Which items should the nurse select as the best to support ...

[clmills979]

Which items should the nurse select as the best to support therapeutic play for a child who receives daily injections of medication?
 
  A) A doll with a cast in place
  B) A syringe to practice injections
  C) A stuffed bear with Band-Aids
  D) An anatomically correct puppet

Question 2

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?
 
  A) This is a normal, common speech pattern in the 3-year-old and is called telegraphic speech.
  B) This is considered a developmental delay in the 3-year-old and we should consult a speech therapist.
  C) This is a condition known as echolalia and can be corrected if you work with your daughter on language skills.
  D) This is a condition known as stuttering and it is a normal pattern of speech development in the toddler.

[cici]

Answer to Question 1

B
Feedback:
The nurse should provide the child with equipment that has been used with them. The child may poke at a doll with a syringe without a needle or with a small rubber tube attached to simulate a needle or enjoy giving it a shot since this is the child's experience. The child does not have a cast and does not have bandages. An anatomically correct puppet is not necessary for the child who receives daily injections.

Answer to Question 2

A
Feedback:
Telegraphic speech is common in the 3-year-old. Telegraphic speech refers to speech that contains only the essential words to get the point across, much like a telegram. In telegraphic speech the nouns and verbs are present and are verbalized in the appropriate order. Echolalia (repetition of words and phrases without understanding) normally occurs in toddlers younger than 30 months of age. Why and what questions dominate the older toddler's language. Stuttering usually has its onset at between 2 and 4 years of age. It occurs more often in boys than in girls. About 75 of all cases of stuttering resolve within 1 to 2 years after they start.

[clmills979]

Thank you

[cici]

Happy to help you