Question 1
Question
The successful resolution of developmental tasks for the school-age child, according to Erikson, would be identified by:
Answer
-
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
Question 2
Question
Which of the following are reasons that stealing occurs in school-age children? (Choose all that apply)
Answer
-
To escape punishment
-
High self-esteem
-
Low expectations of family/peers
-
Lack of sense of propriety
-
Strong desire to own something
Question 3
Question
Which activities will promote weight loss in an obese school-age child? (Choose all that apply)
Answer
-
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
Question 4
Question
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:
Question 5
Question
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?
Answer
-
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
Question 6
Question
When giving parents guidance for the adolescent years, the nurse would advise the parents to: (Choose all that apply)
Answer
-
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
Question 7
Question
In developing a weight-loss plan for an adolescent, which would the nurse include? (Choose all that apply)
Answer
-
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
Question 8
Question
Which is associated with early adolescence? (Choose all that apply)
Answer
-
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
Question 9
Question
What has the most influence in deterring an adolescent from beginning to drink alcohol?
Answer
-
Drinking habits of parents
-
Drinking habits of peers
-
Drinking philosophy of adolescent's culture
-
Drinking philosophy of adolescent's religion
Question 10
Question
When providing atraumatic care to a child, which action would be most appropriate?
Answer
-
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
Question 11
Question
When caring for children, how does the nurse best incorporate the concept of family-centered care?
Answer
-
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
Question 12
Question
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?
Answer
-
"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."
Question 13
Question
When planning education for a child and parents, what is the first step the nurse should take?
Answer
-
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
Question 14
Question
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?
Answer
-
"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."
Question 15
Question
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?
Answer
-
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
Question 16
Question
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?
Answer
-
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
Question 17
Question
A 4-year-old child is having a vision screening performed. Which screening chart would be best for determining the child's visual acuity?
Answer
-
Snellen
-
Ishihara
-
Allen figures
-
CVTME
Question 18
Question
Which facility fulfills the characteristics of a medical home?
Question 19
Question
When should the child's first examination by a dentist occur?