A nurse is assessing a 24-month-old toddler at a well-child checkup. Which of the following findings indicates to the nurse that the toddler has a developmental delay?
Falls when throwing a ball overhand
Goes up stairs with two feet on each step
Runs with a wide stance
Refers to self by name
The Correct Answer is D
A. It is expected for a 24-month-old to have some difficulty with coordination when throwing a ball.
B. Using both feet on each step when going upstairs is developmentally appropriate at this age.
C. Running with a wide stance is common in toddlers as they develop balance and coordination.
D. This is the correct answer. By 24 months, a toddler should begin using pronouns such as "I" or "me" instead of referring to themselves by name, indicating a possible language delay.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. This statement dismisses the client's feelings.
B. Offering false reassurance is not therapeutic.
C. Changing the subject does not address the client's distress.
D. This is the correct answer. Acknowledging the client's feelings is a therapeutic response that encourages further discussion.
Correct Answer is A
Explanation
A. Respite care – This is the correct answer. Respite care provides temporary relief to caregivers by offering short-term professional care for the client, allowing the caregiver to rest and prevent burnout.
B. Skilled nursing facility – A skilled nursing facility is for long-term or intensive medical care needs, not temporary relief for a caregiver.
C. Rehabilitation services – Rehabilitation focuses on the client’s recovery, not the caregiver’s need for rest.
D. Assisted living – Assisted living is for clients needing ongoing assistance with daily activities, not temporary relief for a caregiver.
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