Parents of a 5-year-old child tell the nurse they are concerned about their child's speech development by stating "No one can understand him but us.”. What clinical classification of speech disorder does the nurse suspect?
Articulation disorder.
Global language delay.
Expressive language delay.
Language loss.
The Correct Answer is C
Choice A rationale:
Articulation disorder refers to difficulty in pronouncing sounds and is more related to the physical aspects of speech production. The scenario described by the parents focuses on the comprehensibility of the child's speech, not the specific pronunciation of sounds.
Choice B rationale:
Global language delay typically involves a delay in both expressive and receptive language skills. However, the parents' concern about their child's speech not being understood by others suggests that the issue is more specific to expressive language, which involves the ability to convey thoughts and ideas.
Choice C rationale:
Expressive language delay refers to difficulties in using language to express thoughts and ideas. In this case, the parents mention that "No one can understand him but us," indicating that the child has trouble communicating effectively with others, which aligns with an expressive language delay.
Choice D rationale:
Language loss is not a likely consideration in this scenario as the parents are concerned about their child's current speech development, not a regression in language skills.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Decreasing fluid intake after the evening meal is a helpful intervention for a child with enuresis. Enuresis, commonly known as bedwetting, is often related to the child's ability to control their bladder at night. Limiting fluid intake in the evening can reduce the chances of overloading the bladder and minimize the likelihood of nighttime bedwetting. It is a proactive approach to managing this common issue in children.
Choice B rationale:
Increasing dietary fiber intake is not directly related to managing enuresis. While a balanced diet is essential for overall health, it is not a primary intervention for addressing bedwetting. Enuresis is primarily related to bladder control and nighttime habits, and dietary fiber intake does not play a significant role in this context.
Choice C rationale:
Applying an electric pad that gently shocks the child is not a recommended intervention for enuresis. This approach is not only ineffective but can also be potentially harmful and traumatic for the child. It is essential to choose interventions that are safe, non-invasive, and respectful of the child's well-being.
Choice D rationale:
Waking the child several times during the night to urinate is not a sustainable or effective intervention for enuresis. Interrupting a child's sleep repeatedly can be disruptive and may not lead to long-term improvement. The primary goal is to help the child develop bladder control during sleep, and waking them up at night does not address this core issue.
Correct Answer is A
Explanation
Choice A rationale:
Push-pull toys are the most appropriate toy choice for a 3-year-old because they encourage physical activity and help with the development of gross motor skills. These toys are easy for young children to handle and provide an opportunity for them to explore their environment actively.
Choice B rationale:
A large construction set may have small parts that can be a choking hazard for a 3-year-old. Safety is a paramount concern when selecting toys for young children, so this choice is not the most appropriate.
Choice C rationale:
A small pet, such as a goldfish, is not a suitable toy for a 3-year-old. Pets require care and responsibility, and introducing a pet should be a well-considered decision made by the family, not a toy choice.
Choice D rationale:
A board game is usually too complex for a 3-year-old. Board games involve rules, taking turns, and fine motor skills that may not be well-developed in children of this age. It is not the most appropriate choice for a 3-year-old. .
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