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.
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What fear is unique to the preschool period?
- A. Water
- B. Animals
- C. Bodily harm
- D. Death
Correct Answer: C
Rationale: The fear of bodily harm, especially loss of body parts, is unique to the preschool developmental stage.
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.
What is the most appropriate intervention when dealing with occasional aggression in a 4-year-old child?
- A. Have the child take a time-out in the corner for 4 minutes.
- B. Spank the child at the time of the incident.
- C. Take away television privileges for the day.
- D. Send the child to his room for 30 minutes.
Correct Answer: A
Rationale: A time-out of 1 minute per year of age (4 minutes for a 4-year-old) is an effective disciplinary technique.
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.
Of what is this an example?
- A. Egocentrism
- B. Artificialism
- C. Animism
- D. Centering
Correct Answer: D
Rationale: Centering is the tendency to focus on a single characteristic of an object, like refusing peas because they are green.
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