The primary care pediatric nurse practitioner performs a developmental
assessment on a 3yearold child and notes normal cognitive, finemotor, and grossmotor abilities. The child responds appropriately to verbal commands during the assessment but refuses to speak when asked questions. The parent tells the nurse practitioner that the child talks at home and that most other adults can understand what the child says. The nurse practitioner will

Question

The primary care pediatric nurse practitioner performs a developmental
assessment on a 3­year­old child and notes normal cognitive, fine­motor, and gross­motor abilities. The child responds appropriately to verbal commands during the assessment but refuses to speak when asked questions. The parent tells the nurse practitioner that the child talks at home and that most other adults can understand what the child says. The nurse practitioner will

Quizplus · Accepted Answer

While a speech and hearing evaluation may be necessary if the child continues to refuse to speak during subsequent visits, it is important to continue to evaluate the child's speech and language development at subsequent visits first. It is not necessary to refer the child for a speech and hearing evaluation immediately as there may be other factors influencing the child's behavior during the assessment. Additionally, telling the parent to spend more time in interactive conversations with the child is not necessarily helpful as the parent has already stated that the child talks at home and interacts with other adults. It is important to continue to observe and monitor the child's speech and language development to determine if there are any issues that need to be addressed.

The Primary Care Pediatric Nurse Practitioner Performs a Developmental