: Health Promotion of the School-Age Child and Family
Hockenberry: Wong’s Essentials of Pediatric Nursing, 10th Edition
MULTIPLE CHOICE
1. The nurse is teaching a group of 10- to 12-year-old children about physical development
during the school-age years. Which statement made by a participan...
WONGS ESSENTIALS OF PEDIATRIC NURSING 10TH EDITION HOCKENBERRY TEST BANK
Chapter 14: Health Promotion of the School-Age Child and Family
Hockenberry: Wong’s Essentials of Pediatric Nursing, 10th Edition
MULTIPLE CHOICE
1. The nurse is teaching a group of 10- to 12-year-old children about physical development
during the school-age years. Which statement made by a participant, indicates the correct
understanding of the teaching?
a. “My body weight will be almost triple in the next few years.”
b. “I will grow an average of 2 inches per year from this point on.”
c. “There are not that many physical differences among school-age children.”
d. “I will have a gradual increase in fat, which may contribute to a heavier
appearance.”
ANS: B
In middle childhood, growth in height and weight occurs at a slower pace. Between the ages
of 6 and 12 years, children grow 2 inches per year. In middle childhood, children’s weight
will almost double; they gain 3 kg/year. At the end of middle childhood, girls grow taller and
gain more weight than boys. Children take on a slimmer look with longer legs in middle
childhood.
DIF: Cognitive Level: Apply REF: p. 429
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Health Promotion and Maintenance
2. What is the earliest age at which puberty begins?
NURSINGTB.COM
a. 9
b. 10
c. 11
d. 12
ANS: A
There is no universal age at which children assume the characteristics of prepubescence. The
first physiologic signs appear at about 9 years of age (particularly in girls) and are usually
clearly evident in 11- to 12-year-old children.
DIF: Cognitive Level: Understand REF: p. 430
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Health Promotion and Maintenance
3. Which describes the cognitive abilities of school-age children?
a. Have developed the ability to reason abstractly
b. Are capable of scientific reasoning and formal logic
c. Progress from making judgments based on what they reason to making judgments
based on what they see
d. Are able to classify, to group and sort, and to hold a concept in their minds while
making decisions based on that concept
ANS: D
NURSINGTB.COM
, WONGS ESSENTIALS OF PEDIATRIC NURSING 10TH EDITION HOCKENBERRY TEST BANK
In Piaget’s stage of concrete operations, children have the ability to group and sort and make
conceptual decisions. Children cannot reason abstractly and logically until late adolescence.
Making judgments based on what they reason to making judgments based on what they see is
not a developmental skill.
DIF: Cognitive Level: Understand REF: p. 431
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Health Promotion and Maintenance
4. Which describes moral development in younger school-age children?
a. The standards of behavior now come from within themselves.
b. They do not yet experience a sense of guilt when they misbehave.
c. They know the rules and behaviors expected of them but do not understand the
reasons behind them.
d. They no longer interpret accidents and misfortunes as punishment for misdeeds.
ANS: C
Children who are ages 6 and 7 years know the rules and behaviors expected of them but do
not understand the reasons for these rules and behaviors. Young children do not believe that
standards of behavior come from within themselves, but that rules are established and set
down by others. Younger school-age children learn standards for acceptable behavior, act
according to these standards, and feel guilty when they violate them. Misfortunes and
accidents are viewed as punishment for bad acts.
DIF: Cognitive Level: Understand REF: p. 431
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Health Promotion and Maintenance
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5. Which statement characterizes moral development in the older school-age child?
a. They are able to judge an act by the intentions that prompted it rather than just by
the consequences.
b. Rules and judgments become more absolute and authoritarian.
c. They view rule violations in an isolated context.
d. They know the rules but cannot understand the reasons behind them.
ANS: A
Older school-age children are able to judge an act by the intentions that prompted the behavior
rather than just by the consequences. Rules and judgments become less absolute and
authoritarian. Rule violation is likely to be viewed in relation to the total context in which it
appears. The situation and the morality of the rule itself influence reactions.
DIF: Cognitive Level: Understand REF: p. 431
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Health Promotion and Maintenance
6. An 8-year-old girl tells the nurse that she has cancer because God is punishing her for “being
bad.” She shares her concern that if she dies, she will go to hell. How should the nurse
interpret this statement?
a. A common belief at this age
b. A belief that forms the basis for most religions
c. Suggestive of excessive family pressure
NURSINGTB.COM
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