A nurse is assessing a preschooler. Which of the following findings should indicate to the nurse a need for speech therapy? (Select all that apply)
The preschooler mispronounces words.
The preschooler speaks in three-word sentences.
The preschooler stutters when speaking.
The preschooler talks to himself when reading.
The preschooler speaks in a nasally tone.
Correct Answer : A,B,C,E
Choice A reason: The preschooler mispronounces words can be a sign of a speech sound disorder. While some mispronunciation is normal in early speech development, persistent difficulty with articulation may indicate a need for speech therapy to improve clarity and communication skills.
Choice B reason: The preschooler speaks in three-word sentences may indicate a delay in expressive language development. By preschool age, children typically use longer sentences and more complex language structures. Limited sentence length can suggest a need for further evaluation and intervention.
Choice C reason: The preschooler stutters when speaking can be a sign of a fluency disorder. Stuttering involves disruptions in the flow of speech, such as repetitions, prolongations, or blocks. Early intervention with speech therapy can help manage and reduce stuttering.
Choice D reason: The preschooler talks to himself when reading is generally not a concern. Self-talk can be a normal part of development and learning, as children often verbalize their thoughts and actions. It does not typically indicate a need for speech therapy.
Choice E reason: The preschooler speaks in a nasally tone can indicate a resonance disorder, which affects the quality of the voice. A nasally tone may result from structural issues or improper use of the vocal tract. Speech therapy can help address these issues and improve vocal quality.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
The statement “I might experience harmless white patches in my mouth” could indicate the presence of oral thrush, a common fungal infection in immunocompromised individuals. However, this statement does not directly reflect an understanding of preventive measures or home care instructions for someone with immunodeficiency.
Choice B reason:
Expecting to have a mild, occasional fever is not a typical understanding of immunodeficiency care. While fevers can occur, they should not be considered normal or expected. Any fever in an immunocompromised person should be promptly evaluated by a healthcare provider as it could indicate an infection.
Choice C reason:
Avoiding people who have just received a live vaccine is a crucial preventive measure for individuals with immunodeficiency. Live vaccines contain a weakened form of the virus or bacteria, which can pose a risk to immunocompromised individuals. This statement shows an understanding of the need to avoid potential sources of infection.
Choice D reason:
Limiting the use of skin cream to once a week is not a standard recommendation for immunodeficiency care. Skin care is important, but the frequency of using skin cream should be based on individual needs and the type of cream used. This statement does not reflect a specific understanding of immunodeficiency management.
Correct Answer is A
Explanation
Choice A reason:
The statement “Chamomile may act as a calming agent” is correct. Chamomile is well-known for its calming and sedative effects, which can help reduce anxiety and promote better sleep. It is often used in teas and supplements to help with relaxation and stress relief.
Choice B reason:
The statement “Chamomile has anti-inflammatory properties beneficial for treating skin disorders” is also correct. Chamomile contains compounds that have anti-inflammatory effects, making it useful for treating various skin conditions such as eczema and dermatitis. However, this is not the primary use highlighted in the context of the question.
Choice C reason:
The statement “Chamomile decreases cholesterol levels” is incorrect. There is no substantial evidence to support the claim that chamomile can lower cholesterol levels. Chamomile is more commonly associated with its calming, anti-inflammatory, and digestive benefits.
Choice D reason:
The statement “Chamomile can reduce nausea and vomiting” is correct. Chamomile has been traditionally used to soothe digestive issues, including nausea and vomiting. However, the primary focus in the context of the question is its calming effect.
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