Keenan-Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada, 1st Edition
MULTIPLE CHOICE
1. What is a nurse’s best advice to a parent about a preschooler’s “imaginary friend”?
a. Having imaginary friends is a sign that the child has low self-esteem.
b. It is common for preschoolers to have imaginary friends.
c. Preschoolers invent an imaginary friend when they feel overwhelmed.
d. The best approach to dealing with an imaginary friend is to ignore them.
ANS: B
Imaginary friends are common and normal during the preschool period and serve
many purposes, such as relief from loneliness, mastery of fears, and acting as a
scapegoat.
DIF: Cognitive Level: Comprehension REF: 398 OBJ: 3 | 13
TOP: Imaginary Friend KEY: Nursing Process Step:
Implementation
2. What intervention might a nurse suggest as helpful for the child with enuresis?
a. Applying an electric pad that gently shocks the child
b. Waking the child several times during the night to urinate
c. Decreasing fluid intake after the evening meal
d. Increasing dietary fibre intake
ANS: C
If a child is experiencing enuresis, liquids after dinner should be limited and the child
should routinely void before going to bed.
DIF: Cognitive Level: Application REF: 396 OBJ: 10
TOP: Enuresis KEY: Nursing Process Step: Implementation
3. What should a nurse suggest as the most appropriate toy choice for a 3-year-old?
, a. A board game
b. A small pet, such as a goldfish
c. A large construction set
d. Push-pull toys
ANS: C
Large construction sets are suitable toys for the preschool-age child.
DIF: Cognitive Level: Application REF: 398 OBJ: 13
TOP: Play KEY: Nursing Process Step: Implementation
4. Caregivers of a 3 1/2-year-old child tell a nurse, “My daughter points instead of speaking
whenever she wants me to get something for her, but she understands me when I ask her
to do something.” Based on the parent’s comment, what does the nurse suspect?
a. Age-appropriate language development
b. An expressive language delay
c. A receptive language delay
d. A potential hearing deficit
ANS: B
An expressive language delay is suspected when the child understands spoken
language but is not talking.
DIF: Cognitive Level: Application REF: 391 OBJ: 5
TOP: Language Development KEY: Nursing Process Step: Data
Collection
5. Caregivers of a 4 1/2-year-old child tells a nurse, “Bedtime is difficult. We can’t get our
son to go to bed at night.” The nurse and the parents discuss options. What intervention is
the most appropriate choice?
a. Allow the child to put himself to bed when tired.
b. Let the child read in his room until he falls asleep.
c. Establish a bedtime routine and use it consistently.
d. Tire him out with physical activity before bedtime.
ANS: C
MULTIPLE CHOICE
1. What is a nurse’s best advice to a parent about a preschooler’s “imaginary friend”?
a. Having imaginary friends is a sign that the child has low self-esteem.
b. It is common for preschoolers to have imaginary friends.
c. Preschoolers invent an imaginary friend when they feel overwhelmed.
d. The best approach to dealing with an imaginary friend is to ignore them.
ANS: B
Imaginary friends are common and normal during the preschool period and serve
many purposes, such as relief from loneliness, mastery of fears, and acting as a
scapegoat.
DIF: Cognitive Level: Comprehension REF: 398 OBJ: 3 | 13
TOP: Imaginary Friend KEY: Nursing Process Step:
Implementation
2. What intervention might a nurse suggest as helpful for the child with enuresis?
a. Applying an electric pad that gently shocks the child
b. Waking the child several times during the night to urinate
c. Decreasing fluid intake after the evening meal
d. Increasing dietary fibre intake
ANS: C
If a child is experiencing enuresis, liquids after dinner should be limited and the child
should routinely void before going to bed.
DIF: Cognitive Level: Application REF: 396 OBJ: 10
TOP: Enuresis KEY: Nursing Process Step: Implementation
3. What should a nurse suggest as the most appropriate toy choice for a 3-year-old?
, a. A board game
b. A small pet, such as a goldfish
c. A large construction set
d. Push-pull toys
ANS: C
Large construction sets are suitable toys for the preschool-age child.
DIF: Cognitive Level: Application REF: 398 OBJ: 13
TOP: Play KEY: Nursing Process Step: Implementation
4. Caregivers of a 3 1/2-year-old child tell a nurse, “My daughter points instead of speaking
whenever she wants me to get something for her, but she understands me when I ask her
to do something.” Based on the parent’s comment, what does the nurse suspect?
a. Age-appropriate language development
b. An expressive language delay
c. A receptive language delay
d. A potential hearing deficit
ANS: B
An expressive language delay is suspected when the child understands spoken
language but is not talking.
DIF: Cognitive Level: Application REF: 391 OBJ: 5
TOP: Language Development KEY: Nursing Process Step: Data
Collection
5. Caregivers of a 4 1/2-year-old child tells a nurse, “Bedtime is difficult. We can’t get our
son to go to bed at night.” The nurse and the parents discuss options. What intervention is
the most appropriate choice?
a. Allow the child to put himself to bed when tired.
b. Let the child read in his room until he falls asleep.
c. Establish a bedtime routine and use it consistently.
d. Tire him out with physical activity before bedtime.
ANS: C
