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School-age child=
Child aged approximately 6-10 (or up to 12) years experiencing steady growth and increasing independence
Growth pattern (school-age)=
Slower and steady growth compared to infancy and adolescence
Motor development=
Refinement and perfection of fine and gross motor skills
Cognitive development (school-age)=
Significant increase in thinking abilities including reading, writing, and math
Self-care ability=
Increasing independence in daily activities such as hygiene and dressing
Peer group development=
Formation of friendships and importance of social groups
School influence=
Major environment shaping learning, behavior, and development
Developmental variability=
Wide differences seen between ages 6-12 due to growth and maturity differences
Vision development=
Reaches optimal function by age 6-7
Visual acuity=
Should be at least 20/30 using Snellen chart
Hyperopia (farsightedness)=
Ability to see distant objects more clearly than near objects
Myopia (nearsightedness)=
Ability to see near objects clearly but distant objects poorly
Astigmatism=
Uneven focusing of vision due to irregular eye shape
Vision screening=
Important to detect abnormalities and support learning
Vision problems prevalence=
Approximately 25% of school-age children have vision issues
Self-esteem=
Belief that one is capable, significant, successful, and worthy
Influences on self-esteem=
Family, peers, and school environment
Locus of control=
Belief about control over life events (internal vs external)
Internal locus of control=
Belief that one's actions influence outcomes
External locus of control=
Belief that outside forces determine outcomes
Body concept=
Understanding of internal body structures and functions
Body image concerns=
Anxiety related to physical differences (freckles, deformities, chronic illness)
Coping-stress tolerance pattern=
How the child responds to stressors such as family changes
Divorce impact=
Stressful event that may lead to behavioral problems or need for counseling
School nurse role=
Acts as an advocate for the child during stressful events
Somatization=
Expression of emotional stress as physical symptoms
Depression (school-age)=
Mental health condition with symptoms such as anorexia, lethargy, sleep changes, and withdrawal
Depression prevalence=
Occurs in approximately 2-3% of school-age children
Depression symptoms=
Anorexia, sleeplessness, lethargy, mood changes, aggression, crying, withdrawal
Depression treatment=
Individual or family counseling and possible medication
Emotional expression=
May be shown through behavior rather than verbalization
Behavioral problems=
May arise from stress, environmental changes, or emotional distress
Role of school environment=
Supports academic, social, and emotional development
Learning development=
Includes reading, writing, and mathematical skills
Social development=
Strong influence from peers and group belonging
Independence development=
Child becomes more responsible for self-care and decision-making
Health promotion (school-age)=
Focus on screening, early detection, and healthy habits
Nursing role=
Assess growth, development, emotional health, and provide education
Holistic assessment=
Includes physical, emotional, cognitive, and social factors
Elimination (school-age)=
Fully developed voluntary control of bowel and bladder function
Enuresis=
Involuntary urination (bedwetting) that may still occur in some school-age children
Primary enuresis=
Child has never achieved consistent nighttime dryness
Secondary enuresis=
Loss of bladder control after previously being dry
Constipation (school-age)=
Common issue due to diet, low fiber intake, or decreased activity
Constipation prevention=
Increase fiber, fluids, and physical activity
Encopresis=
Involuntary fecal soiling, often related to chronic constipation
Infection risk (school-age)=
Increased exposure due to school and peer interactions
Common transmission routes=
Direct contact, respiratory droplets, contaminated surfaces
Immune response (school-age)=
More developed than younger children, improving resistance to illness
Toxin exposure=
Can occur from household products, medications, or environmental chemicals
Poisoning risk=
Higher risk due to curiosity and exposure to chemicals at home or school
Prevention of exposure=
Safe storage of chemicals, supervision, and education
Hand hygiene=
Primary method to prevent spread of biological agents
Environmental safety=
Reducing exposure to harmful substances in home and school settings