— 健康促進與維護 · MEDIUM · MCQ —
護理師評估 4 歲兒童，哪項發現需要進一步檢查？
A nurse is assessing a 4-year-old child. Which finding suggests a need for further evaluation regarding health maintenance?
- AThe child likes to play independently sometimes孩子有時喜歡獨自玩耍
- BThe child enjoys playing with imaginary friends孩子喜歡和想像中的朋友一起玩
- CThe child is afraid of the dark孩子害怕黑暗
- DThe child is not yet using complete sentences✓ 正解孩子還不會使用完整的句子
— Explanation · 中文詳解 —
在兒童發展評估（Developmental Assessment）中，4 歲兒童的語言里程碑（Language Milestone）應能使用 4 到 5 個字的完整句子，並能清楚講述故事或表達需求。若語言能力明顯落後，可能暗示有聽力障礙、認知發展遲緩或自閉症譜系障礙，必須進行進一步的聽力與發展評估。其餘選項皆為學齡前兒童的正常心理發展過程。
By age 4, children should be able to form complete sentences of four to five words and tell simple stories; failure to do so indicates a potential language delay. This may suggest underlying issues such as hearing impairment, cognitive delays, or autism spectrum disorder, necessitating further evaluation. Other options describe normal developmental behaviors for preschoolers.