Nokea
When the nurse asks a 10-year-old Native American if he is ready to go to therapy, he does not answer immediately. How does the nurse interpret this response?
- A. Indecision
- B. Considering the answer in silence
- C. Shyness with strangers
- D. Fear of medical personnel
Correct Answer: B
Rationale: Native Americans value silence. They need to sit and consider matters before replying to questions.
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An educational program is being presented to pediatric nurses on the relationship of play to childhood development. What information should be included in this presentation? (Select all that apply.)
- A. Art play should be used sparingly.
- B. Use of computer/video games is detrimental.
- C. Understanding of child-parent relationships can be gained by observing play.
- D. Play encourages self-expression.
- E. Play provides a sense of accomplishment.
Correct Answer: C,D,E
Rationale: Art is an appropriate play activity at almost any age and provides an avenue for experimentation as well as for creative expression and a feeling of accomplishment in the child. Observing the child at play can aid in assessing growth and development and understanding the child's relationships with family members.
How do children differ from adults? (Select all that apply.)
- A. Higher metabolic rate
- B. Greater surface area in relation to their weight
- C. Less mature organ systems
- D. More fluid reserves
- E. Continuously changing growth and development pattern
Correct Answer: A,B,C,E
Rationale: Children are in a continuous growth and development pattern. Children have a greater surface area and a higher metabolic rate. All of their organ systems are not mature.
The nurse has discussed with a mother the process of introducing solid foods to her 6-month-old infant. What statement by the mother leads the nurse to determine that learning has taken place?
- A. I will give my infant rice cereal first.'
- B. I will give my infant yellow vegetables first.'
- C. I will give my infant egg yolks first.'
- D. I will give my infant fruits first.'
Correct Answer: A
Rationale: Solid foods are usually introduced at about 6 months of age, starting with rice cereal, which is the least allergenic.
What is the best nursing action when an 8-year-old child comes to the school nurse with his central incisor in his hand and reports he knocked his tooth out on the water fountain?
- A. Give him an ice cube to suck on.
- B. Have him wash his mouth out with peroxide and water.
- C. Wrap the tooth in a clean tissue.
- D. Wash off the tooth and place it in a container of milk.
Correct Answer: D
Rationale: The tooth should be washed off and put in a container of milk to preserve it for possible reimplantation.
What does the nurse recognize as an example of Piaget's concrete operational thinking?
- A. A 2-year-old child says, 'It's nighttime' when his room is darkened.
- B. A 4-year-old child refers to the hospital as 'my house.'
- C. A 5-year-old child coloring a picture of a puppy says, 'This is my puppy.'
- D. A 7-year-old child says, 'I am sick because I have germs in my chest.'
Correct Answer: D
Rationale: The 7-year-old child's remark reflecting the cause and effect of germs and illness is an example of operational thinking. All other options are examples of preoperational thought, which is egocentric and symbolic.