking and an understanding of cause and effect.
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The school nurse is preparing an educational program for new teachers regarding school-age children. What information is accurate for the nurse to include? (Select all that apply.)
- A. Participation in group activity increases.
- B. Egocentricity prevails.
- C. Thinking is logical.
- D. Preference is toward family interaction.
- E. Understand cause and effect.
Correct Answer: A,C,E
Rationale: Piaget refers to the thought processes of the school-age period as concrete operations. Concrete operations involve logical thinking and an understanding of cause and effect. The egocentric view of the preschool child is replaced by the ability to understand the point of view of another person.
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.
The parents of an 8-year-old child tell the nurse the child wakes the household crying out during his frequent nightmares. What is the nurse's most helpful response to explain nightmares?
- A. They are a normal extension of the child's fear of mutilation.
- B. They are an abnormal response to repressed feelings.
- C. They are a common result of latent sexuality.
- D. They are a side effect of overactivity and stimulation.
Correct Answer: A
Rationale: The nightmares experienced by an 8-year-old child are an extension of their characteristic fear of mutilation.
The pediatric nurse is presenting school-age children with information on safety issues to follow when going home alone. What guidelines should they be educated to follow? (Select all that apply.)
- A. Ask for identification before letting someone in the house.
- B. Never accept rides with strangers.
- C. Keep doors locked.
- D. Do not enter house if door is ajar.
- E. Walk to and from school with friends.
Correct Answer: B,C,D,E
Rationale: Strangers should never be allowed in the house. Children should be instructed never to accept rides with strangers, to keep doors locked, not to enter the house if the door is ajar, and to walk to and from school with friends.
A seventh-grade girl tells the school nurse that her art teacher, a woman, is her hero. What is the most appropriate interpretation of the girl's comment?
- A. The student may be exploring her career options.
- B. The comment is cause for concern about sexual abuse.
- C. The child may have difficulty interacting with her peers.
- D. Hero worship is a normal phenomenon.
Correct Answer: D
Rationale: School-age children tend to admire their teachers and adult companions. For the 11- to 12-year-old, hero worship is a normal phenomenon.