EVOLVECH14EXAM3NR341QUESTIONS b b b b b b
WITH CORRECT ANSWERS 2025 b b b b
What should the nurse include when giving parents guidelines about helping their children in scho
b b b b b b b b b b b b b b
ol? - CORRECT ANSWER -Communicate with teachers if there appears to be a problem.
b b b b b b b b b b b b b b
Rationale: Parents should communicate with teachers if there is a problem and not wait for a sche duled
b b b b b b b b b b b b b b b b b
conference. Parent involvement is one factor in children's success in school. Children need to do
b b b b b b b b b b b b b b b
their own homework. This cultivates responsibility. Discipline should be used to help children c ontrol
b b b b b b b b b b b b b b b
behaviors that might be affecting school performance, but failure to perform adequately sho uld not
b b b b b b b b b b b b b b b
be punished itself. Communicating with the child is a better solution to getting to the "roo t" of
b b b b b b b b b b b b b b b b b b
bthe school performance problem. School-b b b b
age children need to develop responsibility. Keeping promises and meeting deadlines lays a success
b b b b b b b b b b b b b
ful foundation for adulthood and adult responsibilities.
b b b b b b b
A 10 year old child is riding a bicycle on the grounds of the school. Which finding if observed by t
b b b b b b b b b b b b b b b b b b b b
he school nurse would require intervention? - CORRECT ANSWER -Child's shoes are ill fitting.
b b b b b b b b b b b b b b
Rationale: Shoes that are ill fitting can result in potential injury as they can get caught up in gears
b b b b b b b b b b b b b b b b b b
and affect the ability of the child to navigate. All of the other observed behaviors are consistent wi
b b b b b b b b b b b b b b b b b b
th safe practice.
b b b
An important consideration in preventing injuries during middle childhood is that -
b b b b b b b b b b b
CORRECT ANSWER -most injuries occur in or near school or home.
b b b b b b b b b b b
Rationale: Most children in the middle years spend the majority of their time in and around school
b b b b b b b b b b b b b b b b
or home; therefore, the risk for injuries is increased in and around these areas. Peer pressure as
b b b b b b b b b b b b b b b b b
an impetus for risk-taking behavior begins in the school-
b b b b b b b b b
age years but is more significant in adolescence. Burn injuries are higher in the toddler years, whe
b b b b b b b b b b b b b b b b
n children are curious and mobile. They may expose themselves to objects capable of burning the
b b b b b b b b b b b b b b b b
m (e.g., hot pots of water in the kitchen). Automobile accidents, either as a pedestrian or passeng
b b b b b b b b b b b b b b b b b
er, account for the majority of severe accidents in the middle years. School-
b b b b b b b b b b b b b
age children have more refined muscle development, which results in an overall decrease in the nu
b b b b b b b b b b b b b b b
mber of accidents. Lack of muscular coordination and control leading to injuries occurs in younger
b b b b b b b b b b b b b b b
children.
b
, A parent tells the nurse, "I am worried about my 13-year-
b b b b b b b b b b
old son. He hasn't started puberty, and my daughter did when she was 11 years of age." The most
b b b b b b b b b b b b b b b b b b
appropriate explanation by the nurse is - CORRECT ANSWER -
b b b b b b b b b b
"This is normal because the onset of pubescence is usually earlier in girls than it is in boys."
b b b b b b b b b b b b b b b b b
Rationale: Girls begin puberty on average approximately 2 years before boys. Puberty usually begin s b b b b b b b b b b b b b b
no earlier than age 12 years in boys, with an average age of onset of 14 years; therefore, no fur
b b b b b b b b b b b b b b b b b b b b
ther evaluation is necessary at this time. The age of pubescence is gender related, with the averag
b b b b b b b b b b b b b b b b b
e age of puberty onset being 12 years for girls and 14 years for boys. Puberty usually begins no e
b b b b b b b b b b b b b b b b b b b b
arlier than age 12 years in boys, with an average age of onset of 14 years; therefore, her son is n
b b b b b b b b b b b b b b b b b b b b b
ot having an abnormal onset of puberty.
