A nurse is admitting a school-age child with a visual impairment ...

[bio_gurl]

A nurse is admitting a school-age child with a visual impairment to the hospital. To effectively communicate the nurse should plan which interventions? Select all that apply.
 
  a. Orient the child to his or her surroundings.
  b. Enter quietly and touch the child before speaking.
  c. Put the nurse call bell close to the parent.
  d. Allow the child to handle equipment.
  e. Explain sounds the child may hear frequently.

Question 2

When meeting a toddler for the first time, the nurse initiates contact by:
 
  a. calling the toddler by name and picking the toddler up.
  b. asking the toddler for her first name.
  c. kneeling in front of the toddler and speaking softly to the child.
  d. telling the toddler that you are her nurse.

[juwms]

Answer to Question 1

A, D, E
For a child with a visual impairment, to improve communication the nurse should orient the child to the surroundings, allow the child to handle equipment as the procedure is explained, and explain sounds the child may frequently hear. The nurse should identify herself when entering the room, and tell the child when departing so touching the child before speaking is not accurate. The call bell should be kept in the same place and within the child's reach, not with the parent as the parent may leave for a break or be sleeping when the child needs something.

Answer to Question 2

C
More positive interactions occur when the toddler perceives the meeting in a nonthreatening way. Placing yourself at the toddler's level and speaking softly can be less threatening for the child. Picking a toddler up at an initial meeting is a threatening action and will more likely result in a negative response from the child. Toddlers are unlikely to respond to direct questions at a first meeting. Telling the toddler you are the nurse is not likely to facilitate or encourage cooperation. The toddler perceives you as a stranger and will find the action threatening.

[bio_gurl]

Excellent

[deja]

TYSM