Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The school nurse is attending a meeting with the teachers, school counselors, and parents
of a student who has recently refused to attend school. The parents share that the student
is either pretending to be ill or being untruthful about going to classes. Which initial
intervention by the nurse is best?
a. Inquire about the student’s feelings regarding school.
b. Ask the parents if they have noticed physical injuries.
c. Explain the impact of missing school to the student.
d. Suggest homeschooling until the problem is resolved.
ANS: A
Chapter: Chapter 10 School-Age Children
Chapter Learning Objective: 11. Recognize child abuse considerations relevant to
school-age patients.
Page: 194
Heading: Health Promotion > School
Integrated Processes: Nursing Process
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Stress and Coping
Difficulty: Moderate
Feedback
A. This is correct. Initially, the reasons for the student’s behavior needs to be
identified and addressed, and a good approach is to ask about the student’s
feelings. The nurse is particularly interested in psychological issues.
B. This is incorrect. The nurse may be concerned about the student being bullied at
school; however, when the issue should be first approached, it should be with the
student and not the parents.
C. This is incorrect. At some point it may be appropriate to discuss the impact of
skipping school; however, initially the nurse needs to focus on the cause.
D. This is incorrect. Homeschool may be an option at some point; however, the
initial focus is on the cause of the student’s behavior.
PTS: 1 CON: Stress and Coping
2. The school nurse is presenting information on the importance of exercise to children in
the fifth and sixth grades of school. Which reason does the nurse cite as being the best
, reason for being physically active?
a. Sports provide an opportunity to bond with peers.
b. Normal childhood activities make exercise fun.
c. Physical activity needs to replace technology hours.
d. Early exercise will carry over as good habits for adults.
ANS: D
Chapter: Chapter 10 School-Age Children
Chapter Learning Objective: 5. Describe strategies for assessing health promotion
practices among school-age patients.
Page: 194
Heading: Health Promotion > Exercise
Integrated Processes: Nursing Process.
Client Need: Health Promotion
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Moderate
Feedback
A. This is incorrect. Encouraging participation in school exercise programs and
available sports provides the opportunity for physical activity; however, it is not
necessarily the most important action for bonding with peers, which is a
psychosocial need. The nurse needs to emphasize the physical purposes and
benefits of exercise.
B. This is incorrect. Encouraging normal school-age activities, such as ball, jumping
rope, bike riding, skating, and using playground equipment does make it fun to
be physically active; however, the best reason for exercise and activity is the
long-term impact.
C. This is incorrect. Today’s children are seriously immersed in the technological
world, which makes promotion of physical activity more difficult. Technology is
likely to always be a part of the younger generation’s lives. Replacement is not
reasonable; balance needs to be promoted.
D. This is correct. As with nutrition, early education and experience with exercise
can help to form good habits that can last a lifetime. This is the best reason for
the nurse to promote physical activity, along with proven health benefits.
PTS: 1 CON: Health Promotion
3. The nurse is visiting the home of a family who is providing care for a school-age child
with profound disabilities. The nurse notes that the primary caregiver looks tired and thin.
The caregiver admits to feeling overwhelmed and then guilty about negative feelings.
Which intervention by the nurse is most helpful?
a. Arrange for a counselor to meet with the family and assess for well-being.
b. Suggest a means of child management so the parents can plan a short getaway.
, c. Provide literature about extended-care facilities where the child can be cared for.
d. Recommend the caregiver to a support group where feelings can be shared.
ANS: D
Chapter: Chapter 10 School-Age Children
Chapter Learning Objective: 9. Integrate home-care concepts and considerations
specific to the school-age population.
Page: 197
Heading: Care When Chronically Ill > Role of the Primary Caregiver
Integrated Processes: Nursing Process
Client Need: Psychosocial Integrity
Cognitive Level: Analysis [Analyzing]
Concept: Family
Difficulty: Difficult
Feedback
A. This is incorrect. The home care for a disabled child is frequently as stressful as it
can be rewarding. The process can have a significant negative effect on the
family; however, the nurse is evaluating the physical and psychological effects
on the primary caregiver. The scenario does not present a need for family
counseling.
B. This is incorrect. Sometimes respite or relief is needed. Marital stress and divorce
may be more common with a family who has a child with special needs;
however, the scenario does not indicate marital problems.
C. This is incorrect. The family of a profoundly disabled child may at some point be
ready to consider placement in an extended-care facility; however, the immediate
situation requires the nurse to attend to the needs of the caregiver.
D. This is correct. To combat the effects of caregiver fatigue, caregivers must have a
good support network and ability to participate in activities that promote stress
relief. The nurse’s recommendation for a support group is the best intervention to
address the caregiver’s immediate needs.
PTS: 1 CON: Family
4. The nurse in a pediatric clinic is gathering physical assessment information during a
yearly visit on a 6-year-old child. Which finding does the nurse expect during the
assessment?
a. A weight gain of 6-1/2 pounds
b. A height increase of 5 inches
c. A blood pressure of 88/50 mm Hg
d. A pulse rate of 102 beats/min
ANS: A
Chapter: Chapter 10 School-Age Children
Identify the choice that best completes the statement or answers the question.
