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 ["B"]
Explanation
Choice A reason: Sees himself as inferior to others is not typically associated with paranoid personality disorder. Individuals with this disorder often have a pervasive distrust and suspicion of others but do not necessarily view themselves as inferior.
Choice B reason: Persistently holds grudges is a common characteristic of paranoid personality disorder. These individuals often harbor long-term grudges and are unwilling to forgive perceived insults or slights.
Choice C reason: Demonstrates a grandiose sense of self-importance is more characteristic of narcissistic personality disorder rather than paranoid personality disorder. Paranoid individuals are more focused on the perceived intentions of others rather than their own self-importance.
Choice D reason: Desires to be the center of attention is typically associated with histrionic personality disorder, not paranoid personality disorder. Paranoid individuals are more likely to be suspicious and distrustful rather than seeking attention.
Choice E reason: Believes that others are deceiving him is a hallmark of paranoid personality disorder. These individuals often believe that others are out to harm or deceive them, leading to pervasive mistrust and suspicion.
Correct Answer is C
Explanation
Choice A reason: Activate the patch 30 minutes after application
This statement is incorrect. The transdermal sumatriptan patch should be activated immediately after application, not 30 minutes later. The patch uses a mild electrical current to deliver the medication through the skin, and delaying activation would reduce its effectiveness.
Choice B reason: Take this medication daily to prevent headaches
This statement is also incorrect. Sumatriptan is used to treat acute migraine attacks and is not intended for daily use to prevent headaches. It should be used only when a migraine begins. Daily use could lead to medication overuse headaches and other side effects.
Choice C reason: Use contraception while taking this medication
This statement is correct. Women of childbearing age should use contraception while taking sumatriptan because its safety during pregnancy has not been established. It is important to avoid potential risks to the fetus.
Choice D reason: You can bathe with the patch in place
This statement is correct. The transdermal sumatriptan patch is designed to stay in place during bathing, showering, or swimming. However, it is not the most critical piece of information compared to the need for contraception.
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