Nokea
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.
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How does the nurse characterize the play of 5-year-old children?
- A. Enjoying rough and tumble play
- B. Playing well-organized games
- C. Following rules
- D. Preferring inside activities
Correct Answer: C
Rationale: Five-year-olds want to play by rules but struggle with losing, often having strict or changing rules during play.
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.
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.
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.
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.