Nokea
What statement by the mother leads the nurse to determine that the mother understands the information?
- A. Make up funny words for body parts.'
- B. Distract the child with a toy if they ask about sex.'
- C. Answer their questions when they ask.'
- D. Tell them to ask you again when they are 6 years old.'
Correct Answer: C
Rationale: Parents should answer children's questions about sex when asked to support healthy sexual curiosity.
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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.
Which is an example of associative play?
- A. Two children playing in house, one playing the role of the dad and the other playing the role of the mom
- B. Two children playing in a sand box, one building a wall and the other digging a hole
- C. Two children playing with sports-associated items, one with a football and the other with a bat
- D. Two children playing with a coloring book, one coloring pictures and the other looking at pictures
Correct Answer: A
Rationale: Associative play involves preschoolers using their vocabulary to converse and create scenarios, like role-playing family roles.
Based on the parent's comment, what does the nurse suspect?
- A. Age-appropriate language development
- B. An expressive language delay
- C. A receptive language delay
- D. A potential hearing deficit
Correct Answer: B
Rationale: An expressive language delay is suspected when a child understands spoken language but does not speak, as in pointing instead of talking.
The nurse points out what advantage(s) of a nursery school or preschool experience?
- A. Increasing self-confidence
- B. Fostering group cooperation
- C. Detecting adjustment problems
- D. Attainment of toilet training skills
- E. Playing experiences with other children
Correct Answer: A,B,C,E
Rationale: Preschool fosters self-confidence, group cooperation, social skills, and early detection of adjustment problems; toilet training typically occurs before preschool.
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.