b b b b b b b
A parent is concerned as her 6-year-
b b b b b b
old child "cheats" when playing games with other children. The parent is concerned that this beha
b b b b b b b b b b b b b b b
vior will affect future behaviors as the child gets older. The nurse understands the parent's anxiety about the
b b b b b b b b b b b b b b b b b b
bdescribed behavior and provides the following assurance - CORRECT ANSWER - b b b b b b b b b b
this type of behavior occurs around this age period and is due to the child not being able to unde rstand
b b b b b b b b b b b b b b b b b b b b
bwhat it means to lose. b b b b
Rationale: Cheating as a behavior occurs primarily between the ages of 5 and 6. It is almost at tim b b b b b b b b b b b b b b b b b b
es displayed as an automatic behavior as the child does not understand about winning and losing.
b b b b b b b b b b b b b b b b
The behavior typically goes away as the child matures. Ignoring the behavior without some directio
b b b b b b b b b b b b b b b
n is not advised as it is best to address the situation and help the child to begin understanding of
b b b b b b b b b b b b b b b b b b b b
the concept.
b b
Which is characteristic of the psychosocial development of school-age children? - CORRECT
b b b b b b b b b b b
ANSWER -
b b
Feelings of inferiority or lack of worth can be derived from children themselves or from the enviro nment.
b b b b b b b b b b b b b b b b b
Rationale: The school- b b
age child is eager to develop skills and participate in activities. All children are not able to do all t
b b b b b b b b b b b b b b b b b b b
asks well, and the child must be prepared to accept some feelings of inferiority, as highlighted in E rikson's
b b b b b b b b b b b b b b b b b b b
stage for this age-
b b b b
group of industry versus inferiority. Initiative versus guilt is the stage characteristic of preschoolers. Peer
b b b b b b b b b b b b b b
group formation is one of the major characteristics of school-age children. School-
b b b b b b b b b b b b
age children gain satisfaction from independent behaviors that are internally driven and accomplish
b b b b b b b b b b b b
ed.
b
WITH CORRECT ANSWERS 2025 b b b b
What should the nurse include when giving parents guidelines about helping their children in scho
b b b b b b b b b b b b b b
ol? - CORRECT ANSWER -Communicate with teachers if there appears to be a problem.
b b b b b b b b b b b b b b
Rationale: Parents should communicate with teachers if there is a problem and not wait for a sche duled
b b b b b b b b b b b b b b b b b
conference. Parent involvement is one factor in children's success in school. Children need to do
b b b b b b b b b b b b b b b
their own homework. This cultivates responsibility. Discipline should be used to help children c ontrol
b b b b b b b b b b b b b b b
behaviors that might be affecting school performance, but failure to perform adequately sho uld not
b b b b b b b b b b b b b b b
be punished itself. Communicating with the child is a better solution to getting to the "roo t" of
b b b b b b b b b b b b b b b b b b
bthe school performance problem. School-b b b b
age children need to develop responsibility. Keeping promises and meeting deadlines lays a success
b b b b b b b b b b b b b
ful foundation for adulthood and adult responsibilities.
b b b b b b b
A 10 year old child is riding a bicycle on the grounds of the school. Which finding if observed by t
b b b b b b b b b b b b b b b b b b b b
he school nurse would require intervention? - CORRECT ANSWER -Child's shoes are ill fitting.
b b b b b b b b b b b b b b
Rationale: Shoes that are ill fitting can result in potential injury as they can get caught up in gears
b b b b b b b b b b b b b b b b b b
and affect the ability of the child to navigate. All of the other observed behaviors are consistent wi
b b b b b b b b b b b b b b b b b b
th safe practice.
b b b
An important consideration in preventing injuries during middle childhood is that -
b b b b b b b b b b b
CORRECT ANSWER -most injuries occur in or near school or home.
