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. Sexual curiosity typically emerges in later stages of development and is not a primary characteristic of the toddler stage.
B. Erikson's stage of initiative versus guilt occurs in early childhood (ages 3 to 6) and involves the child's exploration of the world and taking initiative in activities, leading to a sense of purpose or potential guilt if they're restricted or criticized.
C. Imaginary playmates might appear around this age but are not the primary characteristic defining this stage of development.
D. Negative behaviors associated with the need for autonomy are more commonly observed in toddlers, but they are not the defining characteristic of this developmental stage.
Correct Answer is C
Explanation
A. Encouraging the parents to speak English to the child may influence language acquisition but might not be the priority if there are concerns about speech development.
B. Referring the child to a developmental specialist could be considered, but conducting a developmental evaluation should be the first step to determine if intervention is needed.
C. Performing a developmental evaluation will provide a clearer understanding of the child's speech and language development to ascertain if there are delays or concerns.
D. While understanding if the child uses Spanish words is relevant, it may not be the priority over a comprehensive developmental assessment.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.