Chapter 12 Health Promotion of the Toddler and Family Hockenberry 10th Edition Test Bank

Chapter 12: Wellness Promotion of the Preschooler and Family Hockenberry: Westong'southward Essentials of Pediatric Nursing, 10th Edition

1. Which should the nurse eastxpect of a salubrious iii-year-old child?

a. Jump rope

b. Ride a two-bicycle bicycle

c. Skip on alternate anxiety

d. Residue on 1 foot for a few seconds

ANS: D

Three-year-olds areastward able to accomplish this gross motor skill. Jumping rope, riding a ii-bike bike, and skipping on alternate anxiety are gross motor skills of five-year-

olds.

2. In terms of fine motor development, which should the 3-year-former child be expected to do?

a. Lace shoes and tie shoelaces with a bow.

b. Apply scissors to cut pictures, and print a few numbers.

c. Drawestward a person with 7 parts and correctly identify the parts.

d. Draw a circle and name what has been drawn.

ANS: D

Three-twelvemonth-olds are able to accomplish this fine motor skill. Being able to lace shoes and tie shoelaces with a bow, use scissors to cutting pictures, and print a few numbers,

or draw a person with seven parts and correctly identify the parts areast fine motor skills of 4- or 5-year-olds.

3. A nurse is assessing a preschool-age child and notes the kid exhibits magical thinking. Accordidue northg to Piaget, which describes magical thinking?

a. Events take cause and effect.

b. God is like an imaginary friend.

c. Thoughts are all-powerful.

d. If the skin is broken, the child's insides will come out.

ANS: C

Considering of their egocentris1000 and transductive reasoning, preschoolers believe that thoughts are all-powerful. Cause-and-effect implies logical idea, non magical

thinking. Thinking God is like an imaginary friend is an example of concrete thinking in a preschooler's spiritual development. Thinking that if the skin is broken, thdue east

child's insides will come out is an example of concrete thinking in development of trunk image.

4. A nurse, instructing parents of a hospitalized preschool child, explains that which is descriptiveast of the preschooler's undercontinuing of time?

a. Has no understanding of time

b. Associateastwardsouth time with events

c. Tin can tell time on a clock

d. Uses terms likeast "yesterday" appropriately

ANS: B

In a preschooler'south understanding, time has a relation with upshotsouthward such as "We'll become outside after luncheon." Preschoolers develop an abstract sense of time at historic period iii years.

Children can tell time on a clock at age 7 years. Children practise not fully understand employ of fourth dimension-oriented words until age vi years.

v. The nurse is carinthousand for a hospitalized 4-year-old boy. His parents tell the nurse that they will be back to visit at 6 PM. Whedue north the child asks the nurse when his parents are

coming, the nurse's best response is

a. "They volition be here soon."

b. "They will come up after dinner."

c. "Allow me show you on the clock when vi PM is."

d. "I volition tell you eveastry fourth dimension I see you lot how much longer it volition be."

ANS: B

A 4-year-old child understands fourth dimension in relation to effectsouthward such every bit meals. Children perceive "soon" as a very brusk time. The nursdue east may lose the child's trust if his parents

do not return in the time he perceives equally "soon." Childrenorthward cannot read or use a clock for practical purposes until age 7 years. I volition tell you every time I see you how

much longer it will be assumes the child understands the concepts of hours and minutes, which are non developed until age 5 or half dozen yearsouthward.

6. A 4-twelvemonth-old child is hospitalized with a serious bacterial infection. The child tells the nurse that he is sick because he was "bad." Which is the nurse'due south best interpretation

of this comment?

a. Sign of stress

b. Common at this age

c. Suggestiveast of maladaptation

d. Suggestivdue east of eastwardxcessive discipline at home

ANS: B

Preschoolerdue south cannot understand theast cause and effect of illness. Their egocentrism makes them call back they are directly responsible for events, making them feel guilty for

things outside their control. Children of this ageast prove stress by regressing developmentally or acting out. Maladaptation is unlikely. Telling the nurse that he is sick

because he was "bad" does not imply excessive disciplidue northe at home.

7. A 4-year-old child tells the nurse that she does non want another claret sample drawn considering "I need all gy insides, and I don't want any1 taking them out." Which is

the nurse's best interpretation of this?

a. Child is being overly dramatic.

b. Kid has a disturbed body imageast.

c. Preschoolers have poorly divers trunk boundaries.

d. Preschoolersouthward normally accept a good understanding of their bodies.

ANS: C

Preschoolers have little understanding of body boundaries, which leads to fears of mutilation. The child is not capable of existence dramatic at 4 years of age. She truly has

fearfulness. Body image is just developing in theast school-age child. Preschoolerdue south exercise not take kood understanding of their bodies.

eight. Which play is near typical of the preschool flow?

a. Solitary

b. Parallel

c. Associative

d. Team

ANS: C

Associative play is group play in similar or identical activities but without rigid organization or rules. Solitary play is that of infants. Parallel play is that of toddlers. School-

age children play in teams.

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