What will children who are unable to express themselves with words often do?
- A. Become reclusive and introspective.
- B. Develop other methods of verbal communication.
- C. Engage in more creative play.
- D. Have tantrums and act out.
Correct Answer: D
Rationale: Children with delayed communication skills often have tantrums and act out when unable to express their needs.
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What is the most appropriate intervention when dealing with occasional aggression in a 4-year-old child?
- A. Have the child take a time-out in the corner for 4 minutes.
- B. Spank the child at the time of the incident.
- C. Take away television privileges for the day.
- D. Send the child to his room for 30 minutes.
Correct Answer: A
Rationale: A time-out of 1 minute per year of age (4 minutes for a 4-year-old) is an effective disciplinary technique.
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.
What statement by the mother leads the nurse to determine that the mother understands the information?
- A. Make up funny words for body parts.'
- B. Distract the child with a toy if they ask about sex.'
- C. Answer their questions when they ask.'
- D. Tell them to ask you again when they are 6 years old.'
Correct Answer: C
Rationale: Parents should answer children's questions about sex when asked to support healthy sexual curiosity.
Based on the parent's comment, what does the nurse suspect?
- A. Age-appropriate language development
- B. An expressive language delay
- C. A receptive language delay
- D. A potential hearing deficit
Correct Answer: B
Rationale: An expressive language delay is suspected when a child understands spoken language but does not speak, as in pointing instead of talking.
When planning an activity for a 3-year-old child, the nurse bases the plan on the average attention span of __ minutes.
Correct Answer: 15
Rationale: The average attention span of a 3-year-old is about 15 minutes, guiding activity planning.
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