A 16-year-old boy has just been admitted to the unit for overnight observation after being in an automobile accident. What is the nurse's best approach to communicating with him?
a. Use periods of silence to communicate respect for him.
b. Be totally honest with him, even if the information is unpleasant.
c. Tell him that everything that is discussed will be kept totally confidential.
d. Use slang language when possible to help him open up.
ANS: B
Successful communication with an adolescent is possible and can be rewarding. The guidelines are simple. The first consideration is one's attitude, which must be one of respect. Second, communication must be totally honest. An adolescent's intuition is highly tuned and can detect phoniness or the withholding of information. Always tell him or her the truth.
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