The nurse is caring for a 5-year-old child with hearing loss and speech difficulties.
What should the nurse do to successfully communicate with the child?
Take the child to a quiet place without any background noise.
Write down what the nurse needs to communicate.
Talk slowly and clearly while facing the child.
Use a board that has pictures when communicating with the child.
The Correct Answer is C
Choice C rationale
For a 5-year-old, oral communication supplemented by visual cues is the most developmentally appropriate approach. Facing the child directly allows them to observe the lips, tongue movements, and facial expressions, which are vital for speech-reading. Talking slowly and clearly ensures that the auditory signal is as distinct as possible. This method respects the child's developmental stage while providing the necessary accommodations for their sensory deficit, facilitating a more natural and effective interaction between the nurse and patient.
Choice A rationale
While a quiet environment is helpful for reducing interference, it is not the most comprehensive strategy for active communication. Simply being in a quiet room does not assist the child if the nurse is not also using proper speech techniques like facing the child. Silence removes the barrier of noise but does not provide the positive support of visual speech cues or clarity of articulation. Therefore, it is a supportive measure rather than the primary action for successful dialogue.
Choice B rationale
Writing is generally not an effective or age-appropriate communication tool for a typical 5-year-old. At this age, children are only beginning to develop basic literacy skills and likely cannot read complex sentences or nursing instructions. Relying on written communication would lead to significant gaps in understanding and increase the child's frustration. Communication must be tailored to the child's cognitive and educational level, which at five years old is primarily verbal and visual.
Choice D rationale
Picture boards are useful for non-verbal children or those with profound expressive delays, but for a child with some speech and hearing capabilities, they should be a secondary tool. The goal is to encourage the use of their existing communication skills. Over-reliance on pictures may limit the development of their speech-reading and verbal processing. While helpful in specific situations, facing the child and speaking clearly is the more direct and effective method for standard nursing interactions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
While bottle feeding is often the recommended method for mothers with HIV in developed nations to prevent transmission, saying it is strictly prohibited is incorrect. Bottle feeding with formula is the safest alternative to prevent the passage of the virus through breast milk. The prohibition would apply to the milk source, not the vessel itself. In many clinical settings, providing formula via a bottle is the primary teaching goal to ensure the infant receives adequate nutrition without viral exposure.
Choice B rationale
In high-resource settings where safe water and affordable formula are available, breastfeeding is indeed considered a contraindication for mothers living with HIV. The virus is present in breast milk and can be transmitted to the infant during feeding. Although the risk can be reduced with maternal antiretroviral therapy, it is not eliminated. Therefore, stating it is not a contraindication is scientifically inaccurate and goes against standard public health guidelines in regions where alternatives are readily accessible.
Choice C rationale
Breastfeeding should be avoided by mothers with HIV because the human immunodeficiency virus can be shed in breast milk, posing a direct risk of vertical transmission to the newborn. Current medical guidelines in many countries recommend that HIV-positive mothers use infant formula to completely eliminate the risk of postnatal transmission. This recommendation is based on the priority of preventing viral infection, especially since the infant's gut mucosa is vulnerable to viral entry during the first few months of life.
Choice D rationale
Giving expressed breast milk via a bottle does not eliminate the risk of HIV transmission. The virus remains active in the milk regardless of the delivery method. Some processing techniques like flash-heating can inactivate the virus, but this is complex and not a standard recommendation when formula is available. Simply moving the milk from the breast to a bottle provides no protection for the infant, as the infectious viral particles remain present in the fluid consumed by the baby. .
Correct Answer is A
Explanation
Choice A rationale
The fallopian tubes are the most common site for ectopic pregnancies, accounting for approximately 95 percent of all cases. Specifically, the ampulla is the most frequent location within the tube. This occurs when a fertilized ovum is delayed or prevented from migrating to the uterine cavity, often due to scarring from pelvic inflammatory disease or previous surgery. Because the tubes are not designed to support a growing fetus, rupture can lead to life-threatening internal hemorrhage and shock.
Choice B rationale
An abdominal ectopic pregnancy is a rare form where the embryo implants within the peritoneal cavity. This can occur primarily on the omentum or bowel, or secondarily after a tubal rupture. Although these pregnancies can occasionally progress further than tubal gestations, they represent a very small percentage of ectopic cases. They are associated with high maternal risk due to the potential for placental attachment to vital organs and major blood vessels, necessitating complex surgical management and monitoring.
Choice C rationale
Cervical ectopic pregnancy involves the implantation of the blastocyst within the endocervical canal. This is a rare and potentially dangerous condition because the cervix is highly vascular and lacks the contractile tissue necessary to control bleeding if the pregnancy is disrupted or removed. It accounts for less than 1 percent of ectopic pregnancies. Diagnosis is usually made via ultrasound, and management often requires specialized interventions like uterine artery embolization or methotrexate to avoid a radical hysterectomy.
Choice D rationale
Ovarian ectopic pregnancies occur when the egg is fertilized before it leaves the follicle or when a fertilized egg travels back to the ovary. This accounts for about 1 to 3 percent of ectopic gestations. Distinguishing an ovarian pregnancy from a hemorrhagic corpus luteum cyst can be difficult during clinical assessment. Like tubal pregnancies, they carry a significant risk of rupture and intraperitoneal bleeding, typically requiring surgical excision of the gestational sac or a partial oophorectomy.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.