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Which of the following statements accurately describes physical development during the school-age years?

Child’s weight almost triples.
Child grows an average of 5 cm (2 inches) per year.
Few physical differences are apparent among children of different genders at the end of middle childhood.
Fat gradually increases, which contributes to child’s heavier appearance.

Child grows an average of 5 cm (2 inches) per year.
Which of the following is characteristic of the psychosocial development of school-age children?

Peer approval is not yet a motivating power.
A developing sense of initiative is very important.
Motivation comes from extrinsic rather than intrinsic sources.
Feelings of inferiority or lack of worth can be derived from children themselves or from the environment.

Feelings of inferiority or lack of worth can be derived from children themselves or from the environment.
Which of the following describes the cognitive abilities of school-age children?

Have developed the ability to reason abstractly
Become capable of scientific reasoning and formal logic
Progress from making judgments based on what they reason to making judgments based on what they see
Have the ability to place things in a logical order, to group and sort, and to hold a concept in their minds while making decisions based on that concept

Have the ability to place things in a logical order, to group and sort, and to hold a concept in their minds while making decisions based on that concept

4. In Piaget’s stage of concrete operations, children have the ability to group and sort and make conceptual decisions.
1. Children cannot reason abstractly until late adolescence.
2. Scientific reasoning and formal logic are skills of adolescents.
3. Progressing from making judgments based on what school-age children reason to making judgments based on what they see is not a developmental skill.

Which of the following describes moral development in the younger school-age child?

The standards of behavior now come from within themselves.
They do not yet experience a sense of guilt when they misbehave.
They know the rules and behaviors expected of them but do not understand the reasons behind them.
They no longer interpret accidents and misfortunes as punishment for misdeeds.

They know the rules and behaviors expected of them but do not understand the reasons behind them.
group of boys ages 9 and 10 have formed a “boys only” club that is open to neighborhood and school friends who have skateboards. This should be interpreted as which of the following?

Behavior that encourages bullying and sexism
Behavior that reinforces poor peer relationships
Characteristic of social development of this age
Characteristic of children who are later at risk for membership in gangs

Characteristic of social development of this age
Bullying can be common during the school-age years. The nurse should recognize that bullying:

Can have a lasting effect on children.
is not a significant threat to self-concept.
is rarely based on anything that is concrete.
is usually ignored by the child who is being teased.

Can have a lasting effect on children.
Which of the following should the nurse include when giving parents guidelines about helping their children in school?

Punish children who fail to perform adequately.
Help children as much as possible with their homework.
Communicate with teachers if there appears to be a problem.
Accept responsibility for children’s successes and failures.

Communicate with teachers if there appears to be a problem.
Sleep problems in the school-age child are often demonstrated by:

night terrors that awaken the child.
delaying tactics because they do not wish to go to bed.
somatic illness that awakens the child.
increasing need for sleep time compared with adolescents.

delaying tactics because they do not wish to go to bed.
The parents of an 8-year-old girl tell the nurse that their daughter wants to join a soccer team. The nurse’s suggestions regarding participation in sports at this age should include which of the following?

Organized sports such as soccer are not appropriate at this age.
Competition is detrimental to the establishment of a positive self-image.
Sports participation is encouraged if the type of sport is appropriate to the child’s abilities.
Girls should compete only against girls because at this age boys are larger and have more muscle mass.

Sports participation is encouraged if the type of sport is appropriate to the child’s abilities.
The school nurse is discussing dental health with some children in first grade. Which of the following should be included?

Teach how to floss teeth properly.
Recommend toothbrush with hard nylon bristles.
Emphasize importance of brushing before bedtime.
Recommend nonfluoridated toothpaste approved by the American Dental Association.

Emphasize importance of brushing before bedtime.

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