Chapter 09: The School-Age Child

Chapter 09: The School-Age Child

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The parents of a 6-year-old express concern over their child’s increased complaints of fatigue. On questioning, the parents state that their child is getting 8 to 10 hours of sleep. The nurse informs the parents that:

a.	This is an adequate amount of sleep
b.	The child is not getting enough sleep
c.	The child is getting too much sleep
d.	The child needs a nap at noon

 

 

ANS:   B

A 6-year-old child needs 11 to 13 hours of sleep each night. The child is not getting enough sleep. A 6-year-old is likely to be in first grade, so a nap is not possible.

 

DIF:    Cognitive Level: Application             REF:    p. 177              OBJ:    2

TOP:    Sleep Needs    KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Health Promotion and Maintenance: Growth and Development

 

2. An 8-year-old child and her parents, who have just moved into the community, are anxious about changing schools. The nurse suggests that in order to reduce anxiety the parents should:

a.	Consider that children of this age do not like interference from their parents
b.	Be assured that the local school is good and that the child shouldn’t be worried
c.	Consider going to the school and meeting the child’s teachers
d.	Support the child to handle this problem without their help

 

 

ANS:   C

A child of this age will want help from her parents. In addition to the pressures of entering a new school, this child is also going to a school in a new community. The parents can meet the teachers and possibly volunteer to help at the school. Children of this age need support from their parents to adjust to school.

 

DIF:    Cognitive Level: Application             REF:    p. 168              OBJ:    3

TOP:    The 6-Year-Old Child                        KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Psychosocial Integrity: Coping and Adaptation

 

3. The parents of a 6-year-old inform the nurse that their child will be starting first grade this month and they are concerned about the effect of school adjustment for their child. The nurse advises the parents to:

a.	Reassure the child that school will be just like kindergarten
b.	Watch for signs of fatigue or stress
c.	Be protective and take the child’s side in any conflict
d.	Call the teacher or school administration frequently to check on the child

 

 

ANS:   B

Parents should observe their child for behavioral changes, such as becoming withdrawn or fatigued. Encouraging the child to discuss happenings at school each day will help parents know what is going in their child’s life. Taking the child’s side in an overprotective manner may cause the child to become hostile to the teacher. Too frequent contact with the school may interfere with adjustment.

 

DIF:    Cognitive Level: Application             REF:    p. 169              OBJ:    3

TOP:    School             KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Psychological Integrity: Coping and Adaptation

 

4. The nurse warns parents that gender bias does exist in schools and is evidenced by:

a.	Boys receiving more praise than girls
b.	Girls receiving more negative feedback about the quality of their work
c.	Boys receiving negative feedback about the content of their work
d.	Girls receiving negative feedback about their spelling

 

 

ANS:   A

Boys tend to receive more praise than girls. Boys tend to receive negative feedback about neatness and spelling. Girls tend to receive negative feedback about the quality of their work.

 

DIF:    Cognitive Level: Comprehension      REF:    p. 169              OBJ:    4

TOP:    School             KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Psychosocial Integrity: Coping and Adaptation

 

5. A 10-year-old boy has been seen frequently at the school clinic for somatic complaints, such as stomachache and fatigue. The mother reports that recently he has begun bedwetting. The nurse suspects that this child:

a.	Does not like school
b.	Has not been getting adequate rest
c.	Is a victim of bullying
d.	Is exhibiting signs of a learning disability

 

 

ANS:   C

The symptoms are consistent with those typically seen in victims of bullying.

 

DIF:    Cognitive Level: Application             REF:    p. 169              OBJ:    4

TOP:    Bullying          KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Psychosocial Integrity: Coping and Adaptation