A nurse is assessing a preschooler. Which of the following findings should indicate to the nurse a need for speech therapy? (Select all that apply.)
The preschooler speaks in three-word sentences.
The preschooler talks to himself when reading.
The preschooler speaks in a nasally tone.
The preschooler stutters when speaking.
The preschooler mispronounces words.
Correct Answer : C,D,E
Answer: C, D, E
A. The preschooler speaks in three-word sentences.
Speaking in three-word sentences is generally considered developmentally appropriate for a preschooler. By age 3 to 4, children typically use sentences that are more complex, but this is still within a normal range for early language development.
B. The preschooler talks to himself when reading.
Talking to oneself, especially during activities like reading, can be a normal behavior for preschoolers. This self-talk can actually be a part of cognitive development, helping them to process information and reinforce learning, and does not necessarily indicate a need for speech therapy.
C. The preschooler speaks in a nasally tone.
A nasally tone may suggest a speech issue such as a cleft palate or other resonance problems. If the child consistently exhibits this speech pattern, it could indicate a need for further evaluation by a speech therapist to determine the underlying cause and appropriate interventions.
D. The preschooler stutters when speaking.
Stuttering can be a significant speech concern that may require intervention. While some children experience normal disfluencies as they learn to speak, persistent stuttering that interferes with communication is a valid reason to refer the child for speech therapy.
E. The preschooler mispronounces words.
While mispronunciation can occur during language development, consistent or unusual mispronunciations beyond what is typical for the child’s age may indicate a speech sound disorder. If the mispronunciations affect the child's ability to communicate effectively, a referral to a speech therapist would be warranted for assessment and intervention.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Monitor the client closely to prevent self-mutilation: This action is not typically associated with dependent personality disorder. Dependent personality disorder is characterized by an excessive need to be taken care of, leading to submissive and clinging behaviors, rather than self-mutilation.
B. Give positive feedback when the client is assertive with staff or clients: While it is important to encourage and reinforce assertive behaviors, giving positive feedback alone may not be sufficient to address the underlying issues associated with dependent personality disorder. It's essential to provide comprehensive care that addresses the client's dependency needs and promotes healthy assertiveness.
C. Set limits to prevent exploitation of other clients: Clients with dependent personality disorder may exhibit behaviors that involve relying excessively on others and seeking caretaking from them. Setting limits helps prevent these clients from exploiting or overly burdening others with their needs, promoting boundaries and accountability within the therapeutic environment.
D. Discourage flamboyant or seductive behaviors: Flamboyant or seductive behaviors are not typical characteristics of dependent personality disorder. These behaviors are more commonly associated with other personality disorders, such as histrionic or borderline personality disorder. In dependent personality disorder, the focus is more on an excessive need for support and reassurance rather than attention-seeking behaviors.
Correct Answer is D
Explanation
A. Launder the child's clothing with fabric softener: Fabric softeners can contain chemicals and fragrances that may irritate the skin of a child with eczema. It's advisable to wash the child's clothing with a mild, fragrance-free detergent and avoid the use of fabric softeners.
B. Dress the child in woolen clothes during cold months: Wool can be irritating to sensitive skin and may exacerbate eczema symptoms. It's best to dress the child in soft, breathable fabrics such as cotton to minimize irritation.
C. Give the child bubble baths every day: Bubble baths can strip the skin of its natural oils and exacerbate eczema symptoms. It's recommended to limit baths to every other day or less frequently and to use lukewarm water without added bubbles or harsh soaps.
D. Apply a topical corticosteroid ointment to the affected area: This is the correct choice. Topical corticosteroids are commonly used to reduce inflammation and relieve itching associated with eczema. They help to control eczema flare-ups and manage symptoms effectively. However, it's important to follow the healthcare provider's instructions regarding the frequency and duration of corticosteroid use and to apply them only to the affected areas of the skin.
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