A nurse is caring for a preschool-aged child. The parent reports that they speak only in Spanish at home and that the child is having trouble recognizing letters in English at preschool. Which of the following responses should the nurse make?
"Speaking a different language at home shouldn't effect learning how letters sound."
"Children who are learning a new language sometimes have difficulty learning new letters."
"It's great that you're teaching them another language at this age."
"You should have them evaluated by our speech team."
The Correct Answer is B
A. "Speaking a different language at home shouldn't affect learning how letters sound.": Learning a second language can temporarily affect letter recognition and phonemic awareness in the new language. Dismissing the parent’s observation may create unnecessary concern and does not address the normal process of bilingual language acquisition.
B. "Children who are learning a new language sometimes have difficulty learning new letters.": Bilingual children may experience temporary delays in recognizing letters or sounds in a second language due to limited exposure and differences in phonetics. This response normalizes the experience and reassures the parent while encouraging continued support in both languages.
C. "It's great that you're teaching them another language at this age.": While promoting bilingualism is positive, this statement does not address the parent’s concern regarding letter recognition difficulties in English. It lacks guidance on supporting literacy development.
D. "You should have them evaluated by our speech team.": Referral is unnecessary at this stage unless there are broader concerns such as speech delays or communication disorders. Difficulty recognizing letters in a second language is often a normal part of bilingual learning.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The child has autism spectrum disorder. The child should be referred to an early intervention program: A negative M-CHAT-R/F screening does not indicate a diagnosis of autism spectrum disorder. Referral to early intervention is reserved for children who screen positive or show concerning developmental delays.
B. The child may still have autism spectrum disorder. The child should be screened again at 24 months old: The M-CHAT-R/F is a screening tool, not a diagnostic test. Children can develop or exhibit signs of autism after 18 months, so rescreening at 24 months is recommended to identify late-emerging symptoms. This approach ensures ongoing monitoring of developmental progress.
C. The child does not have autism spectrum disorder and further assessment is not warranted: A negative screen reduces concern but does not rule out autism. Symptoms may emerge later, and continued developmental surveillance is necessary. No single screening can definitively exclude the disorder.
D. The child may or may not have autism spectrum disorder. The child needs to be rescreened with the correct tool for the age of the child: The M-CHAT-R/F is age-appropriate for 16–30 months. Since the child is 18 months old, the correct tool was used, so repeating with a different tool is not necessary. Monitoring at subsequent ages is appropriate.
Correct Answer is ["B","D"]
Explanation
A. "Crohn's disease primarily causes inflammation of the colon.": Crohn's disease can affect any part of the gastrointestinal tract, not just the colon. Limiting inflammation to the colon is more characteristic of ulcerative colitis.
B. "Crohn's disease can cause inflammation in any part of the digestive tract.": This statement is correct. Crohn's disease can involve any segment from the mouth to the anus, often in a patchy, transmural pattern, distinguishing it from ulcerative colitis.
C. "Crohn's causes continuous inflammation rather than the patches of inflammation.": Crohn's disease is characterized by patchy, “skip” lesions, whereas continuous inflammation is typical of ulcerative colitis.
D. "Ulcerative colitis affects the inner lining of the intestine.": This is accurate. Ulcerative colitis primarily affects the mucosa and submucosa of the colon and rectum, in contrast to Crohn's transmural involvement.
E. "Ulcerative colitis causes inflammation through the entire intestinal wall.": Transmural inflammation is a hallmark of Crohn's disease, not ulcerative colitis. Ulcerative colitis usually affects only the superficial layers of the intestinal wall.
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