NURS 201 Exam 2
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VERIFIED ANSWERS | NEWEST EXAM
1. 4 phases of Therapeutic relationship Pre Orientation
Orientation
Working
Termination
2. Principles of Communication with Children -Enhances a relationship that enhances
communication
-Allow the child time to feel comfortable
and not threatened
-Give older children an opportunity to talk
without a parent
-Allow children to express concerns about
concerns and fears
3. When communication with children, how -use appropriate introductions
do you establish a setting that enhances -physical environment
communication? -REMEMBER privacy, confidentiality &
*safety*
4. What is the MOST important principle of SAFETY
communicating with children
5. What are verbalizations you should re- -quiet
member when speaking with kids -clear
-avoid medical jargon
-clear & positive
-be honest & truthful
-make all communication *developmental-
ly appropriate*
6. How do infants communicate? -Primarily nonverbal, CRYING is communi-
cation
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What nursing techniques are used when
communicating with infants? 0-12 months
-Respond to crying promptly
-allow infants time to warm up
-use soothing, calming tone
-talk directly to infant
-avoid loud sounds and sudden mvmnt
7. How do toddlers communicate? -Communicate based on egocentrism
-various levels of language development
What nursing techniques are used when
communicating with toddlers? Up until preschool 1-2 years
-approach carefully (fear & resistance)
-use toddler preferred words for actions
and objects
-focus on child
-Enjoys STORIES, dolls & books
-be consistent, dont smile when doing
painful things
8. How do preschoolers communicate? -communication based on egocentrism
-various levels of language development
What nursing techniques are used when although generally more advanced
communicating with preschoolers? -*animism and magical thinking*
3-5 years
-use play, puppets, or storytelling
-transitional objects or *third party ap-
proach*
-speak honestly
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-*allow choices as appropriate*
-use simple concrete terms
Big imaginations!
9. How do school age children communi- -want explanations and and "reasons why"
cate? but require no verification beyond that
-concerned about body integrity
What nursing techniques are used when -reassurance needed
communicating with school age children?
6 years begin school age
-Use diagrams, illustrations, books &
videos
-allow honest expression of feelings
-use third party stories
-allow adequate time and encourage
questions
Encourage asking questions and always
answer their questions!!!!
10. How do adolescent children communi- -developmental regression
cate? -trust is an issue
-egocentrism & personal fable
What nursing techniques are used when
communicating with adolescent children? -Be honest with them
-respect need for privacy
-address limits of confidentiality
-use appropriate medical terminology
-use creativity
-realize importance of peers
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11. "I" message avoid using "you" instead say "I am con-
cerned & want you to get better"
12. Third person He, she, they talking
13. Facilitative responding advising and evaluating to teach good
judgement in children, vital for healthy
therapeutic growth in child
same thing as reflection
14. Mutual storytelling You tell story of flipped version of what they
told you with more comforting dynamics
15. Bibliotherapy Reading books for a source of therapy
16. Dreams typically emotion of unconciousness
17. Three wishes specify what the child really wants right
now in fun way
Rating game
rating game can be to ask how much pain
they are in or used for other things
18. Word association game to find out what exactly words mean to
children so you can understand what they
mean and feel better
19. What are creative communication tech- -writing
niques that are typically nonverbal and ab- -drawing
stract (4) -magic (school age child technique)
-Play
20. Play