Ch7 Health Promotion For The School-Age Child

Front 1

Parents of a 10-year-old child are concerned that their child has been recently showing signs of low self-esteem. Which of the following should the nurse consider when discussing this issue with the parents?
A. Changing self-esteem is difficult after about age 5 years.
B. Self-esteem is the objective judgment of one's worthiness.
C. Transitory periods of lowered self-esteem are expected developmentally.
D. High self-esteem develops when parents show adequate love for the child.

Back 1

C. Transitory periods of lowered self-esteem are expected developmentally.
Self-esteem changes with development. Transient changes are expected, and with positive encouragement and support the changes are only temporary.

Front 2

Which of the following is an important consideration related to childhood stress?
A. Children should be protected from stress.
B. Children do not have coping strategies.
C. Parents cannot prepare children for stress.
D. Some children are more vulnerable to stress than others.

Back 2

D. Some children are more vulnerable to stress than others.



Children's age, temperament, life situation, and state of health affect their vulnerability, reactions, and ability to handle stress.

Front 3

The school nurse is asked to speak with the parents of a 10-year-old boy who has been bullying other children. The nurse's response should be based on knowledge that:
A. Bullying at this age is considered normal.
B. Children who bully others usually join gangs.
C. Children who bully others usually have low self-esteem.
D. Bullies often have difficulties developing and maintaining relationships.

Back 3

D. Bullies often have difficulties developing and maintaining relationships.
Children who bully are defiant toward adults, antisocial, and likely to break school rules. They have little anxiety and strong self-esteem and may come from homes where physical punishment is used and there is a lack of parental involvement and warmth. In the long term, this negativity continues into adulthood, causing difficulties developing and maintaining relationships.

Front 4

The parents of an 8-year-old girl tell the nurse that their daughter wants to join a soccer team. The nurse's suggestions regarding participation in sports at this age should include which of the following?
A. Organized sports, such as soccer, are not appropriate at this age.
B. Competition is detrimental to the establishment of a positive self-image.
C. Sports participation is encouraged if the sport is appropriate to the child's abilities.
D. Girls should compete only against girls because at this age boys are larger and have more muscle mass.

Back 4

C. Sports participation is encouraged if the sport is appropriate to the child's abilities.
The parents should help the child select a sport that is suitable to her capabilities and interests.

Front 5

Nursing interventions to promote health during middle childhood include which of the following?
A. Stress the need for increased calorie intake to meet increased demands.
B. Instruct parents to defer questions about sex until the child reaches adolescence.
C. Reinforce education of the child and parents regarding the need for good dental hygiene because these are the years in which permanent teeth erupt.
D. Advise parents that the child will need decreasing amounts of rest toward the end of this period.

Back 5

C. Reinforce education of the child and parents regarding the need for good dental hygiene because these are the years in which permanent teeth erupt.
Because the permanent teeth are present, it is important for the child to learn how to care for these teeth.

Front 6

Which of the following is an important consideration in preventing injuries during middle childhood?
A. Peer pressure is not strong enough to affect risk-taking behavior.
B. Most injuries occur in or near school or home.
C. Injuries from burns occur with the highest frequency at this age because of the fascination with fire.
D. Lack of muscular coordination and control results in an increased incidence of injuries.

Back 6

B. Most injuries occur in or near school or home.
This is where most injuries occur.

Front 7

Which of the following is descriptive of the social development of school-age children?
A. Identification with peers is minimal.
B. Children frequently have "best friends."
C. Boys and girls play equally well with children of either gender.
D. Peer approval is not yet an influence toward conformity.

Back 7

B. Children frequently have "best friends."
Same-sex peers form relationships that encourage sharing of secrets and jokes and coming to each other's aid.

Front 8

The school nurse is discussing dental health with some children in first grade. Which of the following should be included?
A. Teach how to floss teeth properly.
B. Recommend toothbrush with hard nylon bristles.
C. Emphasize importance of brushing before bedtime.
D. Recommend nonfluoridated toothpaste approved by the American Dental Association.

Back 8

C. Emphasize importance of brushing before bedtime.
Children should be taught to brush their teeth after meals, snacks, and before bedtime, and in fact should already have been instructed in this regard.

Front 9

How does the onset of the pubertal growth spurt compare in girls and boys?
A. In girls, it occurs about 1 year before it appears in boys.
B. In girls, it occurs about 3 years before it appears in boys.
C. In boys, it occurs about 1 year before it appears in girls.
D. It is about the same in both boys and girls.

Back 9

A. In girls, it occurs about 1 year before it appears in boys.
Average age of onset is 9.5 years for girls and 10.5 years for boys.

Front 10

A 12-year-old child being seen in the clinic has not received the hepatitis B (HBV) vaccine. The nurse should recommend that:
A. only one dose of HBV will be needed sometime during adolescence.
B. one dose of HBV is needed at age 14 years.
C. the three-dose series of HBV should be started.
D. the three-dose series of HBV should be started at age 16 years or sooner if the adolescent becomes sexually active.

Back 10

C. the three-dose series of HBV should be started.
Adolescents should be vaccinated against hepatitis B at this age if it has not been done previously.