Review Practice Exercise 3

Health Supervision In Children > Child Health

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Practice Exercise 3

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Total Questions : 4

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Question 1:

Early detection of hearing impairment in infants is crucial for:

A. Avoiding future surgeries. B. Minimizing the risk of other disabilities. C. Promoting normal language and social development. D. Preventing the need for hearing aids.

Answer and Explanation

Choice A:

Early detection doesn’t eliminate the need for surgical correction if structural issues exist.

Choice B:

Hearing impairment itself doesn’t cause other disabilities; it mainly affects language and psychosocial development.

Choice 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:

Choice D:

Early detection does not prevent hearing aids. It actually ensures they are provided as early as needed.

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Question 2:

A nurse is caring for a child with Autism Spectrum Disorder. The nurse notices the child is becoming increasingly agitated. What is the most appropriate action?

A. Physically restraining the child. B. Introducing new toys to distract them. C. Removing them from the stimulating environment. D. Telling them to stop their behavior.

Answer and Explanation

Choice 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.

Choice B:

Introducing new toys to distract them may actually increase agitation due to unfamiliarity or overstimulation. Children with ASD prefer routine and familiar objects.

Choice 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.

Choice 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.

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Question 3:

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

A. Because the child cannot see what may be taking place, the nurse needs to reassure the child and family throughout every phase of treatment. B. The nurse will make sure that the parents are comfortable with the placement of objects in the room. C. Whenever possible, the same nurse should care for the child to ensure consistency in the approach. D. To help the child feel safe, the nurses should take over most of the routine care of the child, unless the parent is present. E. Each health care provider should identify himself or herself as soon as entering the child’s room.

Answer and Explanation

Choice A:

Reassurance throughout treatment is essential since the child cannot rely on visual cues. Explaining each step helps reduce fear and uncertainty.

Choice 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.

Choice C:

Assigning the same nurse whenever possible offers consistency, familiarity, and trust, which are especially important for visually impaired children.

Choice 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.

Choice E:

Health care providers should always identify themselves upon entering the room so the child feels secure and included in interactions.

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Question 4:

Understanding autism spectrum disorders (ASDs) is very important for those who care for children. Goals of treatment for these children include:

A. Helping with placement in a long-term care setting because most children cannot remain at home B. Putting the child hospitalized with an ASD in a room with another child to help him or her feel more comfortable in the strange environment C. Providing a structured routine, whether at home or in the health care setting D. Providing comfort for young children by holding or cuddling when able because the disruption of routine can be frightening

Answer and Explanation

Choice A:

Placement in a long-term care setting is not the goal. Most children with ASD remain at home with their families and benefit from community-based support and interventions.

Choice B:

Sharing a hospital room with another child may actually increase stress and overstimulation. Children with ASD often do better in quieter, less stimulating environments.

Choice C:

Providing a structured routine is a cornerstone of ASD management. Predictability helps reduce anxiety, improves cooperation, and allows children to function more effectively

Choice D:

Comforting children with ASD does not always involve holding or cuddling. Many children with ASD dislike physical touch or find it overstimulating. Comfort should be based on the child’s individual needs and preferences.

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Total Questions : 4

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Practice Exercise 3

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