What statement accurately describes physical development during the school-age years?
Ans: Boys and girls double strength and physical capabilities
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?
Ans: Characteristic of cognitive development at this age
What statement characterizes moral development in the older school-age child?
Ans: The child is able to judge an act by the intentions that prompted it rather than just by the consequences.
An 8-year-old girl tells the nurse that she has cancer because God is punishing her for "being bad." What should the nurse interpret this as?
Ans: A common belief at this age
What is the role of the peer group in the life of school-age children?
Ans: Provides them with security as they gain independence from their parents
What is descriptive of the social development of school-age children?
Ans: Children frequently have "best friends
What statement best describes the relationship school-age children have with their families?
Ans: Need and want restrictions placed on their behavior by the family
A parent asks about whether a 7-year-old child is able to care for a dog. Based on the child's age, what does the nurse suggest?
Ans: A dog can help the child develop confidence and emotional health.
The school nurse has been asked to begin teaching sex education in the fifth grade. What should the nurse recognize?
Ans: Sexuality is presented as a normal part of growth and development.
What is descriptive of the play of school-age children?
Ans: Knowing the rules of a game gives an important sense of belonging.
The school nurse is providing guidance to families of children who are entering elementary school. What is essential information to include?
Ans: Encourage growth of a sense of responsibility in children
What is characteristic of dishonest behavior in children ages 8 to 10 years?
Ans: Lying is used to meet expectations set by others that they have been unable to attain.
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
Ans: Signs of stress
What statement best describes fear in school-age children?
Ans: Most of the new fears that trouble them are related to school and family.
A school-age child has begun to sleepwalk. What does the nurse advise the parents to perform?
Ans: Leave the child alone unless he or she is in danger of harming him- or herself or others
The school nurse is discussing after-school sports participation with parents of children age 10 years. The nurse's presentation includes which important consideration?
Ans: Sports participation is encouraged if the type of sport is appropriate to the child's abilities.
What do nursing interventions to promote health during middle childhood include?
Ans: Educate parents about the need for good dental hygiene because these are the years in which permanent teeth erupt.
The school nurse needs to obtain authorization for a child who requires medications while at school. From whom does the nurse obtain the authorization?
Ans: The parents
What is an important consideration in preventing injuries during middle childhood?
Ans: Achieving social acceptance is a primary objective
When teaching injury prevention during the school-age years, what should the nurse include?
Ans: Teach basic rules of water safety
What is an important consideration for the school nurse who is planning a class on bicycle safety?
Ans: Head injuries are the major causes of bicycle-related fatalities.
The American Academy of Pediatrics (AAP) recommends that children younger than the age of 16 years be prohibited from participating in what?
Ans: Snowmobiling
The nurse is developing a teaching pamphlet for parents of school-age children. What anticipatory guidelines should the nurse include in the pamphlet?
Ans: At age 12 years, parents should be certain that the child's sex education is adequate with accurate information.
The nurse is teaching a class on nutrition to a group of parents of 10- and 11-year-old children. What statement by one of the parents indicates a correct understanding of the teaching?
Ans: "I will serve foods that are low in saturated fat and cholesterol.
A male school-age student asks the school nurse, "How much with my height increase in a year?" The nurse should give which response?
Ans: "Your height will increase on average 2 inches a year.
What does the nurse understand about caloric needs for school-age children?
Ans: The caloric needs for school-age children are lower than they were in the preschool years.
The school nurse is teaching female school-age children about the average age of puberty. What is the average age of puberty for girls?
Ans: 12 years
The school nurse is teaching male school-age children about the average age of puberty. What is the average age of puberty for boys?
Ans: 14 years
A female school-age child asks the school nurse, "How many pounds should I expect to gain in a year?" The nurse should give which response?
Ans: "You will gain about 4.4 to 6.6 lb per year.
The nurse is explaining about the developmental sequence in children's capacity to conserve matter to a group of parents. What type of matter is last in the sequence for a child to develop?
Ans: Volume
The school nurse is presenting sexual information to a group of school-age girls. What approach should the nurse take when presenting the information?
Ans: Treat sex as a normal part of growth and development
The parents of a 5-year-old child ask the nurse, "How many hours of sleep a night does our child need?" The nurse should give which response?
Ans: "A 5-year-old child requires 11.5 hours of sleep.
What growth and development milestones are expected between the ages of 8 and 9 years? (Select all that apply.)
Ans: Can help with routine household tasks
Ans: Likes the reward system for accomplished tasks
Ans: Goes about home and community freely, alone or with friends
The nurse is planning strategies to assist a slow-to-warm child to try new experiences. What strategies should the nurse plan? (Select all that apply.)
Ans: Attend after-school activities with a friend
Ans: Allow the child to adapt to the experience at his or hew own pace
Ans: Contract for permission to withdraw after a trial of the experience
The nurse is planning strategies to assist difficult or easily distracted children when they participate in activities. What strategies should the nurse plan? (Select all that apply.)
Ans: Role-play before the activity
Ans: Handle behavior with firmness
Ans: Acquaint them with what to expect
Ans: Be patient with inappropriate behavior
Characteristics of bullies include what? (Select all that apply.)
Ans: Depressed
Ans: Poor academic performance
Ans: Exposed to domestic violence
A school-age child has been a victim of bullying. What characteristics does the nurse assess for in this child? (Select all that apply.)
Ans: Anxiety
Ans: Low self-esteem
Ans: Psychosomatic complaints
The school nurse recognizes that children respond to stress by using which tactics? (Select all that apply.)
Ans: Delinquency
Ans: Daydreaming
Ans: Delaying tactics
The nurse is teaching parents about safety for their "latchkey" children. What should the nurse include in the teaching session? (Select all that apply.)
Ans: Teach the child weather-related safety
Ans: Emphasize fire safety rules and conduct practice fire drills
The school nurse is teaching bicycle safety to a group of school-age children. What should the nurse include in the session? (Select all that apply.)
Ans: Watch for and yield to pedestrians
Ans: Ride bicycles with traffic away from parked cars
Ans: Keep both hands on the handlebars except she signaling
Parents are concerned about their child riding an all-terrain vehicle. What should the nurse tell the parents about safe use of all-terrain vehicles? (Select all that apply.)
Ans: Restrict riding to familiar terrain
Ans: Nighttime riding should not be allowed
Ans: Vehicles should include seat belts, roll bars, and automatic headlights
What are the goals of organized athletics for preadolescent children? (Select all that apply.)
Ans: Physical fitness
Ans: Basic motor skills
Ans: Positive self-image