Chapter 9: Middle Childhood
Test Bank
MULTIPLE CHOICE
1. In middle childhood, the child’s developing cognition is more focused on: a. fantasy.
b. fun.
c. family.
d. fact.
ANS: D
During the middle childhood years (6-12 years), the child becomes more focused on fact than
fantasy as the cognition develops.
DIF: Cognitive Level: Application REF: p. 131 OBJ: 3
TOP: Changing focus of middle childhood
KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: growth and development
2. The concerned parent of a 9-year-old confides in the health-care worker that her child will only
wear the athletic jersey with the number of his favorite professional quarterback and insists on
being called by the quarterback’s name rather than his own. The health-care worker bases her
response on Erikson’s theory that 9-year-olds: a. should have given up such fantasy play.
b. enjoy such dress-up play.
c. fashion their behavior after role models.
d. need to find their own identity.
ANS: C
Erikson refers to school age as the stage of industry, when the child has a thirst for knowledge,
a desire to master skills, and the wish to emulate role models or “heroes.”
DIF: Cognitive Level: Comprehension REF: p. 141 OBJ: 5
TOP: Role models KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: growth and development
3. The question or statement made by a parent of an 11-year-old that indicates a need for better
understanding of middle childhood development is:
a. “What kind of birds will want to live in your bright red birdhouse?”
b. “Where do you propose to put this little birdhouse you made?”
c. “This bird house needs to be put in a safe place.”
d. “Let me help you to repaint the little birdhouse white so birds will come to it.”
, ANS: D
The goal of the sense of industry, or stage of accomplishment, is to achieve a sense of personal
and interpersonal competence through acquisition of technological and social skills. Failure to
develop this sense of accomplishment results in feelings of inferiority, which may come from
the children themselves or from the social environment.
DIF: Cognitive Level: Analysis REF: p. 141 OBJ: 4
TOP: Psychosocial development KEY: Nursing Process Step: Evaluation MSC: NCLEX:
Health Promotion and Maintenance: growth and development
4. Middle childhood–age children will grow on the average of per year. a. 1 inch
b. 1 1/2 inches
c. 2 inches
d. 2 1/2 inches
ANS: C
During middle childhood, the average weight gain is 5 to 7 pounds and 2 inches per year.
DIF: Cognitive Level: Knowledge REF: p. 132 OBJ: 2
TOP: Average growth increase KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: growth and development
5. The parents of 9-year-old twins say, “They have filled up their bedroom with collections of
rocks, shells, dolls, and baseball cards.” This is indicative of: a. giftedness.
b. typical “twin” competition.
c. concrete cognitive behavior.
d. unidentified stress.
ANS: C
School-age children are acquiring classification skills, which involve the ability to group
objects according to common attributes. It is characteristic of middle childhood that children
derive enjoyment from classifying and ordering their environment.
DIF: Cognitive Level: Application REF: p. 134, Table 9-1
OBJ: 8 TOP: Play KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: growth and development
6. Parents planning a birthday party for their 6-year-old son would best plan to invite:
a. a large group of children to watch a collection of cartoons.
b. a group of boys from his class to play active games.
c. an equal number of boys and girls to play competitive board games.
d. children of different ages to play competitive games.
, ANS: B
Interaction among peers leads to formation of close friendships between same-sex peers. A
group of boys playing active games would have the most positive outcome.
DIF: Cognitive Level: Comprehension REF: p. 134, Table 9-1
OBJ: 10 TOP: Peer relationships KEY: Nursing Process Step: NA
MSC: NCLEX: Health Promotion and Maintenance: growth and development
7. A group of boys ages 9 and 10 forming a “boys-only” club that is open to neighborhood and
school friends who have bicycles is:
a. behavior that encourages bullying and sexism.
b. behavior that reinforces poor peer relationships.
c. characteristic of social development at this age.
d. characteristic of children who are at risk for gang membership.
ANS: C
At this age there is a strong preference for same-sex clubs with an exclusiveness in the
selection of persons who may belong to the group.
DIF: Cognitive Level: Comprehension REF: p. 134, Table 9-1
OBJ: 10 TOP: Peer relationships
KEY: Nursing Process Step: Health Promotion and Maintenance: growth and development
MSC: NCLEX: Health Promotion and Maintenance: growth and development
8. A 12-year-old girl is frequently teased about being taller than anyone else in the class. This
teasing:
a. can damage the girl’s self concept.
b. is an indication that the girl is well liked.
c. is a positive aspect of a peer relationship.
d. is usually ignored by the person being teased.
ANS: A
School-age children have a strong desire not to be considered different. Those children who
dress differently, have less spending money than their peers, or who look different are often
the target of criticism or ridicule by their peers, leading to threats to self-esteem and self
concept.
DIF: Cognitive Level: Comprehension REF: p. 132 OBJ: 4
TOP: Psychosocial development KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: growth and development
9. The school nurse is to begin teaching sex education to children in the fifth grade. The nurse
should plan to:
Test Bank
MULTIPLE CHOICE
1. In middle childhood, the child’s developing cognition is more focused on: a. fantasy.
b. fun.
c. family.
d. fact.
