Ch 33 - The Preschooler and Family Questions and Answers Complete

Ch 33 - The Preschooler and Family Questions and Answers Complete initiative. Ans- According to Erikson, the primary psychosocial task of the preschool period is developing a sense of: identity. intimacy. initiative. industry. play. Ans- The nurse's BEST approach for effective communication with a preschool age child is through: speech. play. drawing. actions. fear of intrusive procedures. Ans- When caring for a preschool age child, the nurse should incorporate knowledge that body image has developed to include: a well-defined body boundary. knowledge about his or her internal anatomy. fear of intrusive procedures. anxiety and fear of separation. having imaginary playmates is normal and useful at this age. Ans- The parents of a 4-year-old girl are worried because she has an imaginary playmate. The nurse's BEST response is to tell the parents: a psychosocial evaluation is indicated. an evaluation of possible parent-child conflict is indicated. having imaginary playmates is normal and useful at this age. having imaginary playmates is abnormal after about age 2 years. 5 years. Ans- The nurse would expect that most children would be using sentences of six to eight words by age: 18 months. 24 months. 3 years. 5 years. perform developmental screening. Ans- During a well-child visit, the father of a 4-year-old boy tells the nurse that he is not sure if his son is ready for kindergarten. His birthday is close to the cutoff date, and he has not attended preschool. The nurse's BEST recommendation is to: start kindergarten. perform developmental screening. observe a kindergarten class. postpone kindergarten and go to preschool. parents should determine exactly what the child wants to know before answering a question about sex. Ans- When preparing parents to teach their preschool child about human sexuality, the nurse should emphasize that: a parent's words may have a greater influence on the child's understanding than the parent's actions. parents should determine exactly what the child wants to know before answering a question about sex. parents should avoid using correct anatomic terms because they are confusing to the preschooler. parents should allow children to satisfy their sexual curiosity by playing "doctor." Let her watch other children play with a dog Ans- A 4-year-old female child is afraid of dogs. What should the nurse recommend to her parents to help her with this fear? Keep her away from dogs Buy her a stuffed dog toy Force her to touch a dog briefly Let her watch other children play with a dog refer the child for professional help. Ans- A 4-year-old boy has been having increasingly more frequent angry outbursts in preschool. He is very aggressive toward the other children and the teachers. This behavior has been a problem for approximately 8 to 10 weeks. His parent asks the nurse for advice. The MOST appropriate intervention is to: explain that this is normal in preschoolers, especially boys. refer the child for professional help. talk to the preschool teacher to obtain validation for the behavior the parent reports. encourage the parent to try more consistent and firm discipline. The quality of the food consumed is more important than the quantity. Ans- The nurse preparing a nutritional teaching plan for the parents of a preschool child should include which information? The quality of the food consumed is more important than the quantity. Nutrition requirements for preschoolers are very different from requirements for toddlers. Requirement for calories per unit of body weight increases slightly during the preschool period. Average daily intake of preschoolers should be about 3000 calories. sleep terror. Ans- A 4-year-old female child sometimes wakes her parents up at night screaming, thrashing, sweating, and apparently frightened. Yet she is not aware of her parents' presence when they check on her. She lies down and sleeps without any parental intervention. This is MOST likely described as: a nightmare. sleep terror. seizure activity. sleep apnea. inform the parent to expect a more tranquil period at this age. Ans- The nurse is giving anticipatory guidance to the parent of a 5-year-old. In this guidance, it is MOST important to: prepare the parent for increased aggression. encourage the parent to offer the child choices. inform the parent to expect a more tranquil period at this age. advise parents that this is the age when stuttering may develop. completing the child's sentences. Ans- The nurse is assessing a preschool age child who is stuttering when answering the nurse's questions. The nurse should offer alternate methods of responding to the stuttering when observing the parent: completing the child's sentence