INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 164
Chapter 18: The Preschool Child
MULTIPLE CHOICE
1. Which statement best describes the 3-year-old child?
a. Boisterous, tattles on others
b. Aggressive, shows off
c. Helpful, wants to assist with chores
d. Talkative, inquisitive about the environment
ANS: C
Three-year-old children are helpful and can assist in simple household chores.
DIF: Cognitive Level: Comprehension REF: Page 431
TOP: Development KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
2. The parents of a 4-year-old boy are concerned because they have noticed him frequently touching his penis.
What knowledge would act as the basis for the nurses response?
a. This behavior indicates a normal curiosity about sexuality.
b. Masturbation suggests the boy has an excessive fear of castration.
c. It is usually a result of discomfort from a penile rash or irritation.
d. The behavior is abnormal and the child should be referred for counseling.
ANS: A
Masturbation at this age is common and indicates that the preschooler has a normal curiosity about sexuality.
DIF: Cognitive Level: Comprehension REF: Page 431
TOP: Masturbation KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
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3. A preschool-age child is asked, Why do trees have leaves? Which response would be an example of
animism?
a. So I can have shade over my sandbox.
b. Because God made them that way.
c. To hide behind when they are scared.
d. For the squirrels to play in.
ANS: C
Animism describes the tendency of preschool children to attribute human characteristics to nonhuman objects.
DIF: Cognitive Level: Application REF: Page 428
TOP: Cognitive Development KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
4. What tasks would be appropriate to expect of a 5-year-old?
a. Setting the table with paper plates
b. Washing the dirty knives
c. Carrying glasses from the table to the sink
d. Scrubbing out the sink with cleanser
ANS: A
Parents must consider developmental level and safety when asking the 5-year-old child to help with chores.
DIF: Cognitive Level: Application REF: Page 437
TOP: DevelopmentSafety KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
5. A 3-year-old child, while playing with his favorite toy in the playroom of the pediatric unit, is approached
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, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 165
by another child who also wants to play with the same toy. What behavior will the nurse anticipate from this
child?
a. Will play well with the other child
b. Will give the toy up and then not play anymore
c. Will become angry and a physical response might ensue
d. Will ignore the toy and go on to something else
ANS: C
The 3-year-old child is egocentric and likely will become angry when others attempt to take his or her
possessions.
DIF: Cognitive Level: Application REF: Page 432
TOP: Display of Aggression KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
6. A parent is concerned about her childrens reaction should their grandmother die. What understanding will
guide the nurses response?
a. Children are unlikely to notice their grandmothers absence if no one reminds them.
b. Young children often understand that other people die, but do not equate it with themselves.
c. The childrens response will depend entirely on whether they have been acquainted with death before this.
d. Children can understand the concept of a higher being much like adults can.
ANS: B
Between 3 and 4 years of age, the child becomes curious about death and dying. They may realize that others
die, but they do not relate death to themselves.
DIF: Cognitive Level: Comprehension REF: Page 432
TOP: Concept of Death KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
NURSINGTB.COM
7. What is the most appropriate intervention when dealing with occasional aggression in a 4-year-old child?
a. Have the child take a time-out in the corner for 4 minutes.
b. Spank the child at the time of the incident.
c. Take away television privileges for the day.
d. Send the child to his room for 30 minutes.
ANS: A
Time-out periods, usually lasting 1 minute per year of age, with the child sitting in a chair or corner, are
considered an effective disciplinary technique.
DIF: Cognitive Level: Application REF: Page 432
TOP: Limit Setting KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
8. A father is concerned about how long his preschool-age child will continue sucking his thumb. What is the
most helpful response from the nurse?
a. Most children will stop thumb-sucking naturally by school age.
b. Over-the-counter treatments that give a bad taste can be placed on the thumb to discourage the practice.
c. Consistently touching the childs fingers whenever he sucks his thumb is most effective.
d. Thumb-sucking is detrimental to the eruption of the childs teeth and must be stopped as soon as possible.
ANS: A
Most children give up the habit of thumb-sucking by the time they reach school.
DIF: Cognitive Level: Application REF: Page 435
TOP: Thumb-Sucking KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
9. How does the nurse characterize the play of 5-year-old children?
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Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 164
Chapter 18: The Preschool Child
MULTIPLE CHOICE
1. Which statement best describes the 3-year-old child?
a. Boisterous, tattles on others
b. Aggressive, shows off
c. Helpful, wants to assist with chores
d. Talkative, inquisitive about the environment
ANS: C
Three-year-old children are helpful and can assist in simple household chores.
