You are collecting a history from an 11-year-old girl. Her mother is sitting next to her in the examination room. When collecting history from older children or adolescents, they should be:
a. given the opportunity to be interviewed without the parent at some point during the interview.
b. mailed a questionnaire in advance to avoid the need for them to talk.
c. ignored while you address all questions to the parent.
d. allowed to direct the flow of the inter-view.
A
The older child should be given the opportunity to give information directly. This enhances the probability that the child will follow your advice. Mailing a questionnaire in advance to avoid the need for her to talk does not assist the child in learning to respond to answers regarding her health. The parent can help fill in gaps at the end. If she is ignored while you address all ques-tions to the parent, the patient will feel as though she is just being discussed and is not part of the process for the health care. The health care provider should always direct the flow of the inter-view according to the patient's responses.
You might also like to view...
The nurse holds original licensure in a compact state and has practice privileges in two remote states. Should practice concerns arise with this nurse, what is the status of the nurse's license?
1. Each state can suspend or revoke the nurse's license. 2. Only the states in which the nurse demonstrated poor practice can act to suspend or revoke the nurse's license. 3. License suspension or revocation can only occur if all three states agree to the action. 4. Only the state in which the nurse holds licensure can act to suspend or revoke that license.
The nurse is caring for a patient having a transesophageal echocardiogram (TEE). What is an appropriate nursing intervention for the care of this patient?
1. Dim the lights in the room. 2. Insert an intravenous catheter. 3. Assess pedal pulses bilaterally. 4. Apply pressure to the sheath puncture site.
During the assessment of a patient's respiratory status, the nurse notes paradoxical lung movements. This finding is consistent with what health problem?
1. flail chest 2. pleurisy 3. pneumothorax 4. pneumonia
A nurse is facilitating a teaching group for family members of patients with schizophrenia. A focus of the group will be the monitoring of medication administration and side effects. Priority teaching for this focus will concentrate on:
a. minimizing the physical complications related to medication side effects. b. identifying methods to manage and control the patient's psychotic behavior. c. using tactics proven to be effective in the prevention of patient noncompliance. d. recognizing the signs and symptoms of potential medication-related side effects.