The nurse is teaching a preschool child with a cognitive ...

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The nurse is teaching a preschool child with a cognitive impairment how to throw a ball overhand. What teaching strategy should the nurse use for this child?
 
  a. Demonstrate how to throw a ball overhand.
  b. Explain the reason for throwing a ball overhand.
  c. Show pictures of children throwing balls overhand.
  d. Explain to the child how to throw the ball overhand.

Question 2

What observation in a child should indicate the need for a referral to a specialist regarding a communication impairment?
 
  a. At 2 years of age, the child fails to respond consistently to sounds.
  b. At 3 years of age, the child fails to use sentences of more than five words.
  c. At 4 years of age, the child has impaired sentence structure.
  d. At 5 years of age, the child has poor voice quality.

[b614102004]

Answer to Question 1

ANS: A
Children with cognitive impairment have a deficit in discrimination, which means that concrete ideas are much easier to learn effectively than abstract ideas. Therefore, demonstration is preferable to verbal explanation, and the nurse should direct learning toward mastering a skill rather than understanding the scientific principles underlying a procedure. Demonstrating how to throw the ball is the best teaching strategy.

Answer to Question 2

ANS: A
If a 2-year-old child fails to respond consistently to sounds, it is an indication for referral to a specialist regarding communication impairment. At age 3 years, the child failing to use sentences of three words would be an indication for referral; impaired sentence structure would be seen in a 5-year-old child and poor voice quality in an older child who has a communication impairment.

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Excellent

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