A nurse is collecting data from a 10-year-old child during a well-child visit.
Which of the following statements by the child indicates he is meeting the psychosocial development expectations of a school-age child?
"I like to collect rocks.”.
"I really want to do well in school.”.
"I can do simple math problems in my head.”.
"My parents set rules that I need to follow.”. .
The Correct Answer is A
Choice A rationale
Collecting objects like rocks reflects the interest in categorizing and organizing, which aligns with the industry vs. inferiority stage for school-age children.
Choice B rationale
Wanting to do well in school also fits with the industry vs. inferiority stage, where children gain pride from achieving tasks and being competent.
Choice C rationale
Doing simple math problems in one's head indicates cognitive development but doesn't directly align with the psychosocial development focus.
Choice D rationale
Following rules set by parents is important, but it's more about conforming to authority rather than indicating psychosocial development specific to industry vs. inferiority.
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Correct Answer is D
Explanation
Choice A rationale
Threatening a shot can cause fear and anxiety, potentially making the child more resistant to taking medication in the future.
Choice B rationale
Hiding medication in food can lead to mistrust if the child discovers it, and it's not a sustainable long-term solution.
Choice C rationale
Telling the child the medicine tastes like candy is misleading and can lead to distrust. It's important to be honest while finding practical solutions.
Choice D rationale
Offering an ice pop prior can numb the taste buds, making the medication more palatable without deceit, and can build positive associations with taking medication.
Correct Answer is ["B","C"]
Explanation
Choice A rationale
Methotrexate is an immunosuppressant and chemotherapeutic agent, not typically used for treating muscle spasms in cerebral palsy. It is primarily used for autoimmune conditions and certain cancers.
Choice B rationale
Baclofen is a muscle relaxant and antispasmodic agent commonly used to treat muscle spasms in patients with cerebral palsy. It works by acting on the central nervous system to reduce spasticity and improve motor function.
Choice C rationale
Diazepam is a benzodiazepine that can also be used to manage muscle spasms. It has a calming effect on the brain and nerves, helping to reduce muscle stiffness and spasms in patients with cerebral palsy.
Choice D rationale
Prednisone is a corticosteroid that is used for its anti-inflammatory properties. While it may be used in various inflammatory conditions, it is not typically prescribed for muscle spasms in cerebral palsy.