Chapter 27 Ricci

The mother of a 3-year-old is concerned about her child's speech. She describes her preschooler as hesitating at the beginning of sentences and repeating consonant sounds. What is the nurse's best response? *A.* Hesitancy and dysfluency are normal during this period of development. *B.* Reading to the child will help model appropriate speech. *C.* Expressive language concerns warrant a developmental evaluation. *D.* The mother should ask her child's physician for a speech therapy evaluation.

*A.* Hesitancy and dysfluency are normal during this period of development.

The mother of a 4-year-old asks for advice on using time-out for discipline with her child. What advice should the nurse give the mother? *A.* If spanking is not working, then time-out is not likely to be helpful either. *B.* Place the child in time-out for 4 minutes. *C.* Use time-out only if removing privileges is unsuccessful. *D.* The child should stay in time-out until crying ceases.

*B.* Place the child in time-out for 4 minutes.

The nurse is caring for a hospitalized 4-year-old who insists on having the nurse perform every assessment and intervention on her imaginary friend first. She then agrees to have the assessment or intervention done to herself. The nurse identifies this preschooler's behavior as *A.* Problematic; the child is old enough to begin to have a basis in reality. *B.* Normal, because the child is hospitalized and out of her routine. *C.* Normal for this stage of growth and development. *D.* Problematic, as it interferes with needed nursing care.

*C.* Normal for this stage of growth and development.

The nurse is providing teaching about accidental poisoning to the family of a 3-year-old. The nurse understands that a child of this age is at increased risk of accidental ingestion due to which sensory alteration? *A.* A lack of fully developed hearing. *B.* A less discriminating sense of touch. *C.* Visual acuity that has not fully developed. *D.* A less discriminating sense of taste.

*D.* A less discriminating sense of taste.

A 5-year-old child is not gaining weight appropriately. Organic problems have been ruled out. What is the priority action by the nurse? *A.* Allow the child unlimited access to the sippy cup to ensure adequate hydration. *B.* Encourage sweets for the extra caloric content. *C.* Teach the mother about nutritional needs of the preschooler. *D.* Assess the child's usual intake pattern at home.

*D.* Assess the child's usual intake pattern at home.