b b b b b b b b b b b
Rationale: Most children in the middle years spend the majority of their time in and around school
b b b b b b b b b b b b b b b b
or home; therefore, the risk for injuries is increased in and around these areas. Peer pressure as
b b b b b b b b b b b b b b b b b
an impetus for risk-taking behavior begins in the school-
b b b b b b b b b
age years but is more significant in adolescence. Burn injuries are higher in the toddler years, whe
b b b b b b b b b b b b b b b b
n children are curious and mobile. They may expose themselves to objects capable of burning the
b b b b b b b b b b b b b b b b
m (e.g., hot pots of water in the kitchen). Automobile accidents, either as a pedestrian or passeng
b b b b b b b b b b b b b b b b b
er, account for the majority of severe accidents in the middle years. School-
b b b b b b b b b b b b b
age children have more refined muscle development, which results in an overall decrease in the nu
b b b b b b b b b b b b b b b
mber of accidents. Lack of muscular coordination and control leading to injuries occurs in younger
b b b b b b b b b b b b b b b
children.
b
, A parent tells the nurse, "I am worried about my 13-year-
b b b b b b b b b b
old son. He hasn't started puberty, and my daughter did when she was 11 years of age." The most
b b b b b b b b b b b b b b b b b b
appropriate explanation by the nurse is - CORRECT ANSWER -
b b b b b b b b b b
"This is normal because the onset of pubescence is usually earlier in girls than it is in boys."
b b b b b b b b b b b b b b b b b
Rationale: Girls begin puberty on average approximately 2 years before boys. Puberty usually begin s b b b b b b b b b b b b b b
no earlier than age 12 years in boys, with an average age of onset of 14 years; therefore, no fur
b b b b b b b b b b b b b b b b b b b b
ther evaluation is necessary at this time. The age of pubescence is gender related, with the averag
b b b b b b b b b b b b b b b b b
e age of puberty onset being 12 years for girls and 14 years for boys. Puberty usually begins no e
b b b b b b b b b b b b b b b b b b b b
arlier than age 12 years in boys, with an average age of onset of 14 years; therefore, her son is n
b b b b b b b b b b b b b b b b b b b b b
ot having an abnormal onset of puberty.
b b b b b b b
A parent is concerned as her 6-year-
b b b b b b
old child "cheats" when playing games with other children. The parent is concerned that this beha
b b b b b b b b b b b b b b b
vior will affect future behaviors as the child gets older. The nurse understands the parent's anxiety about the
b b b b b b b b b b b b b b b b b b
bdescribed behavior and provides the following assurance - CORRECT ANSWER - b b b b b b b b b b
this type of behavior occurs around this age period and is due to the child not being able to unde rstand
b b b b b b b b b b b b b b b b b b b b
bwhat it means to lose. b b b b
Rationale: Cheating as a behavior occurs primarily between the ages of 5 and 6. It is almost at tim b b b b b b b b b b b b b b b b b b
es displayed as an automatic behavior as the child does not understand about winning and losing.
b b b b b b b b b b b b b b b b
The behavior typically goes away as the child matures. Ignoring the behavior without some directio
b b b b b b b b b b b b b b b
n is not advised as it is best to address the situation and help the child to begin understanding of
b b b b b b b b b b b b b b b b b b b b
the concept.
b b
Which is characteristic of the psychosocial development of school-age children? - CORRECT
b b b b b b b b b b b
ANSWER -
b b
Feelings of inferiority or lack of worth can be derived from children themselves or from the enviro nment.
b b b b b b b b b b b b b b b b b
Rationale: The school- b b
age child is eager to develop skills and participate in activities. All children are not able to do all t
b b b b b b b b b b b b b b b b b b b
asks well, and the child must be prepared to accept some feelings of inferiority, as highlighted in E rikson's
b b b b b b b b b b b b b b b b b b b
stage for this age-
b b b b
group of industry versus inferiority. Initiative versus guilt is the stage characteristic of preschoolers. Peer
b b b b b b b b b b b b b b
group formation is one of the major characteristics of school-age children. School-
b b b b b b b b b b b b
age children gain satisfaction from independent behaviors that are internally driven and accomplish
b b b b b b b b b b b b
ed.
b
