Everything but C puzzle
Manipulative, constructive, creative, and educational toys provide for quiet activities, fine motor development, and self-expression. Easy construction sets, large blocks of various sizes and shapes, a counting frame, alphabet or number flash cards, paints, crayons, simple carpentry tools, musical toys, illustrated books, simple sewing or handicraft sets, large puzzles, and clay are suitable. Probably the most
characteristic and pervasive preschool activity is imitative, imaginative, and dramatic play. Dress-up clothes, dolls, housekeeping toys, dollhouses, play store toys, telephones, farm animals and equipment, village sets, trains, trucks, cars, planes, hand puppets, and medical kits provide hours of self-expression toys. Large puzzles are appropriate for preschoolers, but 100-piece puzzles are likely too small and may cause frustration for the preschooler.
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ANS: D
Touch can convey
warmth, comfort, reassurance, security, caring, and support. In infancy, messages of security and comfort are conveyed when they are being held. Toddlers and preschoolers find it soothing and comforting to be held and rocked. School-aged children and adolescents appreciate receiving a hug or pat on the back (with permission). Listening is an essential component of the communication process. By practicing active listening skills, nurses can be effective listeners. Listening is a component of
verbal communication. Individuals have different comfort zones for physical distance. The nurse should be aware of these differences and move cautiously when meeting new children and families. It is important to create a supportive and friendly environment for children including the use of child-sized furniture, posters, developmentally appropriate toys, and art displayed at a child's eye level.
A, B, D
To promote imaginative play for a 3-year-old child, the nurse should provide: dress-up clothes, dolls and dollhouses, housekeeping toys, play-store toys, telephones, farm animals and equipment, village sets, trains, trucks, cars, planes, hand puppets, and medical kits. A 100-piece jigsaw puzzle and a jump rope would be appropriate for a young, school-age child but not a 3-year-old child.
A nurse is caring for a 2-month-old exclusively breast-fed infant with an admitting diagnosis of colic. Based on the nurse's knowledge of breastfed infants, what type of stool is expected?
A) Dark brown and small hard pebbles
B) Semiformed, seedy, yellow
C) Loose with green mucus streaks
D) Formed and with white mucus
Answer:
B) Semiformed, seedy, yellow
The parents of a toddler state their child is having trouble sleeping. What is the nurse's BEST suggestion to improve sleep habits?
A) Restricting stimulating activities during the day.
B) Using a transitional object.
C) Varying the bedtime ritual.
D) Explaining away fears.
Answer:
B) Using a transitional object.
The nurse's BEST approach for effective communication with a preschool-age child is through:
A) speech.
B) actions
C) drawing.
D) play.
Answer:
D) play
The school nurse knows that which attribute is characteristic of the psychosocial development of school-age children?
A) Motivation comes from extrinsic rather than intrinsic sources.
B) Peer approval is not yet a motivating power.
C) Feelings of inferiority or lack of worth can be derived from children themselves or from the environment.
D) A developing sense of initiative is very important
Answer:
C) Feelings of inferiority or lack of worth can be derived from children themselves or from the environment.
Developing initiative is characteristic of preschoolers. Peer group formation is one of the major characteristics of this age-group. School-age children gain satisfaction from independent behaviors. This age child is eager to develop skills and participate in activities. All children are not able to do all tasks well, and the child must be prepared to accept some feeling of inferiority.
A 16-year-old girl tells the school nurse that she has not started to menstruate yet. Onset of secondary sexual characteristics occurred about 4 years ago. The nurse should:
A) assume that the adolescent is pregnant.
B) suggest that adolescent stop exercising until menarche occurs.
C) explain that this is not unusual.
D) refer adolescent for an evaluation.
Answer:
D) refer adolescent for an evaluation.