The nurse is interviewing a 3-year-old girl who tells the nurse: "Want go potty." The parents tell the nurse that their daughter often speaks in this type of broken speech. What would be the nurse's appropriate response to this concern?
"This is a condition known as echolalia and can be corrected if you work with your daughter on language skills."
"This is a normal common speech pattern in the 3-year-old and is called telegraphic speech."
"This is a condition known as stuttering and it is a normal pattern of speech development in the toddler."
"This is considered a developmental delay in the 3-year-old, and we should consult a speech therapist."
The Correct Answer is B
A. Echolalia refers to the repetition of words or phrases without understanding their meanings and is not what the child is demonstrating.
B. Telegraphic speech is a common speech pattern in toddlers where they use short, concise sentences omitting articles and other nonessential words, as seen in the child's statement "Want go potty."
C. Stuttering involves disruptions in the flow of speech, such as repetitions or prolongations of sounds, which is different from the broken speech patterns observed in telegraphic speech.
D. There's no indication of a developmental delay based on the child's speech pattern, so consulting a speech therapist might not be warranted at this stage.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The need for surety and security involves seeking safety and stability, which might not directly cause such sudden shifts in behavior observed in toddlers.
B. Toddlers often struggle with the emerging desire for independence and control over their environment, leading to emotional outbursts when their attempts at control are challenged.
C. The need for love and belonging is a fundamental aspect of development but might not directly relate to the sudden emotional fluctuations seen in limit-setting situations.
D. While peer approval becomes important later in childhood, during the toddler years, the primary focus is on asserting independence rather than seeking peer validation.
Correct Answer is D
Explanation
A. Stating that being gay puts someone in an "at-risk" category can be stigmatizing and might not address the teenager's concerns or questions.
B. While discussing safe sex might be important, it assumes that being gay automatically implies a need for this conversation, which might not be the case.
C. Dismissing the teenager's statement by denying his sexual orientation can be harmful, dismissive, and invalidate the individual's feelings and identity.
D. Encouraging open communication and asking the teenager to share his thoughts fosters a supportive environment, allowing the nurse to understand the teenager's perspective and concerns.
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