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,The nurse is seeing an adolescent and the parents in the clinic for the
first time. Which should the nurse do first?
a. Introduce him- or herself.
b. Make the family comfortable.
c. Give assurance of privacy.
d. Explain the purpose of the interview. - CORRECT ANSWER - ANS: A
The first thing that nurses must do is to introduce themselves to the
patient and family. Parents and other adults should be addressed with
appropriate titles unless they specify a preferred name. Clarification of
the purpose of the interview and the nurse's role is the second thing
that should be done. During the initial part of the interview, the nurse
should include general conversation to help make the family feel at
ease. The interview also should take place in an environment as free of
distraction as possible. In addition, the nurse should clarify which
information will be shared with other members of the health care team
and any limits to the confidentiality.
Which is considered a block to effective communication?
a. Using silence
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,b. Using clichés
c. Directing the focus
d. Defining the problem - CORRECT ANSWER - ANS: B
Using stereotyped comments or clichés can block effective
communication. After the nurse uses such trite phrases, parents often
do not respond. Silence can be an effective interviewing tool. Silence
permits the interviewee to sort out thoughts and feelings and search for
responses to questions. To be effective, the nurse must be able to direct
the focus of the interview while allowing maximum freedom of
expression. By using open-ended questions and guiding questions, the
nurse can obtain the necessary information and maintain a relationship
with the family. The nurse and parent must collaborate and define the
problem that will be the focus of the nursing intervention.
Which is the single most important factor to consider when
communicating with children?
a. Presence of the child's parent
b. Child's physical condition
c. Child's developmental level
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, d. Child's nonverbal behaviors - CORRECT ANSWER - ANS: C
The nurse must be aware of the child's developmental stage to engage
in effective communication. The use of both verbal and nonverbal
communication should be appropriate to the developmental level.
Nonverbal behaviors vary in importance based on the child's
developmental level and physical condition. Although the child's
physical condition is a consideration, developmental level is much more
important. The presence of parents is important when communicating
with young children but may be detrimental when speaking with
adolescents.
Because children younger than 5 years are egocentric, the nurse
should do which when communicating with them?
a. Focus communication on the child.
b. Use easy analogies when possible.
c. Explain experiences of others to the child.
d. Assure the child that communication is private - CORRECT ANSWER -
ANS: A
Because children of this age are able to see things only in terms of
themselves, the best approach is to focus communication directly on
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