Registered Practical Nurse (RPN) Practice Test

Which chronically ill child is at greatest risk for developing a psychiatric problem?

1. Ages 1 and 3 with asthma

2. Age 5 with cerebral palsy

3. Ages 7 and 9 with diabetes

4. Age 4 with a learning disability

The correct answer is: Age 5 with cerebral palsy

The child with cerebral palsy is at the greatest risk for developing a psychiatric problem due to the combination of physical limitations and the social, emotional, and cognitive challenges that often accompany the condition. Cerebral palsy can affect motor skills, coordination, and overall independence, which can lead to frustration, low self-esteem, and feelings of isolation. Additionally, children with cerebral palsy may face discrimination and social barriers that can exacerbate mental health issues. The impact of a chronic physical condition like cerebral palsy can lead to a higher prevalence of anxiety, depression, and other psychiatric disorders compared to children with less severe or different chronic conditions. Their unique challenges in self-care, social interactions, and educational environments can contribute to the risk of developing psychological problems, making it critical for caregivers and health professionals to monitor their emotional well-being closely. In contrast, while asthma, diabetes, and learning disabilities can also lead to psychiatric concerns, they do not typically carry the same level of complex physical and psychosocial challenges as cerebral palsy does, positioning that condition as a greater risk factor in this scenario.