Nursing Care of a Family With a School-Age Child

CARE STUDY QUESTIONS:

1. According to Erikson, the developmental task of children who are Warren’s age is
to gain a sense of:
a. Professionalism.
b. Accomplishment.
c. Initiative.
d. Learning style.
2. The best way Warren’s mother could help him achieve his developmental task
would be to:
a. Give him jobs that he can successfully complete.
b. Be certain that he knows to pay attention in school.
c. Help him lose weight so he can be more active.
d. Set up a strict schedule of rules for Warren to follow.
3. A Mission staff member tried to help Warren join a Boy Scout program. Why
does an organization like Boy Scouts remain so popular with school-age children?
a. Girls are prevented from joining the organization.
b. Activities provide experiences away from home.
c. Belonging makes children feel more autonomous.
d. The system requires small, easily completed projects.
4. Warren has gained 12 lb in the past year. The usual weight gain per year during
school age is approximately:
a. 0.5 lb.
b. 3.5 lb.
c. 6.0 lb.
d. 8.0 lb.
5. Warren tells you that a bully taunts him at school because he is obese. How
should you best follow up Warren’s statement?
a. Bullies have always existed and are an inevitable part of school life.
b. Losing weight may help to reduce the bullying.

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 c. Assure him that you will liaise with his mother and report this to the
school.
d. Encourage him to think of potential solutions to this problem.

6. You are working with Warren’s mother to brainstorm ways that she might help
him to lose weight. What action should you recommend?
a. Increase his protein intake to burn more calories.
b. Walk at least a city block daily for more exercise.
c. Combine eating fewer calories and increasing exercise.
d. Wait until his testosterone levels peaks, and weight is naturally lost.
7. Warren tells you his breasts are bigger than the girls’ in his classroom. Thinking
of the QSEN competency for patient-centered care, you would explain to him:
a. This is a normal phenomenon in preadolescent boys.
b. It is an indication he needs medication.
c. This could be happening because of an illness.
d. He should focus more on his character than his appearance.
8. Warren has six tooth cavities. Between 6 and 12 years of age, how many new
teeth does the average child develop?
a. 6
b. 14
c. 24
d. 32
9. What would be the best advice to help Warren avoid more dental caries?
a. “Try to save candy for special occasions instead of eating it every day.”
b. “Choose to eat sticky candy like taffy because it’s lower in calories.”
c. “Always eat candy inbetween, not with meals,because this reduces sugar
content.”
d. “Don’t ever eat candy; eat vegetables such as carrots or celery for
snacks.”

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10. Suppose Warren shows you his treasure box of things he saves and you
discover a few dozen tattered baseball cards. Your best response to this would be
to:
a. Help him to obtain some new cards.
b. Ask him why these cards are worth saving.
c. Respect this as being a normal school-age collection.
d. Buy him some new baseball cards.
11. Warren tends to play by himself with his action figures. At what age are
children typically ready to play competitive board games?
a. 10 years
b. 8 years
c. 6 years
d. 4 years
12. Which of Warren’s statements would alert you he is following mid school-age
moral development according to Kohlberg?
a. “People who work harder should always have more things.”
b. “I should have more than others because I’m better than others.”
c. “It isn’t fair for some people to have more things than others.”
d. “We should consider each person as to what he or she deserves.”
13. Warren’s mother is concerned with keeping him safe. Based on the most
frequent unintentional injury that occurs during school-age, what would be the
most important safety precaution to teach him?
a. Learn to swim strongly.
b. Chew each bite of food thoroughly.
c. Only use crosswalks when crossing the street.
d. Don’t exercise more than 15 minutes at a time.
14. Which statement by Warren would alert you to the fact that he needs more
education about identifying strangers?
a. “I know that everyone who wears a beard is bad.”
b. “Strangers are called strangers because they look strange.”

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 c. “I suspect anyone who doesn’t look exactly like me.”
d. “A stranger is anyone who my parent or I do not know.”
15. Many children in Warren’s class at school spend independent time alone in their
home after school. What is priority advice for such children?
a. Let everyone know you are alone so they will offer to help you.
b. Cook something every day to give the house a “lived-in” smell.
c. Memorize the phone number of a responsible adult you can call.
d. Practice lighting candles so if power fails, you can have light.
16. Warren had a history of stealing small items when he was 7yearsold. This often
occurs in early school-age children because:
a. They do not understand the idea of property rights as yet.
b. They learn in school about “haves” and “have nots.”
c. They confound acceptable and unacceptable behavior.
d. They believe that objects are less important than relationships.
17. Although Warren has no history of substance abuse, a common substance
abused by school-age children is:
a. Heroin.
b. Acetaminophen.
c. Cocaine.
d. Glue.
18. Warren enjoys school, but school phobia, or avoidance of school, can occur in
this age group. When a child has an aversion to school, parents are usually advised
to take what action?
a. Allow the child to remain at home until the child is ready to return.
b. Arrange for a homeschooling program that the child would enjoy more.
c. Insist that the school review its absence policies to allow more leniency.
d. Take measures to help the child attend school, perhaps in increments.

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19. Warren’s mother tells you Warren has had trouble sleeping at night this week
because he is afraid a terrorist will bomb the mission. How should you encourage
her to respond to his fears?
a. Assure him that, although terrorists are everywhere, they do not bomb
missions.
b. Help her assure Warren that, although bad people exist, he is well loved
and protected.
c. Encourage her to demystify the idea of terrorism by teaching him about it.
d. Have her try to teach Warren to develop emotional resilience.

OPEN-ENDED QUESTIONS:
20. What if Warren asks you what is the best way for him to lose weight? What are
suggestions you would make? What is a possible consequence of telling school-age
children they are overweight?

21. What if Warren tells you he spends time after school every day talking to a
friend he just met on a socialnetworking Web site? Would you want to ask him
some questions about his new friend or congratulate him for making a new friend
so quickly?

FILL IN THE BLANK QUESTIONS:

22. During schoolage, children are able to view situations from other people’s
viewpoint. This is termed _________________.
23. The type of prescription drug that school-age children may take from parents’
medicine cabinets for recreational use and are associated with suicide in children
are _________________.

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MULTIPLE RESPONSE QUESTION:
24. What are typical characteristics of clubs that are established by 9-year-olds?
(Select all that apply.)
a. They are single sex (either boy or girl) clubs.
b. They have a formal structure and hierarchy.
c. They are both formed and dissolve easily.
d. They have secret passwords for membership.

True/False
25. Brain growth is complete by age 9 years.
26. The average child gains 32 teeth between 6 and 12 years of age.
27. An important part of developing a sense of independence is learning
how to solve problems.
28. The most common speech problem of the school-age child is broken
fluency.
29. Children with a mesomorphic build are more likely to become obese.

Fill in the Blank

30. _____________is the ability to project one’s self into other people’s
situation.
31. ______________is the ability to appreciate that a change in shape
does not necessarily mean a change in size.
32. _______________ are progressive, destructive lesions of the tooth
enamel.
33. The onset of puberty is started by secretions from the _____.
34. During the early school years, gaining a sense of _________ is
learning how to do things well.