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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
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.
Correct Answer is B
Explanation
A. The need for surety and security involves seeking safety and stability, which might not directly cause such sudden shifts in behavior observed in toddlers.
B. Toddlers often struggle with the emerging desire for independence and control over their environment, leading to emotional outbursts when their attempts at control are challenged.
C. The need for love and belonging is a fundamental aspect of development but might not directly relate to the sudden emotional fluctuations seen in limit-setting situations.
D. While peer approval becomes important later in childhood, during the toddler years, the primary focus is on asserting independence rather than seeking peer validation.
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