What are indications for a referral regarding a communication ...

[lunatika]

What are indications for a referral regarding a communication impairment in a school-age child? (Select all that apply.)
 
  a. Barely audible voice quality
  b. Vocal pitch inappropriate for age
  c. Intonation noted during speaking
  d. Maintains a rhythm while speaking
  e. Distortion of sounds after age 7 years

Question 2

The nurse should plan which actions to facilitate lipreading for a child with a hearing impairment? (Select all that apply.)
 
  a. Face the child directly.
  b. Speak at eye level.
  c. Keep sentences short.
  d. Speak at a fast, even-paced rate.
  e. Establish eye contact and show interest.

[karlss]

Answer to Question 1

ANS: A, B, E
Barely audible voice quality, vocal pitch inappropriate for age, and distortion of sounds after age 7 years are indications for a referral regarding a communication impairment. Intonation noted while speaking and maintaining a rhythm while speaking are normal characteristics of speech.

Answer to Question 2

ANS: A, B, C, E
To facilitate lipreading, the nurse should plan to face the child directly, speak at eye level, keep sentences short, and establish eye contact and show interest. The nurse should plan to speak at a slow rate, not a fast one.