Review Practice Exercise 2

Growth And Development In School-age Children > Child Health

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Practice Exercise 2

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Total Questions : 5

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Question 1:

Which of the following are reasons that stealing occurs in school-age children? Select all that apply

A. To escape punishment B. High self-esteem C. Low expectations of family/peers D. Lack of sense of propriety E. Strong desire to own something

Answer and Explanation

Choice A:

To escape punishment: This may occur in isolated situations but is not a primary developmental reason for stealing in this age group. It's more reactive than characteristic of school-age motives. However, children often lie and not to escape punishment.

Choice B:

High self-esteem: Children with high self-esteem are generally more secure and less likely to engage in dishonest behavior for validation or attention. Stealing is more common in children with low self-worth or unmet emotional needs.

Choice C:

Low expectations of family/peers: Children who feel that their family or peers expect little from them may act out through dishonest behaviors such as stealing, feeling there’s little to lose or no accountability.

Choice D:

Lack of sense of propriety: Younger school-age children may not fully understand the concept of personal property, especially if such boundaries haven't been consistently taught.

Choice E:

Strong desire to own something: A child may steal out of envy or a powerful longing to possess something that peers have, especially when they believe it's the only way to obtain it.

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Question 2:

What does the concept of "goodness of fit" in relation to temperament refer to?

A. The physical fitness level of the child. B. The alignment between a child's temperament and environmental demands. C. The child's ability to adapt to new situations easily. D. The compatibility of the child's diet with their activity level.

Answer and Explanation

Choice A:

The physical fitness level of the child is not related to temperament. “Goodness of fit” is a psychosocial and behavioral concept, not physical fitness.

Choice B:

Goodness of fit is a concept in developmental psychology that refers to how well a child’s temperament matches or is supported by their environment, especially parenting style and other external expectations. When there is a good fit, the child's development is supported, and behaviors are more easily managed. A poor fit can lead to increased conflict, stress, or behavioral problems, not because of the temperament itself, but because of a mismatch between what the child needs and how the environment responds.

Choice C:

The child's ability to adapt to new situations easily may be a trait of a child with an easy temperament, but it’s not the definition of “goodness of fit.” That term refers to the match between the child and the environment.

Choice D:

The compatibility of the child's diet with their activity level relates to nutrition and health, not temperament or psychological development.

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Question 3:

Which of the following are common fears experienced by school-age children? Select all that apply

A. Monsters under the bed B. School failure/tests C. Being alone D. Social rejection E. Losing a favorite stuffed animal

Answer and Explanation

Choice A:

Monsters under the bed is more typical of preschool-aged children who have difficulty distinguishing fantasy from reality. School-age children tend to grow out of these types of imaginary fears.

Choice B:

Fear of academic failure becomes prominent in this stage as children begin to internalize expectations from teachers, parents, and themselves. Anxiety over performance in tests is a common and developmentally appropriate fear.

Choice C:

Although more typical of early childhood, fear of being alone can persist in school-age children, particularly if it’s connected to safety concerns or emotional insecurity.

Choice D:

As peer relationships grow in importance, fear of being excluded or ridiculed becomes a significant emotional stressor. Social acceptance is a key developmental task in this age group.

Choice E:

Attachment to transitional objects like stuffed animals is common in younger children. While a school-age child may still value such objects, the emotional fear associated with losing them is less intense and less developmentally typical at this stage.

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Question 4:

A school-age child consistently tells elaborate stories that are not true, often to avoid getting in trouble. What is the most appropriate initial nursing approach to this dishonest behavior?

A. Immediately isolate the child from peers to prevent negative influence. B. Punish the child severely to teach them a lesson about honesty. C. Calmly discuss the behavior, explore the underlying reasons, and emphasize the importance of honesty. D. Ignore the behavior, as it is a normal phase that children outgrow on their own.

Answer and Explanation

Choice A:

Isolation is punitive and may cause further emotional harm or increase deceptive behavior as a coping strategy. It does not address the root cause or promote learning.

Choice B:

Harsh punishment can increase fear and dishonesty. It may suppress the behavior temporarily but fails to help the child internalize the value of truthfulness.

Choice C:

Calmly discuss the behavior, explore the underlying reasons, and emphasize the importance of honesty: This approach acknowledges the behavior without shaming the child. It opens the door to understanding emotional drivers like fear of failure, low self-esteem, or seeking approval. The nurse or caregiver models calm and honest communication, promoting trust and reinforcing honesty as a value.

Choice D:

While some dishonesty is developmentally typical, ignoring consistent lying misses a critical opportunity for guidance and character development.

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Question 5:

Regarding latchkey children, which of the following are important safety considerations for parents to implement? Select all that apply

A. Allowing unlimited unsupervised online access B. Establishing clear rules for visitors to the home C. Ensuring the child has an emergency plan and knows who to contact D. Discouraging participation in after-school programs E. Providing a list of "safe" adults the child can contact for help

Answer and Explanation

Choice A:

Allowing unlimited unsupervised online access: This increases the risk of exposure to inappropriate content, cyberbullying, and online predators. Parental controls and screen time limits should be established.

Choice B:

Establishing clear rules for visitors to the home: It's essential that children understand and follow safety rules about allowing others into the home when alone, which reduces the risk of harm from strangers or unsafe situations.

Choice C:

Ensuring the child has an emergency plan and knows who to contact: Children need to know what to do in case of fire, injury, or feeling unsafe. This includes knowing emergency phone numbers and having basic problem-solving skills.

Choice D:

Discouraging participation in after-school programs: On the contrary, structured after-school programs provide supervision, socialization, and enrichment, which help reduce the risks associated with being home alone.

Choice E:

Providing a list of "safe" adults the child can contact for help: Trusted adults such as neighbors, relatives, or family friends can provide a lifeline in emergencies or if the child feels frightened or confused.

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Practice Exercise 2

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