1. The school nurse is attending a meeting with the teachers, school counselors, and parents
of a student who has recently refused to attend school. The parents share that the student
is either pretending to be ill or being untruthful about going to classes. Which initial
intervention by the nurse is best?
a. Inquire about the student’s feelings regarding school.
b. Ask the parents if they have noticed physical injuries.
c. Explain the impact of missing school to the student.
d. Suggest homeschooling until the problem is resolved.
ANS: A
Chapter: Chapter 10 School-Age Children
Chapter Learning Objective: 11. Recognize child abuse considerations relevant to
school-age patients.
Page: 194
Heading: Health Promotion > School
Integrated Processes: Nursing Process
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Stress and Coping
Difficulty: Moderate
Feedback
A. This is correct. Initially, the reasons for the student’s behavior needs to be
identified and addressed, and a good approach is to ask about the student’s
feelings. The nurse is particularly interested in psychological issues.
B. This is incorrect. The nurse may be concerned about the student being bullied at
school; however, when the issue should be first approached, it should be with the
student and not the parents.
C. This is incorrect. At some point it may be appropriate to discuss the impact of
skipping school; however, initially the nurse needs to focus on the cause.
D. This is incorrect. Homeschool may be an option at some point; however, the
initial focus is on the cause of the student’s behavior.
PTS: 1 CON: Stress and Coping
2. The school nurse is presenting information on the importance of exercise to children in
the fifth and sixth grades of school. Which reason does the nurse cite as being the best
, reason for being physically active?
a. Sports provide an opportunity to bond with peers.
b. Normal childhood activities make exercise fun.
c. Physical activity needs to replace technology hours.
d. Early exercise will carry over as good habits for adults.
ANS: D
Chapter: Chapter 10 School-Age Children
Chapter Learning Objective: 5. Describe strategies for assessing health promotion
practices among school-age patients.
Page: 194
Heading: Health Promotion > Exercise
Integrated Processes: Nursing Process.
Client Need: Health Promotion
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Moderate
Feedback
A. This is incorrect. Encouraging participation in school exercise programs and
available sports provides the opportunity for physical activity; however, it is not
necessarily the most important action for bonding with peers, which is a
psychosocial need. The nurse needs to emphasize the physical purposes and
benefits of exercise.
B. This is incorrect. Encouraging normal school-age activities, such as ball, jumping
rope, bike riding, skating, and using playground equipment does make it fun to
be physically active; however, the best reason for exercise and activity is the
long-term impact.
C. This is incorrect. Today’s children are seriously immersed in the technological
world, which makes promotion of physical activity more difficult. Technology is
likely to always be a part of the younger generation’s lives. Replacement is not
reasonable; balance needs to be promoted.
D. This is correct. As with nutrition, early education and experience with exercise
can help to form good habits that can last a lifetime. This is the best reason for
the nurse to promote physical activity, along with proven health benefits.
PTS: 1 CON: Health Promotion
3. The nurse is visiting the home of a family who is providing care for a school-age child
with profound disabilities. The nurse notes that the primary caregiver looks tired and thin.
The caregiver admits to feeling overwhelmed and then guilty about negative feelings.
Which intervention by the nurse is most helpful?
a. Arrange for a counselor to meet with the family and assess for well-being.
b. Suggest a means of child management so the parents can plan a short getaway.
, c. Provide literature about extended-care facilities where the child can be cared for.
d. Recommend the caregiver to a support group where feelings can be shared.
ANS: D
Chapter: Chapter 10 School-Age Children
Chapter Learning Objective: 9. Integrate home-care concepts and considerations
specific to the school-age population.
Page: 197
Heading: Care When Chronically Ill > Role of the Primary Caregiver
Integrated Processes: Nursing Process
Client Need: Psychosocial Integrity
Cognitive Level: Analysis [Analyzing]
Concept: Family
Difficulty: Difficult
Feedback
A. This is incorrect. The home care for a disabled child is frequently as stressful as it
can be rewarding. The process can have a significant negative effect on the
family; however, the nurse is evaluating the physical and psychological effects
on the primary caregiver. The scenario does not present a need for family
counseling.
B. This is incorrect. Sometimes respite or relief is needed. Marital stress and divorce
may be more common with a family who has a child with special needs;
however, the scenario does not indicate marital problems.
C. This is incorrect. The family of a profoundly disabled child may at some point be
ready to consider placement in an extended-care facility; however, the immediate
situation requires the nurse to attend to the needs of the caregiver.
D. This is correct. To combat the effects of caregiver fatigue, caregivers must have a
good support network and ability to participate in activities that promote stress
relief. The nurse’s recommendation for a support group is the best intervention to
address the caregiver’s immediate needs.
PTS: 1 CON: Family
4. The nurse in a pediatric clinic is gathering physical assessment information during a
yearly visit on a 6-year-old child. Which finding does the nurse expect during the
assessment?
a. A weight gain of 6-1/2 pounds
b. A height increase of 5 inches
c. A blood pressure of 88/50 mm Hg
d. A pulse rate of 102 beats/min
ANS: A
Chapter: Chapter 10 School-Age Children
