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 mispronounces words.
The preschooler speaks in three-word sentences.
The preschooler stutters when speaking.
The preschooler talks to himself when reading.
The preschooler speaks in a nasally tone.
Correct Answer : A,B,C,E
Choice A reason: The preschooler mispronounces words can be a sign of a speech sound disorder. While some mispronunciation is normal in early speech development, persistent difficulty with articulation may indicate a need for speech therapy to improve clarity and communication skills.
Choice B reason: The preschooler speaks in three-word sentences may indicate a delay in expressive language development. By preschool age, children typically use longer sentences and more complex language structures. Limited sentence length can suggest a need for further evaluation and intervention.
Choice C reason: The preschooler stutters when speaking can be a sign of a fluency disorder. Stuttering involves disruptions in the flow of speech, such as repetitions, prolongations, or blocks. Early intervention with speech therapy can help manage and reduce stuttering.
Choice D reason: The preschooler talks to himself when reading is generally not a concern. Self-talk can be a normal part of development and learning, as children often verbalize their thoughts and actions. It does not typically indicate a need for speech therapy.
Choice E reason: The preschooler speaks in a nasally tone can indicate a resonance disorder, which affects the quality of the voice. A nasally tone may result from structural issues or improper use of the vocal tract. Speech therapy can help address these issues and improve vocal quality.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
The statement “Chamomile may act as a calming agent” is correct. Chamomile is well-known for its calming and sedative effects, which can help reduce anxiety and promote better sleep. It is often used in teas and supplements to help with relaxation and stress relief.
Choice B reason:
The statement “Chamomile has anti-inflammatory properties beneficial for treating skin disorders” is also correct. Chamomile contains compounds that have anti-inflammatory effects, making it useful for treating various skin conditions such as eczema and dermatitis. However, this is not the primary use highlighted in the context of the question.
Choice C reason:
The statement “Chamomile decreases cholesterol levels” is incorrect. There is no substantial evidence to support the claim that chamomile can lower cholesterol levels. Chamomile is more commonly associated with its calming, anti-inflammatory, and digestive benefits.
Choice D reason:
The statement “Chamomile can reduce nausea and vomiting” is correct. Chamomile has been traditionally used to soothe digestive issues, including nausea and vomiting. However, the primary focus in the context of the question is its calming effect.
Correct Answer is D
Explanation
Choice A reason: Consume a high-protein diet
A high-protein diet is not typically recommended for clients with hepatitis B. While protein is essential for overall health, excessive protein intake can put additional strain on the liver, which is already compromised in hepatitis B patients. A balanced diet with adequate protein, carbohydrates, and fats is more appropriate.
Choice B reason: You may donate blood 6 months after completing the medication regimen
Clients with hepatitis B should not donate blood. The hepatitis B virus can be transmitted through blood, and even after completing a medication regimen, the virus can still be present in the blood. Therefore, this statement is incorrect and potentially harmful.
Choice C reason: Take acetaminophen every 4 hours, as needed, for discomfort
Acetaminophen should be used with caution in clients with hepatitis B. The liver metabolizes acetaminophen, and excessive use can lead to liver damage. It is crucial to consult with a healthcare provider before taking any medication, including acetaminophen, to avoid exacerbating liver issues.
Choice D reason: Rest frequently throughout the day
Resting frequently throughout the day is an important part of managing hepatitis B. The liver plays a crucial role in energy metabolism, and when it is compromised, clients may experience fatigue. Adequate rest helps the body recover and manage symptoms more effectively.
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