Which scenario describes a child that should continue with a speech evaluation despite a hearing screening failure?

Continuing with a speech evaluation after a hearing screening failure is crucial when there are indications that the child may have language processing issues that are independent of hearing ability. In this scenario, a child expressing a clear understanding of tasks suggests that while they may have failed the hearing screening, their ability to comprehend and process language is intact. This is an important factor because it indicates that the child may have a speech or language delay that needs further assessment rather than a purely auditory issue.

In contrast, poor cooperation during testing may indicate issues with attention or willingness to engage, which could confound the results of an evaluation. Frequently asking for clarification of instructions can suggest potential difficulties with listening comprehension, but it doesn’t necessarily guarantee that language skills are being effectively assessed. Lastly, being unable to follow simple commands could suggest further communication or developmental issues, but it doesn't directly indicate the need to proceed with a speech evaluation in the same way that clear task comprehension does. Hence, the most essential factor in determining the need for a continued speech evaluation lies in the child's demonstrated understanding of tasks, which can warrant a deeper exploration into speech and language development beyond the hearing screening results.