Question 1

The intervention that is most effective in dealing with occasional aggression in a 4-year-old child is:

Accepted Answer

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.

Question 2

Play that is designed to retrain muscles or improve eye-hand coordination is considered ____________________ play.

Accepted Answer

therapeutic
Explanation: Thera...

Question 3

A 3-year-old child, while playing with her favorite toy in the playroom of the pediatric unit, is approached by another child who also wants to play with the same toy. The nurse anticipates that the 3-year-old will:

Accepted Answer

A)   Play well with the other child
B)   Give the toy up and then not play any more
C)   Become angry and a physical response might ensue
D)   Ignore the toy and go on to something else

Question 4

The nurse planning a seminar on safety for the preschooler will focus on: Select all that apply.

Accepted Answer

A)   Poison
B)   Burns
C)   Falls
D)   Abduction
E)   Car-pedestrianF)  None of the above

Question 5

When planning an activity for a 3-year-old, the nurse bases the plan on the average attention span of ____________________ minutes.

Accepted Answer

The answer of When planning an activity for a 3-year-old,...

Question 6

A parent is concerned about how to make his preschool-age child stop sucking his thumb and asks the nurse for suggestions. The nurse's most helpful response would be:

Accepted Answer

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 child's fingers whenever he sucks his thumb is most effective.
D)   Thumb-sucking is detrimental to the eruption of the child's teeth and must be stopped as soon as possible. A

Question 7

The parent of a 3 1/2 -year-old child tells the nurse, "My daughter points 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, the nurse recognizes that:

Accepted Answer

A)   The child's language development is age-appropriate.
B)   The child may have expressive language delay.
C)   The child has a receptive language delay.
D)   The child should have her hearing tested. B

Question 8

A preschool-age child is asked, "Why do trees have leaves?" Which of the following responses would be an example of animism?

Accepted Answer

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."

Question 9

The parents of a 4-year-old boy are concerned because they have noticed him frequently touching his penis. The nurse would base a response on the knowledge that:

Accepted Answer

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.

Question 10

The nurse characterizes the play of 5-year-old children as:

Accepted Answer

A)   Rough and tumble play
B)   Well-organized games
C)   Following rules
D)   Prefer inside activities

Question 11

The parent of a 4 1/2 -year-old child tells the nurse, "Bedtime is difficult. I can't get my child to bed at night." The nurse and the child's mother discuss options and decide that the best choice would be to:

Accepted Answer

A)   Allow the child to put himself to bed when he is 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.

Question 12

The nurse's best advice to a parent about a preschooler's "imaginary friend" would be that:

Accepted Answer

A)   Imaginary friends is a sign that the child has a low self-esteem.
B)   It is common for preschoolers to have imaginary friends.
C)   The preschooler invents an imaginary friend when he feels overwhelmed.
D)   The best approach to dealing with an imaginary friend is to ignore them.

Question 13

The nurse suggests measures that might be helpful for the child with enuresis, such as:

Accepted Answer

A)   Apply an electric pad that gently shocks the child.
B)   Wake the child several times during the night to urinate.
C)   Decrease fluid intake after the evening meal.
D)   Increase dietary fiber intake. C

Question 14

In planning care for a moderately retarded child, the type of play most appropriate is:

Accepted Answer

A)   Play should exercise leg and arm muscles.
B)   Play should be educationally oriented to make up for lost time.
C)   Play should be adjusted to her mental age rather than her chronological age.
D)   Play is not a necessary component of the care of a mentally retarded child.

Question 15

When discussing preschoolers' sexual curiosity with the parent, the nurse determines that the parent understands the information when she states she would:

Accepted Answer

A)   "Make up funny words for body parts."
B)   "Distract my child with a toy if she asks about sex."
C)   "Answer her questions when she asks."
D)   "Tell her to ask me again when she is 6 years old."

Question 16

Which of the following statements best describes the 3-year-old child?

