A 3-year-old child cries, kicks, and clings to the father when ...

[dollx]

A 3-year-old child cries, kicks, and clings to the father when the parents try to leave the hospital room. What is the nurse's best response to the parents about this behavior?
 
  a. Your child is showing a normal response to the stress of hospitalization..
  b. Your child is not coping effectively with hospitalization. We'll need to get a psycho-logical consult from the doctor..
  c. It is helpful for parents to stay with children during hospitalization..
  d. You can avoid this if you wait to leave after your child falls asleep..

Question 2

The nurse should plan which interventions when caring for a child with a visual impairment? Select all that apply.
 
  a. Touch the child upon entering the room before speaking.
  b. Keep items in the room in the same location.
  c. Describe the placement of the eating utensils on the meal tray.
  d. Use color examples to describe something to a child who has been blind since birth.
  e. Identify noises for the child.

[briseldagonzales]

Answer to Question 1

A
The child is exhibiting a healthy attachment to the father. The child's behavior represents the protest stage of separation and does not represent maladaptive behavior. Suggesting that the parents stay during hospitalization places undue stress and guilt on the parents. It fosters the child's mistrust when the parent waits to leave after the child falls asleep.

Answer to Question 2

B, C, E
Keep all items in the room in the same location and order. Describing how many steps away something is or the placement of eating utensils on a tray are both useful tactics. Identify noises for the child because children who are visually impaired or blind often have difficulty establishing the source of a noise. Never touch the child without identifying yourself and explaining what you plan to do. When describing objects or the environment to a child who is blind or visually impaired, use familiar terms. If the child has been blind since birth, color has no meaning.