The successful resolution of developmental tasks for the school-age child, according to Erikson, would be identified by:
Learning from repeating tasks
Developing a sense of worth and competence
Using fantasy and magical thinking to cope with problems
Developing a sense of trust
Which of the following are reasons that stealing occurs in school-age children? (Choose all that apply)
To escape punishment
High self-esteem
Low expectations of family/peers
Lack of sense of propriety
Strong desire to own something
Which activities will promote weight loss in an obese school-age child? (Choose all that apply)
Unlimited computer and TV time
Role modeling by family
Becoming active in sports
Eating unstructured meals
Involving child in meal planning and grocery shopping
Drinking three glasses of water per day
As the school nurse conducting screening for vision in a 6-year-old child, you would refer the child to a specialist if the visual acuity in both eyes is:
20/20
20/25
20/30
20/50
The mother of two sons, ages 6 and 9, states they want to play on the same baseball team. As the school nurse, what advice would you give their mother?
Having the boys on the same team will make it more convenient for the mother
Levels of coordination and concentration differ, so the boys need to be on separate teams
Put the boys on the same team because they are both school-age children
It is best to avoid putting the boys on the same team to prevent sibling rivalry
When giving parents guidance for the adolescent years, the nurse would advise the parents to: (Choose all that apply)
Accept the adolescent as a unique individual
Provide strict, inflexible rules
Listen and try to be open to the adolescent's views
Screen all of his or her friends
Respect the adolescent's privacy
Provide unconditional love
In developing a weight-loss plan for an adolescent, which would the nurse include? (Choose all that apply)
Have parents make all of the meal plans
Eat slowly and place the fork down between each bite
Have the family exercise together
Refer to an adolescent weight-loss program
Keep a food and exercise diary
Which is associated with early adolescence? (Choose all that apply)
Uses scientific reasoning to solve problems
Still at times wants to be dependent upon parents
Incorporates own set of morals and values
Is influenced by peers and values memberships in cliques
What has the most influence in deterring an adolescent from beginning to drink alcohol?
Drinking habits of parents
Drinking habits of peers
Drinking philosophy of adolescent's culture
Drinking philosophy of adolescent's religion
When providing atraumatic care to a child, which action would be most appropriate?
Applying restraints for any procedure that would be uncomfortable
Keeping the lights on in the child's room throughout the day and night
Limiting the use of topical anesthetics for painful injections
Allowing parents and children an informed choice about being together
When caring for children, how does the nurse best incorporate the concept of family-centered care?
Encourages the family to allow the physician to make health care decisions for the child
Uses the concepts of respect, family strengths, diversity, and collaboration with the family
Advises the family to choose a pediatric provider who is on the child's health care plan
Recognizes that families undergoing stress related to the child's illness cannot make good decisions
The nurse is caring for a 2-year-old in the hospital, and the mother expresses concern that the toddler will be scared. Which response by the nurse would be most appropriate?
"Don't worry; we practice family-centered and atraumatic care here."
"We will do our best to minimize the stress that your child experiences."
"It will probably be upsetting for you as well, so you should stay home."
"Our practice of atraumatic care will eliminate all pain and stress for your child."
When planning education for a child and parents, what is the first step the nurse should take?
Decide which procedures and medications the child will be discharged on
Determine the child's and family's learning needs and styles
Ask the family if they have ever performed this type of procedure
Tell the child and family what the goals of the teaching session are
During the health interview, the mother of a 4-month-old says, "I'm not sure my baby is doing what he should be." What is the nurse's best response?
"I'll be able to tell your more after I do his physical."
"Fill out this developmental screening questionnaire and then I can let you know."
"Tell me more about your concerns."
"All mothers worry about their babies. I'm sure he's doing well."
An infant boy is at your facility for his initial health supervision visit. He is 2 weeks old and responds to a bell during his examination. You review all his birth records and find no documentation that a newborn hearing screening was performed. What is the best action by the nurse?
Do nothing; responding to the bell proves the infant does not have a hearing deficit
Schedule the infant immediately for newborn hearing screening
Ask the mother to observe for signs that the infant is not hearing well
Screen again with the bell at the infant's 2-month health supervision visit
A 15-month-old girl is having her first health supervision visit at your facility. Her mother has not brought a copy of the child's immunization record but believes she is fully immunized: "She had immunizations 3 months ago at the local health department." Which would be the best action by the nurse?
Ask the mother to bring the records to the 18-month health supervision visit
Start the "catch-up" schedule because there are no immunization records
Keep the child at the facility while the mother returns home for the records
Call the local health department and verify the child's immunization status
A 4-year-old child is having a vision screening performed. Which screening chart would be best for determining the child's visual acuity?
Snellen
Ishihara
Allen figures
CVTME
Which facility fulfills the characteristics of a medical home?
An urgent care center
A primary care pediatric practice
A mobile outreach immunization program
A dermatology practice
When should the child's first examination by a dentist occur?
By the first birthday
By the second birthday
By entry into kindergarten
By entry into first grade
