The nurse is developing a care plan for several clients who were seen in the clinic that day. Which situation will the nurse conclude is most likely to experience challenges in the growth and development of the children?

A family lives with the parents of the mother who is working two jobs.

Both parents work during the day and the child comes home after school to an empty house.

Children attend school while the father works and then sleep in their car at night.

A divorced mother shares an apartment with her best friend and her children.

Answer and Explanation

The Correct Answer is C

Choice A reason: Living with grandparents while the mother works two jobs provides potential supervision, reducing developmental risks compared to homelessness. Sleeping in a car disrupts stability and safety, making this less challenging and incorrect for the situation most likely to impact children’s growth and development.

Choice B reason: An empty house after school poses risks but offers a stable home environment, unlike sleeping in a car, which lacks safety and consistency. Latchkey situations are less severe, making this incorrect compared to the extreme instability of homelessness affecting children’s developmental outcomes.

Choice C reason: Sleeping in a car at night indicates homelessness, severely disrupting children’s physical, emotional, and cognitive development due to lack of stable housing, nutrition, and safety. This situation poses the greatest challenge, aligning with pediatric social determinants of health, making it the correct choice.

Choice D reason: Sharing an apartment with another family provides housing stability, unlike sleeping in a car, which severely impacts development. Crowded living is less detrimental than homelessness, making this incorrect for the situation most likely to challenge children’s growth and development in the care plan.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A reason: Airborne transmission involves pathogens spread through respiratory droplets, not insects. Insect-borne pathogens are vector transmission, making this incorrect, as it misidentifies the mechanism for diseases like malaria spread by mosquitoes in the nurse’s presentation on pathogen spread.

Choice B reason: Vehicle transmission involves contaminated objects or food, not insects. Pathogens spread by insects are via vector transmission, making this incorrect, as it does not describe the role of insects in pathogen spread in the nurse’s presentation on transmission mechanisms.

Choice C reason: Vector transmission occurs when insects like mosquitoes carry pathogens between hosts, a key mechanism for diseases like dengue. This aligns with infectious disease principles, making it the correct term for the nurse to illustrate in the presentation on how pathogens are spread.

Choice D reason: Contact transmission involves direct touch or surfaces, not insects. Vector transmission correctly describes insect-borne spread, making this incorrect, as it does not apply to the role of insects in pathogen transmission in the nurse’s educational presentation.

A. Consistency in the rules is important so the child understands what is expected. B. If a child hits or bites another child, the parents should scold them, saying such things as “You are very naughty for biting Rachel.” C. Toddlers cannot learn self-control until at least 3 to 4 years of age. D. If a child does something wrong, the parent must address the behavior immediately so the child understands what they did wrong. E. Even at this young age, children need boundaries.

Correct Answer is A

Explanation

Choice A reason: Consistent rules help toddlers understand expectations, fostering predictable behavior and security. This aligns with pediatric developmental discipline strategies, making it a correct point to teach parents, as it supports effective toddler behavior management and reduces confusion during disciplinary interactions.

Choice B reason: Scolding with labels like “naughty” shames toddlers, hindering self-esteem and learning. Consistency and boundaries teach effectively without negativity, making this incorrect, as it promotes ineffective discipline that may emotionally harm toddlers rather than guide their behavior constructively in the class.

Choice C reason: Toddlers begin learning self-control around 2, not 3-4 years, through guidance and boundaries. Consistency supports this, making this incorrect, as it underestimates toddlers’ capacity for early self-regulation when provided with appropriate disciplinary structures in a parenting education setting.

Choice D reason: Immediate addressing of behavior is ideal but not always necessary; delayed correction can still teach toddlers. Consistency and boundaries are more foundational, making this partially correct but incorrect for prioritization compared to the broader principles of discipline taught in the class.

Choice E reason: Boundaries provide toddlers with structure, promoting safety and behavioral learning even at a young age. This aligns with pediatric discipline principles, making it a correct point to emphasize, as it helps parents establish a framework for effective toddler behavior management in daily interactions.

View Question and Answer

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

The nurse is developing a care plan for several clients who were seen in the clinic that day. Which situation will the nurse conclude is most likely to experience challenges in the growth and development of the children?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing a presentation depicting the various ways pathogens are spread around. The nurse will illustrate that pathogens passed around via insects is referred to as which mechanism?

Correct Answer is C

Explanation

A nurse is presenting a class on discipline for a group of parents of toddlers. What information would be important for the nurse to teach this group? (Select all that apply)

Correct Answer is A

Explanation

The caregivers of an 8-year-old child diagnosed with muscular dystrophy are discussing appropriate activities for their child. The nurse might suggest to these caregivers that they take which action in regard to their child’s activities?

A first-time mother calls the pediatrician’s office to ask the nurse about her baby’s tooth eruption. The baby is 8 months old and still does not have any teeth. What information can the nurse share with this mother that would correctly respond to her anxiety about her baby’s dentition?

The caregiver of a 6-year-old is concerned the child is not getting proper nutrition because on some days, the child will only eat one type of food. Which response should the nurse prioritize for this caregiver?

The nurse is administering an intramuscular injection of an antibiotic to a 3-month-old infant. Which would be the best site for the nurse to give this medication?

The caregiver of a 4-year-old girl who lives in a heavily wooded area calls the clinic nurse to report that the child has a swollen tick on her arm. What would be the best action for the caregiver to follow in removing the tick?

In understanding the physiology of the musculoskeletal system, the nurse recognizes that which of the following are stored in the bones?

In discussing the causes of iron-deficiency anemia in children with a group of nurses, the following statements are made. Which of these statements is a misconception related to iron-deficiency anemia?