Inquire through: | Professional | Confidential Support
Chapter 17: Nursing Care of the Child With
an Alteration in Sensory
Perception/Disorder of the Eyes or Ears
Verified and Updated Questions and
Answers (100% Correct Answers)
The nurse is developing a plan of care for a 5-year-old child with a severe hearing
impairment focusing on psychosocial interventions based on assessment findings.
Which behavior would the nurse have most likely assessed?
A) Immature emotional behavior
B) Self-stimulatory actions
C) Inattention and vacant stare
D) Head tilt or forward thrust
Answer: Ans: A
Feedback: Immature emotional behavior would be seen most frequently. The inability
to hear impacts the socialization process and causes social problems for the child
because the hearing impairment has inhibited normal development. Self-stimulatory
actions, inattention, vacant stare, head tilt, or forward thrust may also cause
problems with socialization, but they are typical of visually impaired children.
The nurse is caring for a 3-month-old with nasolacrimal duct obstruction. Which
intervention would be most appropriate for the nurse to implement?
A) Being careful to prevent spread of infection
B) Teaching the parents how to gently massage the duct
C) Applying hot, moist compresses to the affected eye
D) Referring the child to an ophthalmologist
Answer: ANS: B
, Inquire through: | Professional | Confidential Support
Feedback: Massaging the nasolacrimal duct can cause it to open and drain. Teaching
the parents how to do this would be part of the nurse's plan of care. Nasolacrimal
duct obstruction is not infectious. Applying hot, moist compresses to the eye is an
intervention for conjunctivitis. Nasolacrimal duct obstruction is often self-resolving,
so there would be no need for a specialist's care.
The nurse is caring for a 10-year-old with allergic conjunctivitis. The nurse would be
alert to the child's increased risk for what issue?
A) Atopic dermatitis
B) Insect bite sensitivity
C) Acute otitis media
D) Frequent sore throats
Answer: Ans: A
Feedback: Atopic dermatitis is a risk factor specifically for allergic conjunctivitis
because of repeated exposure to the particular allergens. Acute otitis media, insect
bite sensitivity, and frequent sore throats can occur but are not related to the allergic
conjunctivitis.
The nurse is caring for a 6-year-old visually impaired boy and is about to begin the
physical examination. Which intervention would be most appropriate to promote
effective communication with the child?
A) Show him the stethoscope.
B) Describe the examination room.
C) Use his name before touching him.
D) Allow him to explore the exam room.
Answer: C
Ans: C Feedback: When interacting with a visually impaired child, it is a good
communication technique to use his name to gain his attention before touching him.
Letting him listen to his heart with the stethoscope, describing the examination
Chapter 17: Nursing Care of the Child With
an Alteration in Sensory
Perception/Disorder of the Eyes or Ears
Verified and Updated Questions and
Answers (100% Correct Answers)
The nurse is developing a plan of care for a 5-year-old child with a severe hearing
impairment focusing on psychosocial interventions based on assessment findings.
Which behavior would the nurse have most likely assessed?
A) Immature emotional behavior
B) Self-stimulatory actions
C) Inattention and vacant stare
D) Head tilt or forward thrust
Answer: Ans: A
Feedback: Immature emotional behavior would be seen most frequently. The inability
to hear impacts the socialization process and causes social problems for the child
because the hearing impairment has inhibited normal development. Self-stimulatory
actions, inattention, vacant stare, head tilt, or forward thrust may also cause
problems with socialization, but they are typical of visually impaired children.
The nurse is caring for a 3-month-old with nasolacrimal duct obstruction. Which
intervention would be most appropriate for the nurse to implement?
A) Being careful to prevent spread of infection
B) Teaching the parents how to gently massage the duct
C) Applying hot, moist compresses to the affected eye
D) Referring the child to an ophthalmologist
Answer: ANS: B
, Inquire through: | Professional | Confidential Support
Feedback: Massaging the nasolacrimal duct can cause it to open and drain. Teaching
the parents how to do this would be part of the nurse's plan of care. Nasolacrimal
duct obstruction is not infectious. Applying hot, moist compresses to the eye is an
intervention for conjunctivitis. Nasolacrimal duct obstruction is often self-resolving,
so there would be no need for a specialist's care.
The nurse is caring for a 10-year-old with allergic conjunctivitis. The nurse would be
alert to the child's increased risk for what issue?
A) Atopic dermatitis
B) Insect bite sensitivity
C) Acute otitis media
D) Frequent sore throats
Answer: Ans: A
Feedback: Atopic dermatitis is a risk factor specifically for allergic conjunctivitis
because of repeated exposure to the particular allergens. Acute otitis media, insect
bite sensitivity, and frequent sore throats can occur but are not related to the allergic
conjunctivitis.
The nurse is caring for a 6-year-old visually impaired boy and is about to begin the
physical examination. Which intervention would be most appropriate to promote
effective communication with the child?
A) Show him the stethoscope.
B) Describe the examination room.
C) Use his name before touching him.
D) Allow him to explore the exam room.
Answer: C
Ans: C Feedback: When interacting with a visually impaired child, it is a good
communication technique to use his name to gain his attention before touching him.
Letting him listen to his heart with the stethoscope, describing the examination
