Nokea
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.
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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 school-age child becomes frustrated with a school assignment and says, 'I can't do this!' What is the most developmentally supportive response from the parent?
- A. Ask, 'What is it that is so difficult?'
- B. Allow the child to quit the effort.
- C. Call in older siblings to help.
- D. Finish the project for them.
Correct Answer: A
Rationale: Helping the child focus on the problem that is keeping him from mastery can limit frustration. Quitting or having someone else finish is detrimental to the development of industry.
When asked about her activities, a 10-year-old girl responded, 'I like school. I play the flute in the school band, and I take tennis lessons.' What does the nurse know these activities will help this child develop?
- A. Initiative
- B. Industry
- C. Identity
- D. Intimacy
Correct Answer: B
Rationale: The school-age period is referred to by Erikson as the stage of industry. Successful participation in activities facilitates the child's sense of industry.
A parent asked the nurse, 'At what age are children capable of assuming more responsibility for personal belongings?' What is the nurse's best response based on knowledge of growth and development?
- A. 6 years
- B. 7 years
- C. 9 years
- D. 12 years
Correct Answer: C
Rationale: The 9-year-old child is dependable and assumes more responsibility for personal belongings.
A mother reports that she has a new job and her 12-year-old child is home alone for a time after school. Which statement made by the parent alerts the nurse to a potentially unsafe situation for this child?
- A. I told him that he could invite a few friends after school.'
- B. I put a list of emergency numbers next to the telephone.'
- C. Last week we made a first aid kit together.'
- D. There is a neighbor available in case of an emergency.'
Correct Answer: A
Rationale: Latchkey children are subject to a higher rate of accidents. Permitting school-age children and their friends to be home alone in an unsupervised environment is an unsafe situation.