Nursing Case Study 15-Year-Old Child

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C~, a 15-year-old male, was referred for a speech and language evaluation at the Children’s Evaluation and Rehabilitation Center (CERC) on March XX, 2016 for diagnostic clarification and to determine if speech-language therapy is required in school. He was accompanied to the evaluation by his mother, Ms. Cr~; however, due to late arrival a parent interview was not conducted. All pertinent information was obtained from C~ and his chart.

C~ is currently in 9th grade at XXXXX Charter school. C~ stated that he attended a dual language school for 3 years (i.e., 2nd, 3rd, 4th grade), in which he learned English and Spanish. C~ resides in a monolingual English home, with his mother, 10-year-old sister, and 6-year-old brother. Reportedly, C~’s medical
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In addition, he has been experiencing difficulties in school and receiving lower grades than usual.

Please refer to the patient’s chart for further details on background, medical, and academic history and developmental information.

C~ presented as a variably related youngster. He exchanged social greetings upon meeting the examiners, easily separated from his mother, and independently transitioned into the evaluation room. However, C~ demonstrated variable use of eye gaze shifting to regulate conversation. C~ did not respond to social danglers, rarely initiated conversation, and maintained a flat affect throughout the session. Overall, C~ was cooperative, completed all presented tasks, and sat calmly throughout all testing with no extraneous movements.

Informal assessment of C~’s language comprehension revealed adequate comprehension of language for social communication purposes. C~ responded to simple yes/no questions, as well as simple and abstract Wh- questions (i.e., who, what, when, where, and why). However, increased processing time was noted during more complex, formal testing situations in which abstract language concepts were evaluated. Throughout the evaluation, C~ benefitted from repetitions when

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