Accepted Answer

A)   Boisterous, tattles on others
B)   Aggressive, shows off
C)   Helpful, wants to assist with chores
D)   Talkative, inquisitive about the environment

Question 17

A 4-year-old child tells the nurse that he will not eat peas because they are green. This is an example of:

Accepted Answer

A)   Egocentrism
B)   Artificialism
C)   Animism
D)   Centering

Question 18

A parent is concerned about her children's reaction should their grandmother die. In planning a response, the nurse is guided by the understanding that:

Accepted Answer

A)   Children are unlikely to notice their grandmother's absence if no one reminds them.
B)   Young children often understand that other people die, but do not equate it with themselves.
C)   The children's 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.

Question 19

The nurse points out that among the advantages of a nursery school experience are: Select all that apply.

Accepted Answer

A)   Increasing self-confidence
B)   Fostering group cooperation
C)   Detecting adjustment problems
D)   Enhancing social skills
E)   Playing experiences with other childrenF)  None of the above

Question 20

The nurse understands that a fear unique to the preschool period is:

Accepted Answer

A)   Fear of water
B)   Fear of animals
C)   Fear of bodily harm
D)   Fear of death

Exam 18: The Preschool Child

The intervention that is most effective in dealing with occasional aggression in a 4-year-old child is:

Correct AnswerverifiedShow Answer

Play that is designed to retrain muscles or improve eye-hand coordination is considered ____________________ play.

Correct AnswerverifiedtherapeuticExplanation: Thera...View AnswerShow Answer

A 3-year-old child, while playing with her favorite toy in the playroom of the pediatric unit, is approached by another child who also wants to play with the same toy. The nurse anticipates that the 3-year-old will:

Correct AnswerverifiedShow Answer

The nurse planning a seminar on safety for the preschooler will focus on: Select all that apply.

Correct AnswerverifiedShow Answer

When planning an activity for a 3-year-old, the nurse bases the plan on the average attention span of ____________________ minutes.

Correct AnswerverifiedShow Answer

A parent is concerned about how to make his preschool-age child stop sucking his thumb and asks the nurse for suggestions. The nurse's most helpful response would be:

Correct AnswerverifiedA

The parent of a 3 1/2 -year-old child tells the nurse, "My daughter points 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, the nurse recognizes that:

Correct AnswerverifiedB

A preschool-age child is asked, "Why do trees have leaves?" Which of the following responses would be an example of animism?

Correct AnswerverifiedShow Answer

The parents of a 4-year-old boy are concerned because they have noticed him frequently touching his penis. The nurse would base a response on the knowledge that:

Correct AnswerverifiedShow Answer

The nurse characterizes the play of 5-year-old children as:

Correct AnswerverifiedShow Answer

The parent of a 4 1/2 -year-old child tells the nurse, "Bedtime is difficult. I can't get my child to bed at night." The nurse and the child's mother discuss options and decide that the best choice would be to:

Correct AnswerverifiedShow Answer

The nurse's best advice to a parent about a preschooler's "imaginary friend" would be that:

Correct AnswerverifiedShow Answer

The nurse suggests measures that might be helpful for the child with enuresis, such as:

Correct AnswerverifiedC

In planning care for a moderately retarded child, the type of play most appropriate is:

Correct AnswerverifiedShow Answer

When discussing preschoolers' sexual curiosity with the parent, the nurse determines that the parent understands the information when she states she would:

Correct AnswerverifiedShow Answer

Which of the following statements best describes the 3-year-old child?

Correct AnswerverifiedShow Answer

A 4-year-old child tells the nurse that he will not eat peas because they are green. This is an example of:

Correct AnswerverifiedShow Answer

A parent is concerned about her children's reaction should their grandmother die. In planning a response, the nurse is guided by the understanding that:

Correct AnswerverifiedShow Answer

The nurse points out that among the advantages of a nursery school experience are: Select all that apply.

Correct AnswerverifiedShow Answer

The nurse understands that a fear unique to the preschool period is:

Correct AnswerverifiedShow Answer

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