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Hi all, I had a question about kiddos who are possibly faking vision screens. I screened a student today and I'm pretty sure he's doing just that. He was 20/20 less than a year ago, walked into the health office and acknowledged us first without any sort of hesitation/issue, and could even see the clear tape on the floor that denotes where to put your feet (I didn't have colored tape on hand)... and now he's saying he cannot read the top line of a snellen chart. He also does not already wear glasses. I mean, I suppose anything is possible, but it's fishy.
So I do have to re-screen him next week and I'm not sure how to play it. My confidence is wavering since I feel I blew it this time around and should've already called him out on it - still very new at this! So far I've contacted the teacher to find out if he's having problems reading the board in class (awaiting reply). My health assistant suggested screening him right before recess, but even so, not sure recess being on the horizon is going to be enough to convince him to tell the truth if he is actually faking. And of course I'd like to make sure he gets the proper referral if he does really need glasses.
Any ideas?? He's in 4th grade if that makes a difference.
lifelearningrn, BSN, RN
2,622 Posts
I've had a couple fake the screening because they want to go on the field trip to get glasses. One little girl still insisted, after the full eval (where she was diagnosed with perfect vision) she needed glasses to see. I went out and got her some fashion glasses and Claire's... her vision was perfect then on.