Pediatric Nursing An Introductory Text 11th edition by Debra L. Price – Test Bank

Pediatric Nursing An Introductory Text 11th edition by Debra L. Price – Test Bank

Price: Pediatric Nursing, 11th Edition

Chapter 08: The Preschool Child

Testbank

MULTIPLE CHOICE

1. The nurse weighs a 6-year-old child who weighed 20 pounds at 1 year of age. The nurse anticipates that this child should now weigh at least:
a. 25 pounds
b. 30 pounds
c. 35 pounds
d. 40 pounds

ANS: D
At 6 years of age, a child’s weight should be double the 1-year weight.

DIF: Cognitive Level: Application REF: p. 146 OBJ: 2
TOP: General Characteristics and Development
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development

2. When planning the care for a hospitalized preschool child, the nurse includes in the plan of care to carefully prepare the child for any procedure because children of this age:
a. Are suspicious of strangers
b. Are extremely curious
c. Are fearful of intrusive procedures
d. Understand cause and effect

ANS: C
The fear of bodily harm, especially intrusive procedures, is very strong in children of this age.

DIF: Cognitive Level: Application REF: p. 149 OBJ: 2
TOP: Fear of Bodily Harm KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development

3. When a 4-year-old child asks the nurse what dying means, the nurse takes into consideration that a child of this age:
a. Normally does not ask about death
b. Should be given a detailed explanation
c. May view death as a kind of sleep
d. Should be discouraged from discussing this topic

ANS: C
Children of this age are just beginning to wonder about death. They are not able to fully comprehend it. Children should be given very basic explanations. Allow the child to discuss the topic in a general way. Children often view dying as a type of sleep.

DIF: Cognitive Level: Application REF: p. 151 OBJ: 2
TOP: Death KEY: Nursing Process Step: Planning
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation

4. The parents of an active 5-year-old are concerned about keeping their child safe while promoting normal growth and development. The nurse suggests that the parents:
a. Provide the child with a detailed direction for play
b. Continually remind the child to be careful
c. Provide constant criticism for failures
d. Allow the child to complete tasks and activities on his own

ANS: D
Children need to be allowed to develop their imaginations. Over-direction of play can also leave the child feeling insecure. The child should be reminded of the rules but should not continually be told to be careful. The child should be allowed to complete tasks on his own.

DIF: Cognitive Level: Application REF: p. 151 OBJ: 2
TOP: The 5-Year-Old Child KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development

5. The nurse is preparing to teach a class on discipline and guidance for parents of preschoolers. The nurse is guided by the principle that:
a. Discipline and punishment are the same
b. Punishment includes all methods used to change behavior
c. Punishment is a specific procedure used to decrease an unwanted behavior
d. Discipline is threatening to a child’s well-being

ANS: C
Discipline and punishment are not the same. “Discipline includes all methods used to change behavior”; punishment is used to decrease unwanted behavior. Discipline provides structure and security in a child’s life.

DIF: Cognitive Level: Application REF: pp. 151-152 OBJ: 2
TOP: Discipline KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development

6. In a discussion about the discipline of a preschool child, the nurse emphasizes that:
a. Setting limits makes children feel more secure and self-reliant
b. Establishing rules for safety should be accomplished now
c. Criticizing consistently will bring about the desired change in behavior
d. Yelling will help emphasize the goals of the discipline

ANS: A
Setting limits makes the child feel secure. Rules for safety should be established by 8 months of age. Constant criticism will generate resentment and insecurity. Parents should not resort to yelling.

DIF: Cognitive Level: Application REF: p. 152 OBJ: 2
TOP: Discipline KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance