Chapter 18: The Preschool Child
Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
MULTIPLE CHOICE
1. What type of play is most appropriate when planning care for a child with moderate intellectual
deficiency?
a. Exercise leg and arm muscles.
b. Be educationally oriented to make up for lost time.
c. Be adjusted to mental age rather than chronological age.
d. Involve contact sports and aggressive physical activity with other children.
ANS: C
The nurse must consider the child‘s mental age rather than her chronological age when
selecting toys for play.
DIF: Cognitive Level: Application REF: p. 442 OBJ: 14
TOP: Play KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
2. What is the nurse‘s best advice to a parent about a preschooler‘s “imaginary friend”?
a. Having imaginary friends is a sign that the child has low self-esteem.
b. It is common for preschoolers to have imaginary friends.
c. Preschoolers invent an imaginary friend when they feel overwhelmed.
d. The best approach to dealing with an imaginary friend is to ignore them.
ANS: B
Imaginary friends are common and normal during the preschool period and serve many
purposes, such as relief from loneliness, mastery of fears, and acting as a scapegoat.
DIF: Cognitive Level: Comprehension REF: pp. 441-442 OBJ: 3 | 13
TOP: Imaginary Friend KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
, 3. What intervention might the nurse suggest as helpful for the child with enuresis?
a. Applying an electric pad that gently shocks the child
b. Waking the child several times during the night to urinate
c. Decreasing fluid intake after the evening meal
d. Increasing dietary fiber intake
ANS: C
If a child is experiencing enuresis, liquids after dinner should be limited and the child should
routinely void before going to bed.
DIF: Cognitive Level: Application REF: p. 439 OBJ: 10
TOP: Enuresis KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
4. What should the nurse suggest as the most appropriate toy choice for a 3-year-old?
a. A board game
b. A small pet, such as a goldfish
c. A large construction set
d. Push-pull toys
ANS: C
Large construction sets are suitable toys for the preschool-age child.
DIF: Cognitive Level: Application REF: p. 441 OBJ: 13
TOP: Play KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
5. The parent of a 3 1⁄2-year-old child tells the nurse, “My daughter points instead of speaking
whenever she wants me to get something for her, but she understands me when I ask her to do
something.” Based on the parent‘s comment, what does the nurse suspect?
a. Age-appropriate language development
b. An expressive language delay
c. A receptive language delay
d. A potential hearing deficit
Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
MULTIPLE CHOICE
1. What type of play is most appropriate when planning care for a child with moderate intellectual
deficiency?
a. Exercise leg and arm muscles.
b. Be educationally oriented to make up for lost time.
c. Be adjusted to mental age rather than chronological age.
d. Involve contact sports and aggressive physical activity with other children.
ANS: C
The nurse must consider the child‘s mental age rather than her chronological age when
selecting toys for play.
DIF: Cognitive Level: Application REF: p. 442 OBJ: 14
TOP: Play KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
2. What is the nurse‘s best advice to a parent about a preschooler‘s “imaginary friend”?
a. Having imaginary friends is a sign that the child has low self-esteem.
b. It is common for preschoolers to have imaginary friends.
c. Preschoolers invent an imaginary friend when they feel overwhelmed.
d. The best approach to dealing with an imaginary friend is to ignore them.
ANS: B
Imaginary friends are common and normal during the preschool period and serve many
purposes, such as relief from loneliness, mastery of fears, and acting as a scapegoat.
DIF: Cognitive Level: Comprehension REF: pp. 441-442 OBJ: 3 | 13
TOP: Imaginary Friend KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
, 3. What intervention might the nurse suggest as helpful for the child with enuresis?
a. Applying an electric pad that gently shocks the child
b. Waking the child several times during the night to urinate
c. Decreasing fluid intake after the evening meal
d. Increasing dietary fiber intake
ANS: C
If a child is experiencing enuresis, liquids after dinner should be limited and the child should
routinely void before going to bed.
DIF: Cognitive Level: Application REF: p. 439 OBJ: 10
TOP: Enuresis KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
4. What should the nurse suggest as the most appropriate toy choice for a 3-year-old?
a. A board game
b. A small pet, such as a goldfish
c. A large construction set
d. Push-pull toys
ANS: C
Large construction sets are suitable toys for the preschool-age child.
DIF: Cognitive Level: Application REF: p. 441 OBJ: 13
TOP: Play KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
5. The parent of a 3 1⁄2-year-old child tells the nurse, “My daughter points instead of speaking
whenever she wants me to get something for her, but she understands me when I ask her to do
something.” Based on the parent‘s comment, what does the nurse suspect?
a. Age-appropriate language development
b. An expressive language delay
c. A receptive language delay
d. A potential hearing deficit
