C HAPTER 19: T HE S CHOOL -A GE C HILD
Introduction to Maternity and Pediatric Nursing , 8th Edition ; Leifer
MULTIPLE CHOICE
1. When asked about her activities, a 10 -year-old girl responded, I like
school. I play the flute in the school band, and I take tennis lessons. What
does the nurse know these activities will help this child develop?
a. Initiative
b. Industry
c. Identit y
d. Intimacy
ANS: B
The school -age period is referred to by Erikson as the stage of
industry. Successful participation in activities facilitates the childs
sense of industry.
DIF: Cognitive Level: Application REF: Page 442 TOP:
Psychosocial Development KEY: Nursing Process Step:
Data Collection MSC: NC LEX: Health Promotion and
Maintenance: Growth and Development
2. A mother reports that she has a new job and her 12 -year-old child is home
alone for a time after school. Which statement made by the parent alerts
the nurse to a potentiall y unsafe situation for this child?
a. I told him that he could invite a few friends after school.
, b. I put a list of emergency numbers next t o the telephone.
c. Last week we made a first aid kit together.
d. There is a neighbor available in case of an emergency.
ANS: A
Latchkey children are subject to a higher rate of accidents. Permitting
school-age children and their friends to be home alone in a n
unsupervised environment is an unsafe situation.
DIF: Cognitive Level: Application REF: Page 447 TOP:
Latchkey Children KEY: Nursing Process Step:
Evaluation MSC: NC LEX: Health Promotion and Maintenance:
Growth and Development
3. A mother is concerned because her 9 -year-old boy has developed the habit
of twitching his eyes and flipping his hair while communicating with
anyone. What is the best nursing response to this parent?
a. This may indicate that he needs eyeglasses.
b. Children sometimes do these thi ngs for attention.
c. This behavior suggests low self -esteem.
d. Tics appear when a child is under stress.
ANS: D
The child cannot help such actions and should not be scolded for them
because they are mainl y a result of tension.
, DIF: Cognitive Level: Applicat ion REF: Page 449 TOP:
Nine-Year-Old KEY: Nursing Process Step: Implementation
MSC: NC LEX: Health Promotion and Maintenance:
Growth and Development
4. A seventh-grade girl tells the school nurse that her art teacher, a woman,
is her hero. What is the mo st appropriate interpretation of the girls
comment?
a. The student may be exploring her career options.
b. The comment is cause for concern about sexual abuse.
c. The child may have difficult y interacting with her peers.
d. Hero worship is a normal phenomenon.
ANS: D
School-age children tend to admire their teachers and adult
companions. For the 11 - to 12-year-old, hero worship is a normal
phenomenon.
DIF: Cognitive Level: Comprehension REF: Page 454
OBJ: 3 TOP: Social Development KEY: Nursing
Process Step: Data Collection MSC: NC LEX: Health
Promotion and Maintenance: Growth and Development
5. Which stage of cognitive development is a 9 -year-old child in according
to Piaget?
a. Formal operations
b. Preoperational
c. Concrete operations
d. Sensorimotor
Introduction to Maternity and Pediatric Nursing , 8th Edition ; Leifer
MULTIPLE CHOICE
1. When asked about her activities, a 10 -year-old girl responded, I like
school. I play the flute in the school band, and I take tennis lessons. What
does the nurse know these activities will help this child develop?
a. Initiative
b. Industry
c. Identit y
d. Intimacy
ANS: B
The school -age period is referred to by Erikson as the stage of
industry. Successful participation in activities facilitates the childs
sense of industry.
DIF: Cognitive Level: Application REF: Page 442 TOP:
Psychosocial Development KEY: Nursing Process Step:
Data Collection MSC: NC LEX: Health Promotion and
Maintenance: Growth and Development
2. A mother reports that she has a new job and her 12 -year-old child is home
alone for a time after school. Which statement made by the parent alerts
the nurse to a potentiall y unsafe situation for this child?
a. I told him that he could invite a few friends after school.
, b. I put a list of emergency numbers next t o the telephone.
c. Last week we made a first aid kit together.
d. There is a neighbor available in case of an emergency.
ANS: A
Latchkey children are subject to a higher rate of accidents. Permitting
school-age children and their friends to be home alone in a n
unsupervised environment is an unsafe situation.
DIF: Cognitive Level: Application REF: Page 447 TOP:
Latchkey Children KEY: Nursing Process Step:
Evaluation MSC: NC LEX: Health Promotion and Maintenance:
Growth and Development
3. A mother is concerned because her 9 -year-old boy has developed the habit
of twitching his eyes and flipping his hair while communicating with
anyone. What is the best nursing response to this parent?
a. This may indicate that he needs eyeglasses.
b. Children sometimes do these thi ngs for attention.
c. This behavior suggests low self -esteem.
d. Tics appear when a child is under stress.
ANS: D
The child cannot help such actions and should not be scolded for them
because they are mainl y a result of tension.
, DIF: Cognitive Level: Applicat ion REF: Page 449 TOP:
Nine-Year-Old KEY: Nursing Process Step: Implementation
MSC: NC LEX: Health Promotion and Maintenance:
Growth and Development
4. A seventh-grade girl tells the school nurse that her art teacher, a woman,
is her hero. What is the mo st appropriate interpretation of the girls
comment?
a. The student may be exploring her career options.
b. The comment is cause for concern about sexual abuse.
c. The child may have difficult y interacting with her peers.
d. Hero worship is a normal phenomenon.
ANS: D
School-age children tend to admire their teachers and adult
companions. For the 11 - to 12-year-old, hero worship is a normal
phenomenon.
DIF: Cognitive Level: Comprehension REF: Page 454
OBJ: 3 TOP: Social Development KEY: Nursing
Process Step: Data Collection MSC: NC LEX: Health
Promotion and Maintenance: Growth and Development
5. Which stage of cognitive development is a 9 -year-old child in according
to Piaget?
a. Formal operations
b. Preoperational
c. Concrete operations
d. Sensorimotor
