EVOLVE CH 14 EXAM 3 NR341 QUESTIONS
WITH CORRECT ANSWERS 2025
What should the nurse include when giving parents guidelines about helping their children in scho
ol? - CORRECT ANSWER -Communicate with teachers if there appears to be a problem.
Rationale: Parents should communicate with teachers if there is a problem and not wait for a sche
duled conference. Parent involvement is one factor in children's success in school. Children need to
do their own homework. This cultivates responsibility. Discipline should be used to help children c
ontrol behaviors that might be affecting school performance, but failure to perform adequately sho
uld not be punished itself. Communicating with the child is a better solution to getting to the "roo
t" of the school performance problem. School-
age children need to develop responsibility. Keeping promises and meeting deadlines lays a success
ful foundation for adulthood and adult responsibilities.
A 10 year old child is riding a bicycle on the grounds of the school. Which finding if observed by t
he school nurse would require intervention? - CORRECT ANSWER -Child's shoes are ill fitting.
Rationale: Shoes that are ill fitting can result in potential injury as they can get caught up in gears
and affect the ability of the child to navigate. All of the other observed behaviors are consistent wi
th safe practice.
An important consideration in preventing injuries during middle childhood is that -
CORRECT ANSWER -most injuries occur in or near school or home.
Rationale: Most children in the middle years spend the majority of their time in and around school
or home; therefore, the risk for injuries is increased in and around these areas. Peer pressure as
an impetus for risk-taking behavior begins in the school-
age years but is more significant in adolescence. Burn injuries are higher in the toddler years, whe
n children are curious and mobile. They may expose themselves to objects capable of burning the
m (e.g., hot pots of water in the kitchen). Automobile accidents, either as a pedestrian or passeng
er, account for the majority of severe accidents in the middle years. School-
age children have more refined muscle development, which results in an overall decrease in the nu
mber of accidents. Lack of muscular coordination and control leading to injuries occurs in younger
children.
, A parent tells the nurse, "I am worried about my 13-year-
old son. He hasn't started puberty, and my daughter did when she was 11 years of age." The most
appropriate explanation by the nurse is - CORRECT ANSWER -
"This is normal because the onset of pubescence is usually earlier in girls than it is in boys."
Rationale: Girls begin puberty on average approximately 2 years before boys. Puberty usually begin
s no earlier than age 12 years in boys, with an average age of onset of 14 years; therefore, no fur
ther evaluation is necessary at this time. The age of pubescence is gender related, with the averag
e age of puberty onset being 12 years for girls and 14 years for boys. Puberty usually begins no e
arlier than age 12 years in boys, with an average age of onset of 14 years; therefore, her son is n
ot having an abnormal onset of puberty.
A parent is concerned as her 6-year-
old child "cheats" when playing games with other children. The parent is concerned that this beha
vior will affect future behaviors as the child gets older. The nurse understands the parent's anxiety
about the described behavior and provides the following assurance - CORRECT ANSWER -
this type of behavior occurs around this age period and is due to the child not being able to unde
rstand what it means to lose.
Rationale: Cheating as a behavior occurs primarily between the ages of 5 and 6. It is almost at tim
es displayed as an automatic behavior as the child does not understand about winning and losing.
The behavior typically goes away as the child matures. Ignoring the behavior without some directio
n is not advised as it is best to address the situation and help the child to begin understanding of
the concept.
Which is characteristic of the psychosocial development of school-age children? - CORRECT
ANSWER -
Feelings of inferiority or lack of worth can be derived from children themselves or from the enviro
nment.
Rationale: The school-
age child is eager to develop skills and participate in activities. All children are not able to do all t
asks well, and the child must be prepared to accept some feelings of inferiority, as highlighted in E
rikson's stage for this age-
group of industry versus inferiority. Initiative versus guilt is the stage characteristic of preschoolers.
Peer group formation is one of the major characteristics of school-age children. School-
age children gain satisfaction from independent behaviors that are internally driven and accomplish
ed.
