Which statement by a parent indicates the need for further education?
- A. I continue to provide a great deal of indirect supervision for my child.'
- B. My stairway is always free of clutter.'
- C. I only leave my child in the car for brief moments.'
- D. Medications are kept in a locked cabinet.'
Correct Answer: C
Rationale: Leaving a child alone in a car, even briefly, is unsafe due to risks like heatstroke or abduction, indicating a need for further education.
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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.
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 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.
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.
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.
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