NUR 232 PEDS CORE MAIN QUESTIONS AND
ANSWERS SET A+
✔✔Effective communication -✔✔Active- two way process
-clear, concise, accurate, time usable information
✔✔Interview process -✔✔-establish a setting
-appropriate introduction
-privacy/confidentiality
✔✔Appropriate introduction -✔✔introduce self
-ask name of each family member/how they would like to be addressed
-record name in chart
-include children by asking their name
✔✔Privacy and confidentiality -✔✔environment should allow for privacy without
distractions
-have play provision for children
inform family on limits regarding confidentiality (abuse/harm)
✔✔Communicating with parents -✔✔encourage parents to talk (open ended questions )
"what does Brady like to eat"
-ask parents how they relax if cued to appear stressful
direct focus - open ended questions"lets talk about the other children later, you were
telling me about Rachels school?"
Listen/cultural awareness- be culturally aware, ask about spirituality
Use silence- allows to sort out thoughts
Be empathetic
Provide anticipatory guidance- provide families with information(safety, injury)
Avoiding blocks of communication - do not give too much information at once
Interpreter
-answer questions
,✔✔Communicating with children -✔✔-pay attention to play
-include older children
-nonverbal cues are important
-meet at eye level
-talk about childs toy first "does your bear have a name"
-allow child opportunity to evaluate
-try to be friends before evaluating
-give time to be comfortable
-avoid sudden advances/movements/broad smile/extended eye contact
-speak quietly, unhurried voiceterm-103
-be honest
-state questions positively
-offer choice only when one exists
-allow child to express concers/fears
-clear/concise/simple words AVOID MEDICAL WORDS
✔✔creative techniques to communicate with children -✔✔-drawing
-magic tricks
-play
-journal diaries
-dreams
-what if questions "what if you got sick and had to go to hospital"
-Three wishes
-Rating game
-word association game
-sentence completion
-pros and cons
-story telling
✔✔Infancy communication -✔✔communicate needs/feelings through nonverbal
behaviors/vocalizations
✔✔Early childhood communication -✔✔children younger than 5 are egocentric meaning
they only see things in relation to themselves
-allow them to touch/examine articles
-simple/direct language
-communicate with hands (may push or pull away)
✔✔schoolage communication -✔✔need explanations for everything
-show how procedures work (squeeze BP cuff)
-encourage child to voice concerns/needs/fears
-dispal myths/rumors
-ignore shy kids by talking to other family members
✔✔Late childhood/adolescence communication -✔✔child+adult thinking behavior
Ask what child knows
, -remember developmental level
-give chance to talk
-avoid taking sides between parents and kid
-confidentiality
-least serious questions asked first (how do you feel at school over are you sexually
active)
-know protocols
-encourage expression of ideas
-respect views
-give undivided attention
-listen
-try to not overreact
-Avoid judging
Give factual information
-avoid facial expressions
✔✔Health history assessment -✔✔identify information
-chief complaint
-previous illness
-immunizations
-birth history
-allergies
-current medications
-diet
-growth/development
-habits
-sleep history
-sexual history
-family health history
-psychosocial history
-family structure
✔✔Approach to exam of child -✔✔alter sequence to fit child developmental stage (not
head to toe)
-may auscultate first
✔✔Preparation of child for exam -✔✔understand childs perception to pain
-give warnings
-allow child to to visualize before (paper-doll/bear)
-have safe environment (well lit room/warm)
-place frightening equipment away
-have toys available
-use games
-provide choices (where to sit)
-least painful to most
-explain each step
ANSWERS SET A+
✔✔Effective communication -✔✔Active- two way process
-clear, concise, accurate, time usable information
✔✔Interview process -✔✔-establish a setting
-appropriate introduction
-privacy/confidentiality
✔✔Appropriate introduction -✔✔introduce self
-ask name of each family member/how they would like to be addressed
-record name in chart
-include children by asking their name
✔✔Privacy and confidentiality -✔✔environment should allow for privacy without
distractions
-have play provision for children
inform family on limits regarding confidentiality (abuse/harm)
✔✔Communicating with parents -✔✔encourage parents to talk (open ended questions )
"what does Brady like to eat"
-ask parents how they relax if cued to appear stressful
direct focus - open ended questions"lets talk about the other children later, you were
telling me about Rachels school?"
Listen/cultural awareness- be culturally aware, ask about spirituality
Use silence- allows to sort out thoughts
Be empathetic
Provide anticipatory guidance- provide families with information(safety, injury)
Avoiding blocks of communication - do not give too much information at once
Interpreter
-answer questions
,✔✔Communicating with children -✔✔-pay attention to play
-include older children
-nonverbal cues are important
-meet at eye level
-talk about childs toy first "does your bear have a name"
-allow child opportunity to evaluate
-try to be friends before evaluating
-give time to be comfortable
-avoid sudden advances/movements/broad smile/extended eye contact
-speak quietly, unhurried voiceterm-103
-be honest
-state questions positively
-offer choice only when one exists
-allow child to express concers/fears
-clear/concise/simple words AVOID MEDICAL WORDS
✔✔creative techniques to communicate with children -✔✔-drawing
-magic tricks
-play
-journal diaries
-dreams
-what if questions "what if you got sick and had to go to hospital"
-Three wishes
-Rating game
-word association game
-sentence completion
-pros and cons
-story telling
✔✔Infancy communication -✔✔communicate needs/feelings through nonverbal
behaviors/vocalizations
✔✔Early childhood communication -✔✔children younger than 5 are egocentric meaning
they only see things in relation to themselves
-allow them to touch/examine articles
-simple/direct language
-communicate with hands (may push or pull away)
✔✔schoolage communication -✔✔need explanations for everything
-show how procedures work (squeeze BP cuff)
-encourage child to voice concerns/needs/fears
-dispal myths/rumors
-ignore shy kids by talking to other family members
✔✔Late childhood/adolescence communication -✔✔child+adult thinking behavior
Ask what child knows
, -remember developmental level
-give chance to talk
-avoid taking sides between parents and kid
-confidentiality
-least serious questions asked first (how do you feel at school over are you sexually
active)
-know protocols
-encourage expression of ideas
-respect views
-give undivided attention
-listen
-try to not overreact
-Avoid judging
Give factual information
-avoid facial expressions
✔✔Health history assessment -✔✔identify information
-chief complaint
-previous illness
-immunizations
-birth history
-allergies
-current medications
-diet
-growth/development
-habits
-sleep history
-sexual history
-family health history
-psychosocial history
-family structure
✔✔Approach to exam of child -✔✔alter sequence to fit child developmental stage (not
head to toe)
-may auscultate first
✔✔Preparation of child for exam -✔✔understand childs perception to pain
-give warnings
-allow child to to visualize before (paper-doll/bear)
-have safe environment (well lit room/warm)
-place frightening equipment away
-have toys available
-use games
-provide choices (where to sit)
-least painful to most
-explain each step
