During a well-child check-up, the parents of a 9-year-old boy tell the nurse that their son's friends told him that soccer is a stupid game, and now he wants to play baseball. Which comment by the nurse best explains the effects of peer groups?
"Your child will rarely talk to you about his friends."
"Acceptance by friends, especially of the same sex, is very important at this age."
"The children will cheer for each other regardless of the sport being played."
"The child's best friends will continue playing soccer."
The Correct Answer is B
A. This statement assumes without addressing the effects of peer influence on the child's behavior.
B. Acceptance and validation by peers, particularly those of the same gender, often hold significant importance during middle childhood, influencing interests and activities.
C. While camaraderie among children playing different sports is positive, it doesn't address the primary concern about peer influence on the child's choice.
D. Assuming the child's best friends will continue playing soccer doesn't explain the influence peers have on a child's preferences and decisions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
A. Clear drainage from the affected ear is not a typical finding in otitis media; instead, it might indicate other conditions such as a ruptured eardrum.
B. Otitis media commonly presents with erythema (redness) and edema (swelling) of the affected ear.
C. Pain when manipulating the affected ear lobe might be present but is not exclusive to otitis media.
D. Tugging on the affected ear lobe can be a sign of ear discomfort but isn't a specific indicator of otitis media.

Correct Answer is B
Explanation
A. The influenza vaccine is typically recommended annually but might not be specifically administered during a pre-college physical unless it's flu season.
B. Meningococcal vaccine is often required for college admission due to the risk of meningitis outbreaks in communal living settings like college dormitories.
C. BCG vaccine is primarily used in countries with a higher prevalence of tuberculosis and is not routinely administered in most places for college entry.
D. Pneumococcal vaccine might be recommended for certain health conditions or specific circumstances but is not typically administered routinely during pre-college physicals.
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