The nurse is preparing an education program on hearing impairment for a group of new staff nurses. What concepts should be included? (Select all that apply.)
a. A child with a slight hearing loss is usually unaware of a hearing difficulty.
b. A clinical manifestation of a hearing impairment in children is avoidance of social interaction.
c. A child with a severe hearing loss may hear a loud voice if nearby.
d. Children with sensorineural hearing loss can benefit from the use of a hearing aid.
e. A clinical manifestation of hearing impairment in an infant is lack of the startle reflex.
f. Identification of a hearing loss after the first year is essential to facilitate language development in children.
ANS: A, B, C, E
When discussing hearing impairment in children, the nurse should include information about differences in hearing losses, such as with a slight hearing loss, the child is usually unaware of a hearing difficulty, and with a severe loss, the child may hear a loud noise if it is nearby. An infant with a hearing loss may lack the startle response, and a hearing impaired child may avoid social interaction. Children with a sensorineural hearing loss would not benefit from a hearing aid. Identification of a hearing loss is imperative in the first 3 to 6 months to facilitate language and educational development for children.
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