Nokea
What statement best describes fear in school-age children?
- A. Increasing concerns about bodily safety overwhelm them.
- B. They should be encouraged to hide their fears to prevent ridicule by peers.
- C. Most of the new fears that trouble them are related to school and family.
- D. Children with numerous fears need continuous protective behavior by parents to eliminate these fears.
Correct Answer: C
Rationale: During the school-age years, children experience a wide variety of fears, but new fears related predominantly to school and family bother children during this time. Parents and other persons involved with children should discuss childrens fear with them individually or as a group activity. Sometimes school-age children hide their fears to avoid being teased. Hiding the fears does not end them and may lead to phobias.
You may also like to solve these questions
What is an important consideration in preventing injuries during middle childhood?
- A. Achieving social acceptance is a primary objective.
- B. The incidence of injuries in girls is significantly higher than it is in boys.
- C. Injuries from burns are the highest at this age because of fascination with fire.
- D. Lack of muscular coordination and control results in an increased incidence of injuries.
Correct Answer: A
Rationale: School-age children often participate in dangerous activities in an attempt to prove themselves worthy of acceptance. The incidence of injury during middle childhood is significantly higher in boys compared with girls. Motor vehicle collisions are the most common cause of severe injuries in children. Children have increasing muscular coordination. Children who are risk takers may have inadequate self-regulatory behavior.
When teaching injury prevention during the school-age years, what should the nurse include?
- A. Teach children about the need to fear strangers.
- B. Teach basic rules of water safety.
- C. Avoid letting children cook in microwave ovens.
- D. Caution children against engaging in competitive sports.
Correct Answer: B
Rationale: Water safety instruction is an important component of injury prevention at this age. The child should be taught to swim, select safe and supervised places to swim, swim with a companion, check sufficient water depth for diving, and use an approved flotation device. Teach stranger safety, not fear of strangers. This includes telling the child not to go with strangers, not to wear personalized clothing in public places, to tell parents if anyone makes child feel uncomfortable, and to say no in uncomfortable situations. Teach the child safe cooking. Caution against engaging in dangerous sports such as jumping on trampolines.
A parent asks about whether a 7-year-old child is able to care for a dog. Based on the childs age, what does the nurse suggest?
- A. Caring for an animal requires more maturity than the average 7-year-old possesses.
- B. This will help the parent identify the childs weaknesses.
- C. A dog can help the child develop confidence and emotional health.
- D. Cats are better pets for school-age children.
Correct Answer: C
Rationale: Pets have been observed to influence a childs self-esteem. They can have a positive effect on physical and emotional health and can teach children the importance of nurturing and nonverbal communication. Most 7-year-old children are capable of caring for a pet with supervision. Caring for a pet should be a positive experience. It should not be used to identify weaknesses. The pet chosen does not matter as much as the childs being responsible for a pet.
What statement accurately describes physical development during the school-age years?
- A. The childs weight almost triples.
- B. Muscles become functionally mature.
- C. Boys and girls double strength and physical capabilities.
- D. Fat gradually increases, which contributes to childrens heavier appearance.
Correct Answer: C
Rationale: Boys and girls double both strength and physical capabilities. Their consistent refinement in coordination increases their poise and skill. In middle childhood, growth in height and weight occurs at a slower pace. Between the ages of 6 and 12 years, children grow 5 cm/yr and gain 3 kg/yr. Their weight will almost double. Although the strength increases, muscles are still functionally immature when compared with those of adolescents. This age group is more easily injured by overuse. Children take on a slimmer look with longer legs in middle childhood.
A school-age child has begun to sleepwalk. What does the nurse advise the parents to perform?
- A. Wake the child and help determine what is wrong.
- B. Leave the child alone unless he or she is in danger of harming him- or herself or others.
- C. Arrange for psychologic evaluation to identify the cause of stress.
- D. Keep the child awake later in the evening to ensure sufficient tiredness for a full night of sleep.
Correct Answer: B
Rationale: Sleepwalking is usually self-limiting and requires no treatment. The child usually moves about restlessly and then returns to bed. Usually the actions are repetitive and clumsy. The child should not be awakened unless in danger. If there is a need to awaken the child, it should be done by calling the childs name to gradually bring to a state of alertness. Some children, who are usually well behaved and tend to repress feelings, may sleepwalk because of strong emotions. These children usually respond to relaxation techniques before bedtime. If a child is overly fatigued, sleepwalking can increase.