A parent who has a hearing impairment is presented with a number ...

[pragya sharda]

A parent who has a hearing impairment is presented with a number of challenges in parenting. Which nursing approaches are appropriate for working with hearing-impaired new parents (Select all that apply)?
 
  a. Use devices that transform sound into light.
  b. Assume that the patient knows sign language.
  c. Speak quickly and loudly.
  d. Ascertain whether the patient can read lips before teaching.
  e. Written messages aid in communication.

Question 2

A new father states, I know nothing about babies, but he seems to be interested in learning. This is an ideal opportunity for the nurse to:
 
  a. Continue to observe his interaction with the newborn.
  b. Tell him when he does something wrong.
  c. Show no concern, as he will learn on his own.
  d. Include him in teaching sessions.

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Answer to Question 1

ANS: A, D, E
Section 504 of the Rehabilitation Act of 1973 requires that hospitals use various communication techniques and resources with the deaf and hard of hearing patient. This includes devices such as door alarms, cry alarms, and amplifiers. Before initiating communication, the nurse needs to be aware of the parents' preferences for communication. Not all hearing-impaired patients know sign language. Do they wear a hearing aid? Do they read lips? Do they wish to have a sign language interpreter? If the parent relies on lip reading, the nurse should sit close enough so that the parent can visualize lip movements. The nurse should speak clearly in a regular voice volume, in short, simple sentences. Written messages such as on a black or white erasable board can be useful. Written materials should be reviewed with the parents before discharge.

Answer to Question 2

ANS: D
The nurse must be sensitive to the father's needs and include him whenever possible. As fathers take on their new role, the nurse should praise every attempt, even if his early care is awkward. It is important to note the bonding process of the mother and the father; however, that does not satisfy the expressed needs of the father. The new father should be encouraged in caring for his baby by pointing out the things that he does right. Criticizing him will discourage him.