Test bank for wongs nursing care of infants and children multimedia enhanced version 9th edition

645 TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance 2.. 650 TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance 3.

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Link full download: CLICK HERE Wong’s Nursing Care of Infants and Children Study Aid 9th Edition Test Bank –

a Child’s weight almost triples

b Muscles become functionally mature

c Boys and girls double strength and physical capabilities

d Fat gradually increases, which contributes to child’s

heavier appearance

ANS: C

Boys and girls double both strength and physical capabilities Their consistent refinement

in coordination increases their poise and skill In middle childhood, growth in height and weight occurs at a slower pace Between the ages of 6 and 12 years, children grow 5

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cm/yr and gain 3 kg/yr Their weight will almost double Although the strength increases, muscles are still functionally immature when compared with those of adolescents This age-group is more easily injured by overuse Children take on a slimmer look with longer legs in middle childhood

DIF: Cognitive Level: Comprehension REF: p 645

TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance

2 The parents of 9-year-old twin children tell the nurse, “They have filled up their bedroom with collections of rocks, shells, stamps, and bird nests.” The nurse should recognize that this is which of the following?

a Indicative of giftedness

b Indicative of typical twin behavior

c Characteristic of cognitive development at this age

d Characteristic of psychosocial development at this age

inferiority

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3 Which of the following statements characterizes moral development in

the older school-age child?

a Rule violations are viewed in an isolated context

b Judgments and rules become more absolute and

authoritarian

c The child has knowledge of the rules, but cannot

understand the reasons behind them

d The child is able to judge an act by the intentions that

prompted it rather than just by the consequences

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4 An 8-year-old girl tells the nurse that she has cancer because God is punishing her for “being bad.” The nurse should interpret this as being which of the following?

a A common belief at this age

b Indicative of excessive family pressure

c Faith that forms the basis for most religions

d Suggestive of a failure to develop a conscience

“bad” behavior This statement reflects the child’s belief in what is right and wrong

TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity

5 What is the role of the peer group in the life of school-age children?

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a Decreases their need to learn appropriate sex roles

b Gives them an opportunity to learn dominance and

hostility

c Allows them to remain dependent on their parents for a

longer time

d Provides them with security as they gain independence

from their parents

to explore ideas and the physical environment A child’s concept of appropriate sex roles

is influenced by relationship with peers

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b Children frequently have “best friends.”

c Boys and girls play equally with each other

d Peer approval is not yet an influence for the child to

provide important social interaction for school-age children During later school years, groups are composed predominantly of children of the same sex Conforming to the rules

of the peer group provides children with a sense of security and relieves them of the responsibility of making decisions

7 Which of the following statements best describes the relationship school-age children have with their families?

a Ready to reject parental controls

b Desire to spend equal time with family and peers

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c Need and want restrictions placed on their behavior by

the family

d Peer group replaces the family as the primary influence in

setting standards of behavior and rules

8 A parent asks about whether a 7-year-old is able to care for a dog Based on the child’s age, the nurse suggests:

a caring for an animal requires more maturity than the

average 7-year-old possesses

b this will help the parent identify the child’s weaknesses

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c a dog can help the child develop confidence and

9 The school nurse has been asked to begin teaching sex education in the fifth grade The nurse should recognize that:

a questions need to be discouraged in this setting

b most children in the fifth grade are too young for sex

education

c sexuality is presented as a normal part of growth and

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TOP: Integrated Process: Teaching/Learning

MSC: Client Needs: Health Promotion and Maintenance

10 Which of the following is descriptive of the play of school-age children?

a They like to invent games, making up the rules as they

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d Team play helps children learn the universal importance

of competition and winning

11 The school nurse is providing guidance to families of children who are entering elementary school Essential information to include is:

a meet with teachers only at scheduled conferences

b encourage growth of a sense of responsibility in children

c provide tutoring for child to ensure mastery of material

d homework should be done as soon as child comes home

from school

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12 Which of the following is characteristic of dishonest behavior in children ages 8 to

10 years?

a Cheating during games is now more common

b Stealing can occur because their sense of property rights

is limited

c Lying is used to meet expectations set by others that they

have been unable to attain

d Dishonesty results from the inability to distinguish

between fact and fantasy

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ANS: C

Older school-age children may lie to meet expectations set by others to which they have been unable to measure up Cheating usually becomes less frequent as the child matures Young children may lack a sense of property rights; older children may steal to

supplement an inadequate allowance, or it may be an indication of serious problems In this age-group, children are able to distinguish between fact and fantasy

13 A 9-year-old girl often comes to the school nurse complaining of stomach pains Her teacher says she is completing her school work satisfactorily, but lately has been somewhat aggressive and stubborn in the classroom The school nurse should recognize this as which of the following?