WITH CORRECT ANSWERS 2025
What should the nurse include when giving parents guidelines about helping their children in scho
ol? - CORRECT ANSWER -Communicate with teachers if there appears to be a problem.
Rationale: Parents should communicate with teachers if there is a problem and not wait for a sche
duled conference. Parent involvement is one factor in children's success in school. Children need to
do their own homework. This cultivates responsibility. Discipline should be used to help children c
ontrol behaviors that might be affecting school performance, but failure to perform adequately sho
uld not be punished itself. Communicating with the child is a better solution to getting to the "roo
t" of the school performance problem. School-
age children need to develop responsibility. Keeping promises and meeting deadlines lays a success
ful foundation for adulthood and adult responsibilities.
A 10 year old child is riding a bicycle on the grounds of the school. Which finding if observed by t
he school nurse would require intervention? - CORRECT ANSWER -Child's shoes are ill fitting.
Rationale: Shoes that are ill fitting can result in potential injury as they can get caught up in gears
and affect the ability of the child to navigate. All of the other observed behaviors are consistent wi
th safe practice.
An important consideration in preventing injuries during middle childhood is that -
CORRECT ANSWER -most injuries occur in or near school or home.
Rationale: Most children in the middle years spend the majority of their time in and around school
or home; therefore, the risk for injuries is increased in and around these areas. Peer pressure as
an impetus for risk-taking behavior begins in the school-
age years but is more significant in adolescence. Burn injuries are higher in the toddler years, whe
n children are curious and mobile. They may expose themselves to objects capable of burning the
m (e.g., hot pots of water in the kitchen). Automobile accidents, either as a pedestrian or passeng
er, account for the majority of severe accidents in the middle years. School-
age children have more refined muscle development, which results in an overall decrease in the nu
mber of accidents. Lack of muscular coordination and control leading to injuries occurs in younger
children.
, A parent tells the nurse, "I am worried about my 13-year-
old son. He hasn't started puberty, and my daughter did when she was 11 years of age." The most
appropriate explanation by the nurse is - CORRECT ANSWER -
"This is normal because the onset of pubescence is usually earlier in girls than it is in boys."
Rationale: Girls begin puberty on average approximately 2 years before boys. Puberty usually begin
s no earlier than age 12 years in boys, with an average age of onset of 14 years; therefore, no fur
ther evaluation is necessary at this time. The age of pubescence is gender related, with the averag
e age of puberty onset being 12 years for girls and 14 years for boys. Puberty usually begins no e
arlier than age 12 years in boys, with an average age of onset of 14 years; therefore, her son is n
ot having an abnormal onset of puberty.
A parent is concerned as her 6-year-
old child "cheats" when playing games with other children. The parent is concerned that this beha
vior will affect future behaviors as the child gets older. The nurse understands the parent's anxiety
about the described behavior and provides the following assurance - CORRECT ANSWER -
this type of behavior occurs around this age period and is due to the child not being able to unde
rstand what it means to lose.
Rationale: Cheating as a behavior occurs primarily between the ages of 5 and 6. It is almost at tim
es displayed as an automatic behavior as the child does not understand about winning and losing.
The behavior typically goes away as the child matures. Ignoring the behavior without some directio
n is not advised as it is best to address the situation and help the child to begin understanding of
the concept.
Which is characteristic of the psychosocial development of school-age children? - CORRECT
ANSWER -
Feelings of inferiority or lack of worth can be derived from children themselves or from the enviro
nment.
Rationale: The school-
age child is eager to develop skills and participate in activities. All children are not able to do all t
asks well, and the child must be prepared to accept some feelings of inferiority, as highlighted in E
rikson's stage for this age-
group of industry versus inferiority. Initiative versus guilt is the stage characteristic of preschoolers.
Peer group formation is one of the major characteristics of school-age children. School-
age children gain satisfaction from independent behaviors that are internally driven and accomplish
ed.
