A nurse is assessing a child who is 4 years of age. Which of the following developmental milestone findings should be a concern to the nurse?
The child avoids taking turns when playing with other children.
The child shares one event that happened during their day with others.
The child speaks with 2 words in a sentence.
The child engages in imaginative play.
The Correct Answer is C
A. Occasional difficulty with turn-taking is common in 4-year-olds but should be monitored for improvement with social interaction.
B. Sharing an event is appropriate for a 4-year-old and indicates developing communication skills.
C. By age 4, a child should be speaking in complete sentences of at least 4 to 5 words. Speaking only two words in a sentence suggests delayed language development.
D. Engaging in imaginative play is expected and demonstrates cognitive and social development.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Family-centered care focuses on both the client and family, not just the caregiver.
B. Family-centered care enhances the quality of care, improves safety, and results in better outcomes by involving families in the decision-making process.
C. Family-centered care increases collaboration and communication, leading to more effective care.
D. Family-centered care can help reduce healthcare costs by improving outcomes and reducing hospital stays.
Correct Answer is D
Explanation
A. Asking "who, what, where, and why" questions typically occurs around age 3 to 4 years.
B. Following one-step directions is typically seen earlier, around 12 to 15 months.
C. Recognizing items in a picture book is more characteristic of a 12-month-old child.
D. By 18 months, toddlers often begin to combine two words, such as "want cookie" or "go outside."
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