a Signs of stress

b Developmental delay

c Lack of adjustment to school environment

d Physical problem that needs medical intervention

ANS: A

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Signs of stress include stomach pains or headache, sleep problems, bed-wetting, changes

in eating habits, aggressive or stubborn behavior, reluctance to participate, or regression

to earlier behaviors The child is completing school work satisfactorily; any

developmental delay would have been diagnosed earlier The teacher reports that this is a departure from the child’s normal behavior Adjustment issues would most likely be evident soon after a change Medical intervention is not immediately required

Recognizing that this constellation of symptoms can indicate stress, the nurse should help the child identify sources of stress and how to use stress reduction techniques The

parents are involved in the evaluation process

TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity

14 Which one of the following statements best describes fear in the school-age child?

a Increasing concerns about bodily safety overwhelm them

b They should be encouraged to hide their fears to prevent

ridicule by peers

c Most of the new fears that trouble them are related to

school and family

d Children with numerous fears need continuous protective

behavior by parents to eliminate these fears

ANS: C

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During the school-age years, children experience a wide variety of fears, but new fears related predominantly to school and family bother children during this time Parents and other persons involved with children should discuss children’s fear with them

individually or as a group activity Sometimes school-age children hide their fears to avoid being teased Hiding the fears does not end them and may lead to phobias

DIF: Cognitive Level: Application REF: p 664

15 A school-age child has begun to sleepwalk The nurse advises the parents to:

a wake the child and help determine what is wrong

b leave the child alone unless he or she is in danger of

harming self or others

c arrange for psychologic evaluation to identify the cause

of stress

d keep the child awake later in the evening to ensure

sufficient tiredness for a full night of sleep

it should be done by calling the child’s name to gradually bring to a state of alertness

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Some children, who are usually well behaved and tend to repress feelings, may sleepwalk due to strong emotions These children usually respond to relaxation techniques before bedtime If a child is overly fatigued, sleepwalking can increase

MSC: Client Needs: Physiological Integrity: Basic Care and Comfort

16 The school nurse is discussing after-school sports participation with parents of children age 10 years The nurse’s presentation includes which of the following important considerations?

a Teams should be gender specific

b Organized sports are not appropriate at this age

c Competition is detrimental to the establishment of a

positive self-image

d Sports participation is encouraged if the type of sport is

appropriate to the child’s abilities

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muscle mass in boys Organized sports help the child learn teamwork and skill

acquisition The emphasis should be on playing and learning Children do enjoy

appropriate levels of competition

b Instruct parents to defer questions about sex until the

child reaches adolescence

c Advise parents that the child will need increasing

amounts of rest toward the end of this period

d Educate parents about the need for good dental hygiene,

since these are the years in which permanent teeth erupt

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essential to promote growth Questions about sex should be addressed honestly as the child asks questions The child usually no longer needs a nap, but most require

approximately 11 hours of sleep each night at age 5 and 9 hours at age 12

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practitioner is responsible for the ensuring that the medication is appropriate for the child Since the child is a minor, parental consent is required

TOP: Nursing Process: Implementation

MSC: Client Needs: Physiological Integrity: Pharmacological and Parenteral Therapies

19 Which of the following is an important consideration in preventing injuries during middle childhood?

a Achieving social acceptance is a primary objective

b Incidence of injuries in girls is significantly higher than it

is in boys

c Injuries from burns are the highest at this age because of

fascination with fire

d Lack of muscular coordination and control results in an

increased incidence of injuries

ANS: A

School-age children often participate in dangerous activities in an attempt to prove

themselves worthy of acceptance The incidence of injury during middle childhood is significantly higher in boys compared with girls Motor vehicle collisions are the most common cause of severe injuries in children The child has increasing muscular

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coordination Those children who are risk takers may have inadequate self-regulatory behavior

20 When teaching injury prevention during the school-age years, the nurse should include which of the following?

a Teach child about need to fear strangers

b Teach basic rules of water safety

c Avoid letting child cook in microwave ovens

d Caution child against engaging in competitive sports

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d Children should not ride double unless the bicycle has an

extra large seat

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22 The American Academy of Pediatrics recommends that children under the age of

16 years be prohibited from participating in:

determine the instructor’s safety record with students

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23 The nurse is developing a teaching pamphlet for parents of school-age children Which of the following anticipatory guidelines should the nurse include in the pamphlet?

a At age 6, parents should be certain that the child is

reading independently with books provided by school

b At age 8, parents should expect a decrease in involvement

with peers and outside activities

c At age 10, parents should expect a decrease in admiration

of the parents with little interest in parent-child activities

d At age 12, parents should be certain that the child’s sex

education is adequate with accurate information

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