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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Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is A
Explanation
A. Offering the child a choice empowers them and provides a sense of control. It might increase cooperation as it involves the child in the decision-making process.
B. Threatening with a shot is coercive and can cause fear and anxiety, negatively impacting cooperation and trust.
C. Hiding medication in food without the child's knowledge might breach trust once discovered and doesn't address the child's autonomy.
D. Misrepresenting medication as candy can be dangerous and erode trust between the child and the healthcare provider.
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