When a child with a visual impairment is hospitalized, the nurse should ensure that which of the following interventions are carried out to decrease stress for the child during the hospitalization? Select all that apply
Because the child cannot see what may be taking place, the nurse needs to reassure the child and family throughout every phase of treatment.
The nurse will make sure that the parents are comfortable with the placement of objects in the room.
Whenever possible, the same nurse should care for the child to ensure consistency in the approach.
To help the child feel safe, the nurses should take over most of the routine care of the child, unless the parent is present.
Each health care provider should identify himself or herself as soon as entering the child’s room.
Correct Answer : A,B,C,E
Hospitalization can be especially stressful for children with visual impairment. Nurses can reduce anxiety and foster trust by ensuring consistency, orientation, reassurance, and clear communication.
Rationale for correct answers:
A. Reassurance throughout treatment is essential since the child cannot rely on visual cues. Explaining each step helps reduce fear and uncertainty.
B. Ensuring parents are comfortable with room organization provides safety and consistency for the child. Parents can help the child learn where objects are placed, preventing accidents.
C. Assigning the same nurse whenever possible offers consistency, familiarity, and trust, which are especially important for visually impaired children.
E. Health care providers should always identify themselves upon entering the room so the child feels secure and included in interactions.
Rationale for incorrect answer:
D. Taking over most of the child’s care is not appropriate. Children with visual impairments benefit from independence and normalization of daily routines. Encouraging self-care and parent involvement fosters autonomy, not dependence.
Take home points
- Provide clear explanations and reassurance since visual cues are absent.
- Maintain consistency in caregivers and environment for security.
- Always announce your presence and actions to avoid startling or confusing the child.
- Encourage independence and participation, rather than overprotecting, to support normal development.
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Related Questions
Correct Answer is C
Explanation
Autism Spectrum Disorder (ASD) is a neurodevelopmental condition that affects how a person communicates, interacts socially, and processes sensory information. The term “spectrum” reflects the wide range of symptoms, abilities, and challenges that individuals with autism may experience.
Rationale for correct answer:
C. Children with Autism Spectrum Disorder (ASD) often become agitated due to sensory overload such as too much noise, light, or activity. The best intervention is to remove the child from the overstimulating environment and place them in a calm, quiet space to help them self-regulate. This approach prevents escalation and respects the child’s need for a structured, low-stimulation setting.
Rationale for incorrect answers:
A. Physically restraining the child should only be a last resort when there is risk of harm. It may increase distress and agitation in ASD.
B. Introducing new toys to distract them may actually increase agitation due to unfamiliarity or overstimulation. Children with ASD prefer routine and familiar objects.
D. Telling them to stop their behavior is a verbal commands and are often ineffective, as the child may not process them in moments of agitation and may feel more frustrated.
Take home points
- First-line nursing action: reduce environmental stimuli.
- Maintain structured routines and provide predictable, calm settings.
- Use familiar comfort objects or coping strategies if needed.
- Restraints and verbal scolding should be avoided unless safety is compromised.
Correct Answer is C
Explanation
Hearing impairment, also known as hearing loss is a condition where a person experiences partial or complete inability to hear sounds. It can affect one or both ears and vary in severity from mild to profound.
Rationale for correct answer:
C. Hearing impairment in infants can delay the development of speech, language, and social interaction skills. Early detection through newborn hearing screening and timely interventions (hearing aids, cochlear implants, or speech therapy) help the child achieve normal communication and social milestones.
Rationale for incorrect answers:
A. Early detection doesn’t eliminate the need for surgical correction if structural issues exist.
B. Hearing impairment itself doesn’t cause other disabilities; it mainly affects language and psychosocial development.
D. Early detection does not prevent hearing aids. It actually ensures they are provided as early as needed.
Take home points
- Universal newborn hearing screening should be done within the first month of life.
- Intervention should start before 6 months to optimize outcomes.
- The goal is to promote language, communication, cognitive, and social development.
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