CH 19

Which statement accurately describes physical development during the school-age years?
a. The child's weight almost triples.
b. A child grows an average of 2 inches per year.
c. Few physical differences are apparent among children at the end of middle childhood.
d. Fat gradually increases, which contributes to the child's heavier appearance.

b. A child grows an average of 2 inches per year.

Generally the earliest age at which puberty begins is:
a. 13 years in girls, 13 years in boys.
b. 11 years in girls, 11 years in boys.
c. 10 years in girls, 12 years in boys.
d. 12 years in girls, 10 years in boys.

c. 10 years in girls, 12 years in boys.

What describes the cognitive abilities of school-age children?
a. Have developed the ability to reason abstractly
b. Become capable of scientific reasoning and formal logic
c. Progress from making judgments based on what they reason to making judgments based on
what they see
d. Have the ability to classify, group and sort, and hold a concept in their minds while making
decisions based on that concept

d. Have the ability to classify, group and sort, and hold a concept in their minds while making
decisions based on that concep
What describes moral development in younger school-age children?
a. The standards of behavior now come from within themselves.
b. They do not yet experience a sense of guilt when they misbehave.
c. They know the rules and behaviors expected of them but do not understand the reasons
behind them.
d. They no longer interpret accidents and misfortunes as punishment for misdeeds.

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c. They know the rules and behaviors expected of them but do not understand the reasons
behind them
Which statement characterizes moral development in older school-age children?
a. They are able to judge an act by the intentions that prompted it rather than just by the
consequences.
b. Rules and judgments become more absolute and authoritarian.
c. They view rule violations in an isolated context.
d. They know the rules but cannot understand the reasons behind them.

a. They are 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." She shares her concern that, if she dies, she will go to hell. The nurse should interpret this
as being:
a. A belief common at this age.
b. A belief that forms the basis for most religions.
c. Suggestive of excessive family pressure.
d. Suggestive of a failure to develop a conscience.

a. A belief common at this age.

The role of the peer group in the life of school-age children is that it:
a. Gives them an opportunity to learn dominance and hostility.
b. Allows them to remain dependent on their parents for a longer time.
c. Decreases their need to learn appropriate sex roles.
d. Provides them with security as they gain independence from their parents.

d. Provides them with security as they gain independence from their parents
A group of boys ages 9 and 10 years have formed a "boys-only" club that is open to
neighborhood and school friends who have skateboards. This should be interpreted as:
a. Behavior that encourages bullying and sexism.

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b. Behavior that reinforces poor peer relationships.
c. Characteristic of social development of this age.
d. Characteristic of children who later are at risk for membership in gangs.

c. Characteristic of social development of this age.

What is descriptive of the play of school-age children?
a. Individuality in play is better tolerated than at earlier ages.
b. Knowing the rules of a game gives an important sense of belonging.
c. They like to invent games, making up the rules as they go.
d. Team play helps children learn the universal importance of competition and winning.

b. Knowing the rules of a game gives an important sense of belonging.

What is characteristic of dishonest behavior in children ages 8 to 10 years?
a. Cheating during games is now more common.
b. Lying results from the inability to distinguish between fact and fantasy.
c. They may steal because their sense of property rights is limited.
d. They may lie to meet expectations set by others that they have been unable to attain.

d. They may lie 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
that she is completing her schoolwork satisfactorily, but lately she has been somewhat
aggressive and stubborn in the classroom. The school nurse should recognize this as:
a. Signs of stress.
b. Developmental delay.
c. A physical problem causing emotional stress.
d. Lack of adjustment to the school environment.

a. Signs of stress.
Which statement best describes fear in school-age children?

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a. They are increasingly fearful for body safety.
b. Most of the new fears that trouble them are related to school and family.
c. They should be encouraged to hide their fears to prevent ridicule by peers.
d. Those who have numerous fears need continuous protective behavior by parents to eliminate
these fears.

b. Most of the new fears that trouble them are related to school and family.
The father of 12-year-old Ryan tells the nurse that he is concerned about his son getting "fat."
Ryan's body mass index for age is at the 60th percentile. The most appropriate nursing action is
to:
a. Reassure the father that Ryan is not "fat."
b. Reassure the father that Ryan is just a growing child.
c. Suggest a low-calorie, low-fat diet.
d. Explain that this is typical of the growth pattern of boys at this age.

d. Explain that this is typical of the growth pattern of boys at this age
The school nurse has been asked to begin teaching sex education in the 5th grade. The nurse
should recognize that:
a. Children in 5th grade are too young for sex education.
b. Children should be discouraged from asking too many questions.
c. Correct terminology should be reserved for children who are older.
d. Sex can be presented as a normal part of growth and development.

d. Sex can be presented as a normal part of growth and development.

An important consideration for the school nurse who is planning a class on bicycle safety is:
a. Most bicycle injuries involve collision with an automobile.
b. Head injuries are the major causes of bicycle-related fatalities.
c. Children should wear bicycle helmets if they ride on paved streets.
d. Children should not ride double unless the bicycle has an extra-large seat.

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b. Head injuries are the major causes of bicycle-related fatalities.
When teaching injury prevention during the school-age years, the nurse should include:
a. Teaching the need to fear strangers.
b. Teaching basic rules of water safety.
c. Avoiding letting children cook in microwave ovens.
d. Cautioning children against engaging in competitive sports.

b. Teaching basic rules of water safety.

