Chapter 13: Problems of Childhood

Chapter 13: Problems of Childhood

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Social and emotional development occurs at a more simple level in the child who is:

a.	5 years old
b.	8 years old
c.	10 years old
d.	12 years old

 

 

ANS:  A

A child’s reasoning is simple and uncomplicated until the nervous system completely develops; therefore, the younger child’s social and emotional development moves from simple to complex with age.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 131        OBJ:   1

TOP:   Normal Childhood Development      KEY:  Nursing Process Step: Assessment

MSC:  Client Needs: Psychosocial Integrity

 

2. A 10-year-old male client is 20 pounds overweight. Which intervention by the nurse is the most effective in this situation?

a.	Place the client on a strictly controlled calorie-restricted diet
b.	Talk to the client about why he is so overweight
c.	Teach the client and his parents about healthy eating habits and choices
d.	Make a list of foods that are to be restricted in the client’s diet

 

 

ANS:  C

Early intervention and education are the best interventions for the treatment and prevention of childhood obesity. Teaching about healthy eating habits provides the tools necessary to correct the problem with long-term success. Placing the client on a strictly controlled calorie-restricted diet provides no education and most likely will cause a rebound effect. Talking to the client about why he is overweight may be an intervention that would occur later in the treatment process after further assessment is completed. Making a list of restricted foods also may cause a rebound effect.

 

DIF:    Cognitive Level: Application           REF:   Page 132        OBJ:   1

TOP:   Common Behavioral Problems of Childhood

KEY:  Nursing Process Step: Intervention   MSC:  Client Needs: Psychosocial Integrity

 

3. A couple comes to the sleep disorder clinic because their 3-year-old daughter has problems falling asleep every night. The parents say that it takes their daughter 1 to 2 hours each night to fall asleep, and one of the parents ends up having to lie down with her. Which intervention should the nurse first suggest?

a.	The parents should trade each night who tries to put her to bed
b.	The daughter could start falling asleep in the parents’ bed then could move to her own bed
c.	Place the child in bed at the same time each night, and don’t allow her to get out of bed
d.	Follow a bedtime ritual each night, such as reading one book

 

 

ANS:  D

One of the first steps in dealing with problems with sleep is following a bedtime ritual each night so as to establish a restful sleep pattern. Additional interventions include limiting watching television. The other options do not establish a restful bedtime ritual that will encourage sleep.

 

DIF:    Cognitive Level: Application           REF:   Page 132        OBJ:   1

TOP:   Common Behavioral Problems of Childhood

KEY:  Nursing Process Step: Planning        MSC:  Client Needs: Psychosocial Integrity

 

4. The parents of a 2-year-old boy seek assistance at a family therapy clinic because their son throws a temper tantrum every time he is not allowed to throw his food on the floor during meals. Which therapeutic intervention does the nurse suggest?

a.	Leave him during the tantrum, so that he feels isolated from others as a result of his behavior
b.	Try to distract him when he becomes frustrated, and reward him for positive behavior
c.	Hold the child down until the tantrum stops
d.	Put him in the corner for punishment while he is having the tantrum

 

 

ANS:  B

Distracting the child may lessen his frustration and prevent the tantrum from occurring, and rewarding positive behavior encourages future positive behavior. Leaving him may frighten him and/or he could hurt himself during the tantrum. Holding the child down will increase his frustration, and putting him in the corner is not effective during a tantrum because his behavior is out of control, so he won’t understand the importance of the punishment.

 

DIF:    Cognitive Level: Application           REF:   Page 133        OBJ:   1

TOP:   Common Behavioral Problems of Childhood

KEY:  Nursing Process Step: Planning        MSC:  Client Needs: Psychosocial Integrity