ANS: D
During the middle childhood years (6-12 years), the child becomes more focused on fact than
fantasy as the cognition develops.
DIF: Cognitive Level: Application REF: p. 131 OBJ: 3
TOP: Changing focus of middle childhood
KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: growth and development
2. The concerned parent of a 9-year-old confides in the health-care worker that her child will only
wear the athletic jersey with the number of his favorite professional quarterback and insists on
being called by the quarterback’s name rather than his own. The health-care worker bases her
response on Erikson’s theory that 9-year-olds: a. should have given up such fantasy play.
b. enjoy such dress-up play.
c. fashion their behavior after role models.
d. need to find their own identity.
ANS: C
Erikson refers to school age as the stage of industry, when the child has a thirst for knowledge,
a desire to master skills, and the wish to emulate role models or “heroes.”
DIF: Cognitive Level: Comprehension REF: p. 141 OBJ: 5
TOP: Role models KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: growth and development
3. The question or statement made by a parent of an 11-year-old that indicates a need for better
understanding of middle childhood development is:
a. “What kind of birds will want to live in your bright red birdhouse?”
b. “Where do you propose to put this little birdhouse you made?”
c. “This bird house needs to be put in a safe place.”
d. “Let me help you to repaint the little birdhouse white so birds will come to it.”
, ANS: D
The goal of the sense of industry, or stage of accomplishment, is to achieve a sense of personal
and interpersonal competence through acquisition of technological and social skills. Failure to
develop this sense of accomplishment results in feelings of inferiority, which may come from
the children themselves or from the social environment.
DIF: Cognitive Level: Analysis REF: p. 141 OBJ: 4
TOP: Psychosocial development KEY: Nursing Process Step: Evaluation MSC: NCLEX:
Health Promotion and Maintenance: growth and development
4. Middle childhood–age children will grow on the average of per year. a. 1 inch
b. 1 1/2 inches
c. 2 inches
d. 2 1/2 inches
ANS: C
During middle childhood, the average weight gain is 5 to 7 pounds and 2 inches per year.
DIF: Cognitive Level: Knowledge REF: p. 132 OBJ: 2
TOP: Average growth increase KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: growth and development
5. The parents of 9-year-old twins say, “They have filled up their bedroom with collections of
rocks, shells, dolls, and baseball cards.” This is indicative of: a. giftedness.
b. typical “twin” competition.
c. concrete cognitive behavior.
d. unidentified stress.
ANS: C
School-age children are acquiring classification skills, which involve the ability to group
objects according to common attributes. It is characteristic of middle childhood that children
derive enjoyment from classifying and ordering their environment.
DIF: Cognitive Level: Application REF: p. 134, Table 9-1
OBJ: 8 TOP: Play KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: growth and development
6. Parents planning a birthday party for their 6-year-old son would best plan to invite:
a. a large group of children to watch a collection of cartoons.
b. a group of boys from his class to play active games.
c. an equal number of boys and girls to play competitive board games.
d. children of different ages to play competitive games.
, ANS: B
Interaction among peers leads to formation of close friendships between same-sex peers. A
group of boys playing active games would have the most positive outcome.
DIF: Cognitive Level: Comprehension REF: p. 134, Table 9-1
OBJ: 10 TOP: Peer relationships KEY: Nursing Process Step: NA
MSC: NCLEX: Health Promotion and Maintenance: growth and development
7. A group of boys ages 9 and 10 forming a “boys-only” club that is open to neighborhood and
school friends who have bicycles is:
a. behavior that encourages bullying and sexism.
b. behavior that reinforces poor peer relationships.
c. characteristic of social development at this age.
d. characteristic of children who are at risk for gang membership.
ANS: C
At this age there is a strong preference for same-sex clubs with an exclusiveness in the
selection of persons who may belong to the group.
DIF: Cognitive Level: Comprehension REF: p. 134, Table 9-1
OBJ: 10 TOP: Peer relationships
KEY: Nursing Process Step: Health Promotion and Maintenance: growth and development
MSC: NCLEX: Health Promotion and Maintenance: growth and development
8. A 12-year-old girl is frequently teased about being taller than anyone else in the class. This
teasing:
a. can damage the girl’s self concept.
b. is an indication that the girl is well liked.
c. is a positive aspect of a peer relationship.
d. is usually ignored by the person being teased.
ANS: A
School-age children have a strong desire not to be considered different. Those children who
dress differently, have less spending money than their peers, or who look different are often
the target of criticism or ridicule by their peers, leading to threats to self-esteem and self
concept.
DIF: Cognitive Level: Comprehension REF: p. 132 OBJ: 4
TOP: Psychosocial development KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: growth and development
9. The school nurse is to begin teaching sex education to children in the fifth grade. The nurse
should plan to:
