A community health nurse visits a family with four children. The father behaves angrily, finds fault with a child, and asks twice, "Why are you such a stupid kid?" The wife says, "I have difficulty disciplining the children. It's so frustrating."
Which comments by the nurse will facilitate the interview with these parents? Select all that apply.
a. "Tell me how you punish your children."
b. "How do you stop your baby from crying?"
c. "Caring for four small children must be difficult."
d. "Do you or your husband ever beat the children?"
e. "Calling children ‘stupid' injures their self-esteem."
ANS: A, B, C
An interview with possible abusing individuals should be built on concern and carried out in a nonthreatening, nonjudgmental way. Empathic remarks are helpful in creating rapport. Questions requiring a descriptive response are less threatening and elicit more relevant information than questions that can be answered by "yes" or "no."
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