Which behavior is not normally demonstrated in the 8-year-old child?
a. Understands that his or her point of view is not the only one
b. Enjoys telling riddles and silly jokes
c. Understands that pouring liquid from a small to a large container does not change the amount
d. Engages in fantasy and magical thinking

d. Engages in fantasy and magical thinking

The ability to mentally understand that 1 + 3 = 4 and 4 - 3 = 1 occurs in which stage of cognitive
development?
a. Concrete operations stage c. Intuitive thought stage
b. Formal operations stage d. Preoperations stage

a. Concrete operations stage

Which activity is most appropriate for developing fine motor skills in the school-age child?
a. Drawing c. Soccer
b. Singing d. Swimming

a. Drawing
Which comment is most developmentally typical of a 7-year-old boy?
a. "I am a Power Ranger, so don't make me angry."
b. "I don't know whether I like Mary or Joan better."

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c. "My mom is my favorite person in the world."
d. "Jimmy is my best friend."

d. "Jimmy is my best friend."

Identify the statement that is the most accurate about moral development in the 9-year-old
school-age child.
a. Right and wrong are based on physical consequences of behavior.
b. The child obeys parents because of fear of punishment.
c. The school-age child conforms to rules to please others.
d. Parents are the determiners of right and wrong for the school-age child.

c. The school-age child conforms to rules to please others.

Which behavior by parents or teachers will best assist the child in negotiating the developmental
task of industry?
a. Identifying failures immediately and asking the child's peers for feedback
b. Structuring the environment so the child can master tasks
c. Completing homework for children who are having difficulty in completing assignments
d. Decreasing expectations to eliminate potential failures

b. Structuring the environment so the child can master tasks

A nurse is assessing an older school-age child recently admitted to the hospital. Which
assessment indicates that the child is in an appropriate stage of cognitive development?
a. The child's addition and subtraction ability
b. The child's ability to classify
c. The child's vocabulary
d. The child's play activity

b. The child's ability to classify

Teasing can be common during the school-age years. Which of the following does the nurse
recognize as applying most to teasing?

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a. Can have a lasting effect on children
b. Is not a significant threat to self-concept
c. Is rarely based on anything that is concrete
d. Is usually ignored by the child who is being teased

a. Can have a lasting effect on children

A child has an evulsed (knocked-out) tooth. In which medium should the nurse instruct the
parents to place the tooth for transport to the dentist?
a. Cold milk c. Warm salt water
b. Cold water d. A dry, clean jar

a. Cold milk
A nurse is teaching parents of first-grade children general guidelines to assist their children in
adapting to school. Which statement by the parents indicates they understand the teaching?
a. "We will only meet with the teacher if problems occur."
b. "We will discourage hobbies so our child focuses on schoolwork."
c. "We will plan a trip to the library as often as possible."
d. "We will expect our child to make all As in school."

c. "We will plan a trip to the library as often as possible."

A school nurse is teaching dental health practices to a group of sixth-grade children. How often
should the nurse recommend the children brush their teeth?
a. Twice a day
b. Three times a day
c. After meals
d. After meals and snacks, and at bedtime

d. After meals and snacks, and at bedtime

Parents of a 12-year-old child ask the clinic nurse, "How many hours of sleep should our child
get?' The nurse should respond that 12-year-old children need how many hours of sleep at night?

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a. 8 c. 10
b. 9 d. 11

b. 9
A nurse planning care for a school-age child should take into account that which thought process
is seen at this age?
a. Animism c. Ability to conserve
b. Magical thinking d. Thoughts are all-powerful

c. Ability to conserve
Which demonstrates the school-age child's developing logic in the stage of concrete operations
(select all that apply)?
a. The school-age child is able to recognize that he can be a son, brother, or nephew at the same
time.
b. The school-age child understands the principles of adding, subtracting, and reversibility.
c. The school-age child understands the principles of adding, subtracting, and reversibility.
d. The school-age child has thinking that is characterized by egocentrism and animism.

A, B, C
Peer victimization is becoming a significant problem for school-age children and adolescents in
the United States. Parents should be educated regarding signs that a child is being bullied. These
might include (select all that apply):
a. The child spends an inordinate amount of time in the nurse's office.
b. Belongings frequently go missing or are damaged.
c. The child wants to be driven to school.
d. School performance improves.
e. The child freely talks about his or her day.

A, B, C
A nurse is planning care for a 7-year-old child hospitalized with osteomyelitis. Which activities
should the nurse plan to bring from the playroom for the child (select all that apply)?

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a. Paper and some paints
b. Board games
c. Jack-in-the-box
d. Stuffed animals
e. Computer games

A, B, E
A nurse teaches parents that team play is important for school-age children. Which can children
develop by experiencing team play (select all that apply)?
a. Achieve personal goals over group goals.
b. Learn complex rules.
c. Experience competition.
d. Learn about division of labor.

B, C, D
A nurse is recommending strategies to a group of school-age children for prevention of obesity.
Which should the nurse include (select all that apply)?
a. Eat breakfast daily.
b. Limit fruits and vegetables.
c. Have frequent family meals with parents present.
d. Eat frequently at restaurants.
e. Limit television viewing to 2 hours a day.