A nurse is interviewing a 10-year-old boy who has been sexually abused by his uncle. The boy is reluctant to talk about his experience and says that he feels ashamed and guilty. Which of the following statements by the nurse is appropriate to encourage communication?

"You have nothing to be ashamed of. It's not your fault."

"You need to tell me what happened so I can help you."

"How do you think your uncle feels about what he did to you?"

"What did you do to make your uncle abuse you?"

Answer and Explanation

The Correct Answer is A

Choice A Reason: This statement is appropriate because it shows empathy and reassurance to the boy. It also helps him understand that he is not responsible for the abuse and that he is not alone.

Choice B Reason: This statement is not appropriate because it puts pressure on the boy to disclose his experience. It also implies that his cooperation is a condition for receiving help.

Choice C Reason: This statement is not appropriate because it shifts the focus from the boy's feelings to his uncle's feelings. It also suggests that his uncle has some justification or remorse for his actions.

Choice D Reason: This statement is not appropriate because it blames and criticizes the boy for his experience. It also reinforces his sense of shame and guilt.

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Correct Answer is D

Explanation

Choice A Reason: This statement is not appropriate because it implies that the child is responsible for his hygiene and appearance, which may make him feel ashamed or guilty. The nurse should avoid blaming or judging the child for his situation.

Choice B Reason: This statement is not appropriate because it may be too intrusive or threatening for the child, who may fear the consequences of disclosing his parents' neglect. The nurse should avoid asking direct or personal questions that may overwhelm or frighten the child.

Choice C Reason: This statement is not appropriate because it may be too vague or abstract for the child, who may not trust or understand the nurse's role. The nurse should avoid making promises or assumptions that may not be realistic or fulfilled.

Choice D Reason: This statement is appropriate because it shows interest and curiosity in the child's preferences and hobbies, which may help him feel valued and respected. The nurse should use open-ended questions and positive comments to engage the child in conversation and build trust.

A. "Did your mother's boyfriend hit you with a belt?" B. "How did you get these bruises on your back?" C. "Who takes care of you when your mother is not home?" D. "Do you like your mother's boyfriend?"

Correct Answer is B

Explanation

Choice A Reason: This question is not appropriate because it is leading and suggestive. It may influence or distort the boy's response by implying that his mother's boyfriend hit him with a belt.

Choice B Reason: This question is appropriate because it is open-ended and neutral. It allows the boy to describe his experience in his own words without imposing any assumptions or expectations.

Choice C Reason: This question is not appropriate because it is not directly related to the boy's bruises. It may be relevant to assess his living situation and caregivers, but it does not address the cause of his injury.

Choice D Reason: This question is not appropriate because it is not directly related to the boy's bruises. It may be relevant to assess his relationship with his mother's boyfriend, but it does not address the cause of his injury.

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A nurse is interviewing a 10-year-old boy who has been sexually abused by his uncle. The boy is reluctant to talk about his experience and says that he feels ashamed and guilty. Which of the following statements by the nurse is appropriate to encourage communication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has been neglected by his parents. The nurse notices that the child is malnourished, dirty, and withdrawn. Which of the following statements by the nurse is appropriate to establish rapport with the child?

Correct Answer is D

Explanation

Correct Answer is B

Explanation

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A nurse is interviewing a child who is suspected of being sexually abused by his uncle. The nurse notices that the child is avoiding eye contact, fidgeting with his hands, and giving vague answers. Which of the following statements should the nurse make to encourage the child to talk?