Chapter 08: Health Promotion for the School-Age Child McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition

Chapter 08: Health Promotion for the School-Age Child McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition MULTIPLE CHOICE 1. Which statement made by a mother of a school-age boy indicates a need for further teaching? a. “My child is playing soccer on a team this year.” b. “He is always active with his friends playing games.” c. “I limit his television watching to about 2 hours a day.” d. “I am glad his coach emphasizes winning and discipline in today’s society.” ANS: D Team sports are important for the development of sportsmanship and teamwork and for exercise and refinement of motor skills. A coach who emphasizes winning and strict discipline is not appropriate for children in this age-group. Team sports such as soccer are appropriate for exercise and refinement of motor skills. Limiting television to 2 hours a day is an appropriate restriction. School-age children should be encouraged to participate in physical activities. PTS: 1 DIF: Cognitive Level: Evaluation/Evaluating REF: p. 133 OBJ: Nursing Process: Evaluation MSC: Client Needs: Health Promotion and Maintenance 2. A nurse is assessing an 8-year-old child. Which finding leads the nurse to conduct further assessment? a. Understands that his or her point of view is not the only one b. Enjoys telling riddles and silly jokes c. Demonstrates the principle of object conservation d. Engages in fantasy and magical thinking ANS: D The preschool-age child engages in fantasy and magical thinking. The school-age child moves away from this type of thinking and becomes more skeptical and logical. Belief in Santa Claus or the Easter Bunny ends in this period of development. If the child demonstrated this type of thinking, the nurse would need to follow up with more developmental screening. School-age children enter the stage of concrete operations. They learn that their point of view is not the only one. The school-age child has a sense of humor. The child’s increased language mastery and increased logic allow for appreciation of plays on words, jokes, and incongruities. The school-age child understands that properties of objects do not change when their order, form, or appearance does (object conservation). PTS: 1 DIF: Cognitive Level: Analysis/Analyzing REF: p. 134 OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance 3. The ability to mentally understand that 1 + 3 = 4 and 4 – 1 = 3 occurs in which stage of cognitive development? a. Concrete operations b. Formal operations c. Intuitive thought