The nurse is admitting a 7-year-old child to the medical-surgical unit. The child answers questions with very short answers, makes little eye contact with the nurse, and looks to the parent to answer most questions

Which interventions would be appropriate during this admission assessment? Select all that apply.

A) Tell the child that you are going to be their nurse so it would be best if they answered your questions.
B) When asking questions, look at the child as well as the parent.
C) Sit at the child's eye level during the admission questioning process.
D) Stop asking questions for the present time and return later when the child feels more comfortable.
E) Ask the child if they are always nervous around new people.


Ans: B, C
The goal is to establish rapport with the patient and encourage communication. It is common for young children to be shy, so it is acceptable for the nurse to ask both the child and parent questions until the child feels comfortable talking with the nurse. Sitting at eye level is less intimidating and may help in establishing a trusting relationship. Telling the child that they need to answer the questions appears as condemning the child's behavior. Admission questions are important and can't be delayed until a later time. Asking the child if they are nervous around new people is intimidating and may further block communication.

Nursing

You might also like to view...

Milo, a 19-year-old, lives in an inner-city apartment complex. One late night he was walking home after hanging out with his friends

Before he knew what was happening, someone jumped Milo from behind and tried to get his wallet. A fight broke out, and the thief stabbed Milo in the abdomen before taking off. When the paramedics arrived, Milo was pale, sweating, and rolling restlessly on the ground. His pulse was 94 beats/minute and his blood pressure 115/82 mm Hg. He was rushed to the hospital where his treatment began immediately. Why is Milo presenting with pallor, diaphoresis, and restlessness? In spite of his blood loss, Milo's blood pressure was only slightly affected when the paramedics first found him. Describe how cardiovascular compensatory mechanisms serve to maintain homeostasis as long as possible in the early stages of shock. How does ADH contribute to compensation? What are the disadvantages of prolonged vasoconstriction in hypovolemic shock? If Milo's respirations were to become progressively deeper and more rapid, what physiological changes in the body would that indicate?

Nursing

The father of a hospitalized child tells the nurse, "She can't have meat. We are Buddhists and vegetarians." The nurse's best intervention is to

a. help the father understand that meat provides protein needed for healing. b. explain that hospital patients are exempt from dietary rules. c. ask a Buddhist priest to visit. d. order the child a meatless tray.

Nursing

A nurse is observing the progress of an elderly client started on a new medication for dementia

Which is a critical point for the nurse to consider when collecting subjective data about the client and the response to the new medication for dementia? A) Assess the client's body language and nonverbal gestures. B) Disregard the presence of a cross that the client continuously holds. C) Avoid asking the client any direct questions because of the dementia. D) Request that a family member be present during the assessment.

Nursing

When the nurse assesses bowel habits in a patient, which is the best example of normal bowel elimination?

a. Daily bowel movements b. Multiple soft stools daily c. Daily liquid stools d. Regular bowel elimination pattern of soft stool

Nursing