The nurse is interviewing a 3-year-old girl who tells the nurse: "Want go potty." The parents tell the nurse that their daughter often speaks in this type of broken speech. What would be the nurse's appropriate response to this concern?
"This is a condition known as echolalia and can be corrected if you work with your daughter on language skills."
"This is a normal common speech pattern in the 3-year-old and is called telegraphic speech."
"This is a condition known as stuttering and it is a normal pattern of speech development in the toddler."
"This is considered a developmental delay in the 3-year-old, and we should consult a speech therapist."
The Correct Answer is B
A. Echolalia refers to the repetition of words or phrases without understanding their meanings and is not what the child is demonstrating.
B. Telegraphic speech is a common speech pattern in toddlers where they use short, concise sentences omitting articles and other nonessential words, as seen in the child's statement "Want go potty."
C. Stuttering involves disruptions in the flow of speech, such as repetitions or prolongations of sounds, which is different from the broken speech patterns observed in telegraphic speech.
D. There's no indication of a developmental delay based on the child's speech pattern, so consulting a speech therapist might not be warranted at this stage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Hanging crib toys might be more suitable for younger infants and may not cater to the developmental needs of a 12-month-old toddler.
B. Large building blocks encourage fine and gross motor skills, spatial awareness, and creativity, aligning with the developmental needs of a 12-month-old.
C. Crayons and a coloring book might be more suitable for older toddlers who have better hand-eye coordination and fine motor skills.
D. Modeling clay might not be appropriate due to concerns about hygiene and potential ingestion by a young toddler.
Correct Answer is C
Explanation
A. Notifying the doctor if fever persists despite acetaminophen is appropriate and shows understanding of when to seek medical guidance.
B. Encouraging frequent intake of water or sugar-free fluids helps prevent dehydration and supports metabolic stability during illness.
C. Checking blood sugar only twice daily is insufficient for a child with type 1 diabetes who is ill. Illness increases the risk of hyperglycemia and diabetic ketoacidosis, so blood glucose should be monitored every 3–4 hours during illness to ensure timely insulin adjustments.
D. Reporting changes in breathing or signs of confusion is appropriate because these can indicate worsening infection or metabolic complications, which require prompt intervention.
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