Parents of a 5-year-old child tell the nurse they are concerned about their child's speech development by stating "No one can understand him but us.”. What clinical classification of speech disorder does the nurse suspect?
Articulation disorder.
Global language delay.
Expressive language delay.
Language loss.
The Correct Answer is C
Choice A rationale:
Articulation disorder refers to difficulty in pronouncing sounds and is more related to the physical aspects of speech production. The scenario described by the parents focuses on the comprehensibility of the child's speech, not the specific pronunciation of sounds.
Choice B rationale:
Global language delay typically involves a delay in both expressive and receptive language skills. However, the parents' concern about their child's speech not being understood by others suggests that the issue is more specific to expressive language, which involves the ability to convey thoughts and ideas.
Choice C rationale:
Expressive language delay refers to difficulties in using language to express thoughts and ideas. In this case, the parents mention that "No one can understand him but us," indicating that the child has trouble communicating effectively with others, which aligns with an expressive language delay.
Choice D rationale:
Language loss is not a likely consideration in this scenario as the parents are concerned about their child's current speech development, not a regression in language skills.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is D. 2 to 3 months.
Choice A rationale:
The posterior fontanelle does not close within 3 to 6 months of birth. This timeframe is too long for the typical closure of the posterior fontanelle.
Choice B rationale:
Similarly, the posterior fontanelle does not close within 6 to 9 months of birth. This period is beyond the usual closure time for the posterior fontanelle.
Choice C rationale:
The posterior fontanelle does not close within 9 to 12 months of birth. This timeframe is significantly longer than the typical closure period for the posterior fontanelle.
Choice D rationale:
The posterior fontanelle typically closes within 2 to 3 months of birth. This is the correct timeframe for the closure of the posterior fontanelle.
Correct Answer is A
Explanation
Choice A rationale:
Parallel play is a stage of play commonly seen in toddlers and young children. During parallel play, children play alongside each other, engaging in similar activities, but they do not interact directly with one another. In this scenario, where the toddlers are playing with dolls side by side without interacting, it aligns with the characteristics of parallel play. This type of play is a normal developmental stage and helps children learn from each other and develop social skills.
Choice B rationale:
Solitary play refers to a type of play where a child plays alone without interacting with others. In this case, the children are not playing alone; they are playing alongside each other, making solitary play an incorrect choice.
Choice C rationale:
Cooperative play involves children playing together in a group with a common goal or activity, such as building a sandcastle together. In this scenario, the children are not collaborating on a common task; they are playing individually alongside each other. Therefore, cooperative play is not the correct choice.
Choice D rationale:
Associative play occurs when children play alongside each other and interact with one another but do not have a shared goal or activity. Since the children in this scenario are not interacting with each other, associative play is not the correct choice.
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