Nursing care of a family with a preschoolers

Question 1

1. To encourage autonomy in a 4-year-old, the nurse should instruct the mother to:
   a. Discourage the child’s choice of clothing.
   b. Button the child’s coat and blouse.
   c. Praise the child’s attempts to dress herself.
   d. Tell the child when the combination of clothes is not appropriate

Answer 1

C. Praise the child’s attempts to dress herself

Question 2

2. The mother of a 4-year-old expresses concern that her child may be hyperactive. She describes the child as always in
   motion, constantly dropping and spilling things. Which of the following actions would be appropriate at this time?
   a. Determine whether there have been any changes at home.
   b. Explain that this is not unusual behavior.
   c. Explore the possibility that the child is being abused.
   d. Suggest that the child be seen by a pediatric neurologist

Answer 2

B. Explain that this is not unusual behavior

Question 3

3. The mother of a preschooler reports that her child creates a scene every night at bedtime. The nurse and the mother
   decide that the best course of action would be to do which of the following?
   a. Allow the child to stay up later one or two nights a week.
   b. Establish a set bedtime and follow a routine.
   c. Encourage active play before bedtime.
   d. Give the child a cookie if bedtime is pleasant

Answer 3

B. Establish a set bedtime and follow a routine.

Question 4

4. The parents of a preschooler ask the nurse how to handle their child’s temper tantrums. Which of the following should
   the nurse include in the teaching plan? Select all that apply.
   a. Putting the child in “time-out.”
   b. Telling the child to go to his bedroom.
   c. Ignoring the child.
   d. Putting the child to bed.
   e. Spanking the child.
   f. Trying to reason with the child

Answer 4

A. Putting the child in “ time out”

C. Ignoring the child

Question 5

5. After teaching a group of parents of preschoolers attending a well-child clinic about oral hygiene and tooth brushing, the
   nurse determines that the teaching has been successful when the parents state that children can begin to brush their
   teeth without help at which of the following ages?
   a. 3 years.
   b. 5 years.
   c. 7 years.
   d. 9 years

Answer 5

C. 7 years

Question 6

6. The family of a 5-year-old, only child has just moved to a rural setting where the father has started a dental practice. At
   the well-child visit, the father expresses concern that his child seems prone to minor accidents such as, skinning his elbow
   and knees or falling off his scooter. The nurse tells the father:
   a. “Only children use accidents as a way to seek parental attention.”
   b. “Children who live in the suburbs typically have more accidents.”
   c. “Children frequently have more accidents when families experience change.”
   d. “We see a relationship between accidents and parental education.”

Answer 6

C. Children frequently have more accidents when families experience change.

Question 7

7. If the parent of a 4-year-old child tells the nurse about concerns that the child frequently talks about a make believe
   playmate, which response by the nurse is best?
   a. “This type of behavior is normal for a preschooler.”
   b. “Can you identify any stressors that may be causing this regression?”
   c. “You may need a referral to see a child psychologist.”
   d. “Give a time-out when this behavior occurs.”

Answer 7

A. This type of behavior is normal for a preschoolers

Question 8

8. The following traits characterize a preschooler, except:
   a. imaginative
   b. dramatic
   c. imitative
   d. industrious

Answer 8

D. Industrious

Question 9

9. According to Sigmund Freud’s psychoanalytic theory of development, Tana, age 4, is in the phallic stage and is having
   Electra complex. When asked what behavior will be observed in Tana, the nurse gives the parents which explanation?
   a. “Tana will show attachment to her mother and jealousy towards her father.”
   b. “Having more independence, Tana will withdraw from her parents.”
   c. “Tana will show attachment to her father, and jealousy towards her mother.”
   d. “Tana will be extra clingy to both parents.”

Answer 9

C. Tana will show more attachment to her father and jealously towards her mother

Question 10

10. The parent of a 3 year old child brings the child to the clinic for a well child check-up. The history and assessment
    reveals following findings. Which of these assessment made by the nurse is an area of concern and requires further
    investigation?
    a. unable to ride a tricycle
    b. has ability to hop on one foot
    c. uses gesture to indicate words
    d. weight gain of 4 pounds in last year

Answer 10

A. Unable to ride a tricycle