Answer to Question 1
B
Feedback:
Once it has been established that a child is free of any illness and the resistance stems from separation anxiety or phobia, the child should be made to attend school. Reinforcement by parents to go to school this way helps to prevent problems such as school failure, peer ridicule, or a pattern of avoiding difficulties. Some children may benefit from a gradual program of school involvement. Managing school refusal requires coordination among the school, school nurse, and health care provider who identifies the problem. The child should not be permitted to decide not to go to school. Attending school is a requirement, and the teacher does not need to be asked this question.
Answer to Question 2
B, D, E
Feedback:
Strategies to help the school-age child with obesity include maintaining a healthy eating approach in the home, seeking a weight loss group with other preteens for the child to attend, and encouraging increased activity. Explaining that obesity will lead to an early death could cause the child to become obsessed with dieting and create an eating disorder. The child should not be encouraged to use fad diets to lose weight.
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