Which child would the nurse recognize as being at the highest risk of experiencing toxic stress?
A)A 15-year-old adolescent who is slightly overweight and didn't make the football team; he regularly gets teased for his weight at school.
B)A 2-week-old infant who was born at 31 weeks' gestation and has been in the neonatal intensive care unit (NICU)for the entire 2 weeks; the child's parents are at the hospital as often as possible.
C)A 12-year-old child whose father recently died and whose mother works three part-time jobs; this child is expected to care for two younger siblings after school.
D)A 4-year-old child who attends preschool or daycare each day while the parents work; the child displays signs of mild separation anxiety.

Question

Quizplus · Accepted Answer

A)The 4-year-old child and 15-year-old adolescent are experiencing normative stressors, which do not usually lead to toxic stress. The 2-week-old infant may be experiencing non-normative stress, but the infant is receiving appropriate adult support and is likely too young to be cognitively aware of stressors. The 12-year-old child has experienced a non-normative stressor in the death of the father, and the child does not have adequate adult support. This places the child at high risk for toxic stress.
B)The 4-year-old child and 15-year-old adolescent are experiencing normative stressors, which do not usually lead to toxic stress. The 2-week-old infant may be experiencing non-normative stress, but the infant is receiving appropriate adult support and is likely too young to be cognitively aware of stressors. The 12-year-old child has experienced a non-normative stressor in the death of the father, and the child does not have adequate adult support. This places the child at high risk for toxic stress.
C)The 4-year-old child and 15-year-old adolescent are experiencing normative stressors, which do not usually lead to toxic stress. The 2-week-old infant may be experiencing non-normative stress, but the infant is receiving appropriate adult support and is likely too young to be cognitively aware of stressors. The 12-year-old child has experienced a non-normative stressor in the death of the father, and the child does not have adequate adult support. This places the child at high risk for toxic stress.
D)The 4-year-old child and 15-year-old adolescent are experiencing normative stressors, which do not usually lead to toxic stress. The 2-week-old infant may be experiencing non-normative stress, but the infant is receiving appropriate adult support and is likely too young to be cognitively aware of stressors. The 12-year-old child has experienced a non-normative stressor in the death of the father, and the child does not have adequate adult support. This places the child at high risk for toxic stress.

Which Child Would the Nurse Recognize as Being at the Highest