Chapter 08 Health Promotion for the School-Age Child

Chapter 08  Health Promotion for the School-Age Child

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. Which statement made by a mother of a school-age boy indicates a need for further teaching?

a. “My child is playing soccer on a team this year.”
b. “He is always active with his friends playing games.”
c. “I limit his television watching to about 2 hours a day.”
d. “I am glad his coach emphasizes winning and discipline in today’s society.”

ANS: D
Team sports are important for the development of sportsmanship and teamwork and for
exercise and refinement of motor skills. A coach who emphasizes winning and strict
discipline is not appropriate for children in this age-group. Team sports such as soccer are
appropriate for exercise and refinement of motor skills. Limiting television to 2 hours a day is
an appropriate restriction. School-age children should be encouraged to participate in physical
activities.

PTS: 1 DIF: Cognitive Level: Evaluation/Evaluating
REF: p. 133 OBJ: Nursing Process: Evaluation
MSC: Client Needs: Health Promotion and Maintenance

2. A nurse is assessing an 8-year-old child. Which finding leads the nurse to conduct further

assessment?
a. Understands that his or her point of view is not the only one
b. Enjoys telling riddles and silly jokes
c. Demonstrates the principle of object conservation
d. Engages in fantasy and magical thinking

ANS: D
The preschool-age child engages in fantasy and magical thinking. The school-age child moves
away from this type of thinking and becomes more skeptical and logical. Belief in Santa Claus
or the Easter Bunny ends in this period of development. If the child demonstrated this type of
thinking, the nurse would need to follow up with more developmental screening. School-age
children enter the stage of concrete operations. They learn that their point of view is not the
only one. The school-age child has a sense of humor. The child’s increased language mastery
and increased logic allow for appreciation of plays on words, jokes, and incongruities. The
school-age child understands that properties of objects do not change when their order, form,
or appearance does (object conservation).

PTS: 1 DIF: Cognitive Level: Analysis/Analyzing
REF: p. 134 OBJ: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance

3. The ability to mentally understand that 1 + 3 = 4 and 4 – 1 = 3 occurs in which stage of

cognitive development?
a. Concrete operations
b. Formal operations
c. Intuitive thought

d. Preoperations

ANS: A
By 7 to 8 years of age, the child is able to retrace a process (reversibility) and has the skills
necessary for solving mathematical problems. This stage is called concrete operations. The
formal operations stage deals with abstract reasoning and does not occur until adolescence.
Thinking in the intuitive stage is based on immediate perceptions. A child in this stage often
solves problems by random guessing.

PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 133 OBJ: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance

4. Which activity does the nurse recommend to help develop fine motor skills in the school-age

child?
a. Drawing
b. Singing
c. Soccer
d. Swimming

ANS: A
Activities such as drawing, building models, and playing a musical instrument increase the
school-age child’s fine motor skills. Activities such as soccer or swimming help develop gross
motor skills. Singing does not increase motor skills.

PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 133 OBJ: Nursing Process: Evaluation
MSC: Client Needs: Health Promotion and Maintenance

5. A school nurse is teaching a health class for 5th grade children. The nurse plans to include

which statement to best describe growth in the early school-age period?
a. Boys grow faster than girls.
b. Puberty occurs earlier in boys than in girls.
c. Puberty occurs at the same age for all races and ethnicities.
d. It is a period of rapid physical growth.

ANS: A
During the school-age developmental period, boys are approximately 1 inch taller and 2
pounds heavier than girls. Puberty occurs 1 1/2 to 2 years later in boys, which is
developmentally later than puberty in girls (not unusual in 9- or 10-year-old girls). Puberty
occurs approximately 1 year earlier in African-American girls than in white girls. Physical
growth is slow and steady during the school-age years.

PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 130 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Health Promotion and Maintenance