The nurse is assessing a 12-month-old boy with an English-speaking father and a Spanish- speaking mother. The boy does not say "mama" or "dada" yet. What is the priority intervention?
Encourage the parents to speak English to the child.
Refer the child to a developmental specialist.
Perform a developmental evaluation of the child.
Ask the mother if the child uses Spanish words.
The Correct Answer is C
A. Encouraging the parents to speak English to the child may influence language acquisition but might not be the priority if there are concerns about speech development.
B. Referring the child to a developmental specialist could be considered, but conducting a developmental evaluation should be the first step to determine if intervention is needed.
C. Performing a developmental evaluation will provide a clearer understanding of the child's speech and language development to ascertain if there are delays or concerns.
D. While understanding if the child uses Spanish words is relevant, it may not be the priority over a comprehensive developmental assessment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Investigating the cause of the fear while the child is still attending school helps address the issue promptly while not interrupting the child's routine and social engagement.
B. Threatening to take away privileges might increase the child's anxiety and not address the underlying cause of the fear.
C. Allowing the child to stay home until issues are resolved might exacerbate the fear and create a pattern of avoidance.
D. Moving the child to a new school without addressing the cause of the fear might not resolve the underlying issue and could potentially create new anxieties.
Correct Answer is B
Explanation
A. Offering the client an antiemetic doesn't address the issue of refusal of treatment.
B. In this situation, the nurse should notify the provider of the conflict between the client's refusal of treatment and the parent's insistence, allowing for further assessment and intervention.
C. Administering a sedative to calm the client is not appropriate without further assessment and consent.
D. Initiating an IV per the parent's request doesn't address the ethical and legal complexities involved in a competent minor's refusal of treatment.
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