Chapter 8: Health Promotion for the School-Age Child
Test Bank
MULTIPLE CHOICE
1. Which statement made by a mother of a school-age boy indicates a need for further teaching?
a. “My child is playing soccer this year.”
b. “He is always busy with his friends playing games. He is very active.”
c. “I limit his television watching to about 2 hours a day.”
d. “I am glad his coach is a good role model. He emphasizes the importance
of winning in today’s society. The kids really are disciplined.”
ANS: D
Feedback
A Team sports such as soccer are appropriate for exercise and refinement of motor
skills.
B School-age children need to participate in physical activities, which contribute to
their physical fitness skills and well-being.
C Limiting television to 2 hours a day is an appropriate restriction. School-age
children should be encouraged to participate in physical activities.
D Team sports are important for the development of sportsmanship and teamwork
and for exercise and refinement of motor skills. A coach who emphasizes
winning and strict discipline is not appropriate for children in this age-group.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 147
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
2. Which behavior is not demonstrated in the 8-year-old child?
a. Understands that his or her point of view is not the only one
b. Enjoys telling riddles and silly jokes
c. Understands that pouring liquid from a small to large container does not change
the amount
d. Engages in fantasy and magical thinking
ANS: D
Feedback
A School-age children enter the stage of concrete operations. They learn that their
point of view is not the only one.
B The school-age child has a sense of humor. The child’s increased language
mastery and increased logic allow for appreciation of plays on words, jokes, and
incongruities.
C The school-age child understands that properties of objects do not change when
their order, form, or appearance does.
D The preschool-age child engages in fantasy and magical thinking. The school-
age child moves away from this type of thinking and becomes more skeptical
, and logical. Belief in Santa Claus or the Easter Bunny ends in this period of
development.
PTS: 1 DIF: Cognitive Level: Analysis REF: p. 148
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
3. The ability to mentally understand that 1 + 3 = 4 and 4 – 1 = 3 occurs in which stage of
cognitive development?
a. Concrete operations
b. Formal operations
c. Intuitive thought
d. Preoperations
ANS: A
Feedback
A By 7 to 8 years of age, the child is able to retrace a process (reversibility) and
has the skills necessary for solving mathematical problems. This stage is called
concrete operations.
B The formal operations stage deals with abstract reasoning and does not occur
until adolescence.
C Thinking in the intuitive stage is based on immediate perceptions. A child in this
stage often solves problems by random guessing.
D In preoperational thinking, the child is usually able to add 1 + 3 = 4 but is unable
to retrace the process.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 148
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
4. Which activity is most appropriate for developing fine motor skills in the school-age child?
a. Drawing
b. Singing
c. Soccer
d. Swimming
ANS: A
Feedback
A Activities such as drawing, building models, and playing a musical instrument
increase the school-age child’s fine motor skills.
B Singing is an appropriate activity for the school-age child, but it does not
increase fine motor skills.
C The school-age child needs to participate in group activities to increase both
gross motor skills and social skills, but group activities do not increase fine
motor skills.
D Swimming is an activity that also increases gross motor skills.
PTS: 1 DIF: Cognitive Level: Analysis REF: p. 148
OBJ: Nursing Process: Evaluation MSC: Client Needs: Health Promotion and Maintenance
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