The nurse is conducting a well-child assessment for a 5-year-old boy in preparation for kindergarten. The boy's grandmother is his primary caregiver because the boy's mother has suffered from depression and substance abuse issues. The nurse understands that the child is at increased risk for which developmental problem?
Speech and language delays
Fine motor skills delay
Stuttering
Lack of social and emotional readiness for school
The Correct Answer is D
A. Speech and language delays could occur but might not be the primary developmental problem given the circumstances.
B. Fine motor skills delays could also occur but might not be the primary developmental problem considering the caregiver's situation.
C. Stuttering might arise but might not be the primary developmental problem given the context of the caregiving environment.
D. Children in environments affected by parental depression and substance abuse may face challenges in developing social and emotional readiness for school due to inconsistent caregiving and potential emotional stressors.
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Related Questions
Correct Answer is D
Explanation
A. Stating that being gay puts someone in an "at-risk" category can be stigmatizing and might not address the teenager's concerns or questions.
B. While discussing safe sex might be important, it assumes that being gay automatically implies a need for this conversation, which might not be the case.
C. Dismissing the teenager's statement by denying his sexual orientation can be harmful, dismissive, and invalidate the individual's feelings and identity.
D. Encouraging open communication and asking the teenager to share his thoughts fosters a supportive environment, allowing the nurse to understand the teenager's perspective and concerns.
Correct Answer is A
Explanation
A. Acknowledging that food consumption might not significantly decrease helps manage the mother's expectations regarding her "picky eater" child and reduces potential stress around mealtime.
B. Adding fruit juice might contribute to increased sugar intake and may not necessarily address the nutritional concerns associated with picky eating.
C. Forcing a child to remain at the table after meals could create negative associations with mealtime and food, potentially exacerbating picky eating behavior.
D. Emphasizing quantity over quality doesn't address the nutritional concerns related to picky eating and might encourage unhealthy eating habits.
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