144) ANSWER

D) Impaired verbal communication

RATIONALE

At this age, a 1-year-old is beginning speech. This child will have trouble developing language because of the spasticity. Urinary incontinence occurs in all 1-year-old children, as does feeding self-care deficit. Thought processes are difficult to evaluate in a 1-year-old. The core issue of the question is the ability to determine appropriate nursing diagnoses for a client with cerebral palsy while taking into consideration growth and development. Use nursing knowledge and the process of elimination to make a selection.