What clinical classification of speech disorder does the nurse suspect?
- A. Global language delay
- B. Expressive language delay
- C. Language loss
- D. Articulation disorder
Correct Answer: D
Rationale: An articulation disorder is suspected when only parents can understand a child's speech, indicating pronunciation issues.
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Which major developmental tasks will the nurse expect a child to accomplish by the end of the preschool years?
- A. Development of parallel play
- B. Acceptance of separation
- C. Increased communication skills
- D. Consistent appetite
- E. Control of bodily functions
Correct Answer: B,C,E
Rationale: Preschoolers achieve acceptance of separation, increased communication skills, and control of bodily functions; parallel play is earlier, and appetite remains inconsistent.
What intervention might the nurse suggest as helpful for the child with enuresis?
- A. Applying an electric pad that gently shocks the child
- B. Waking the child several times during the night to urinate
- C. Decreasing fluid intake after the evening meal
- D. Increasing dietary fiber intake
Correct Answer: C
Rationale: Limiting liquids after dinner and voiding before bed are effective strategies for managing enuresis.
What tasks would be appropriate to expect of a 5-year-old child?
- A. Setting the table with paper plates
- B. Washing the dirty knives
- C. Carrying glasses from the table to the sink
- D. Scrubbing out the sink with cleanser
Correct Answer: A
Rationale: Setting the table with paper plates is appropriate for a 5-year-old, considering their developmental level and safety.
Which bedtime preparation rituals are the most appropriate for the nurse to suggest?
- A. Telling a story
- B. Placing a favorite toy in bed
- C. Placing a glass of water at the bedside
- D. Turning on a night-light
- E. Playing energetically
Correct Answer: A,B,C,D
Rationale: Telling a story, placing a favorite toy in bed, providing water, and using a night-light are soothing bedtime rituals; energetic play is stimulating.
What fear is unique to the preschool period?
- A. Water
- B. Animals
- C. Bodily harm
- D. Death
Correct Answer: C
Rationale: The fear of bodily harm, especially loss of body parts, is unique to the preschool developmental stage.
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