DIF: Cognitive Level: Comprehension REF: Page 431
TOP: Development KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
2. The parents of a 4-year-old boy are concerned because they have noticed him frequently touching his penis.
What knowledge would act as the basis for the nurses response?
a. This behavior indicates a normal curiosity about sexuality.
b. Masturbation suggests the boy has an excessive fear of castration.
c. It is usually a result of discomfort from a penile rash or irritation.
d. The behavior is abnormal and the child should be referred for counseling.
ANS: A
Masturbation at this age is common and indicates that the preschooler has a normal curiosity about sexuality.
DIF: Cognitive Level: Comprehension REF: Page 431
TOP: Masturbation KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
NURSINGTB.COM
3. A preschool-age child is asked, Why do trees have leaves? Which response would be an example of
animism?
a. So I can have shade over my sandbox.
b. Because God made them that way.
c. To hide behind when they are scared.
d. For the squirrels to play in.
ANS: C
Animism describes the tendency of preschool children to attribute human characteristics to nonhuman objects.
DIF: Cognitive Level: Application REF: Page 428
TOP: Cognitive Development KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
4. What tasks would be appropriate to expect of a 5-year-old?
a. Setting the table with paper plates
b. Washing the dirty knives
c. Carrying glasses from the table to the sink
d. Scrubbing out the sink with cleanser
ANS: A
Parents must consider developmental level and safety when asking the 5-year-old child to help with chores.
DIF: Cognitive Level: Application REF: Page 437
TOP: DevelopmentSafety KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
5. A 3-year-old child, while playing with his favorite toy in the playroom of the pediatric unit, is approached
This study source was downloaded by 100000840946462 from CourseHero.com on 04-16-2022 10:05:33 GMT -05:00
https://www.coursehero.com/file/59653898/TB-Chapter-18-The-Preschool-Childpdf/
NURSINGTB.COM
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 165
by another child who also wants to play with the same toy. What behavior will the nurse anticipate from this
child?
a. Will play well with the other child
b. Will give the toy up and then not play anymore
c. Will become angry and a physical response might ensue
d. Will ignore the toy and go on to something else
ANS: C
The 3-year-old child is egocentric and likely will become angry when others attempt to take his or her
possessions.
DIF: Cognitive Level: Application REF: Page 432
TOP: Display of Aggression KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
6. A parent is concerned about her childrens reaction should their grandmother die. What understanding will
guide the nurses response?
a. Children are unlikely to notice their grandmothers absence if no one reminds them.
b. Young children often understand that other people die, but do not equate it with themselves.
c. The childrens response will depend entirely on whether they have been acquainted with death before this.
d. Children can understand the concept of a higher being much like adults can.
ANS: B
Between 3 and 4 years of age, the child becomes curious about death and dying. They may realize that others
die, but they do not relate death to themselves.
DIF: Cognitive Level: Comprehension REF: Page 432
TOP: Concept of Death KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
NURSINGTB.COM
7. What is the most appropriate intervention when dealing with occasional aggression in a 4-year-old child?
a. Have the child take a time-out in the corner for 4 minutes.
b. Spank the child at the time of the incident.
c. Take away television privileges for the day.
d. Send the child to his room for 30 minutes.
ANS: A
Time-out periods, usually lasting 1 minute per year of age, with the child sitting in a chair or corner, are
considered an effective disciplinary technique.
DIF: Cognitive Level: Application REF: Page 432
TOP: Limit Setting KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
8. A father is concerned about how long his preschool-age child will continue sucking his thumb. What is the
most helpful response from the nurse?
a. Most children will stop thumb-sucking naturally by school age.
b. Over-the-counter treatments that give a bad taste can be placed on the thumb to discourage the practice.
c. Consistently touching the childs fingers whenever he sucks his thumb is most effective.
d. Thumb-sucking is detrimental to the eruption of the childs teeth and must be stopped as soon as possible.
ANS: A
Most children give up the habit of thumb-sucking by the time they reach school.
DIF: Cognitive Level: Application REF: Page 435
TOP: Thumb-Sucking KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
9. How does the nurse characterize the play of 5-year-old children?
This study source was downloaded by 100000840946462 from CourseHero.com on 04-16-2022 10:05:33 GMT -05:00
https://www.coursehero.com/file/59653898/TB-Chapter-18-The-Preschool-Childpdf/
NURSINGTB.COM
