In a pediatric setting how should a nurse employ active listening when a child is hesitant to speak about their feelings?
Use positive facial expressions and open-ended questions
Focus on completing the assessment quickly
Assure the child that their feelings are not important
Directly ask the child to explain their feelings
The Correct Answer is A
A. Use positive facial expressions and open-ended questions: Active listening in pediatrics involves creating a supportive environment through nonverbal cues and open-ended questions that encourage the child to express thoughts and feelings at their own pace. This approach fosters trust and communication.
B. Focus on completing the assessment quickly: Rushing the assessment may increase the child’s anxiety and discourage disclosure. Active listening requires patience and attention rather than prioritizing speed.
C. Assure the child that their feelings are not important: Minimizing or dismissing the child’s emotions undermines trust and can exacerbate emotional distress. Recognizing feelings as valid is essential for effective communication.
D. Directly ask the child to explain their feelings: Direct questioning may feel confrontational or overwhelming, especially if the child is hesitant. Open-ended questions and supportive cues are more effective for eliciting responses in a non-threatening way.
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Related Questions
Correct Answer is D
Explanation
A. Encourage fluid intake to prevent dehydration: Promoting hydration supports thermoregulation and prevents fluid loss associated with fever. While important, it does not address the underlying cause or allow for immediate intervention if the fever indicates a serious infection.
B. Apply cold packs to reduce the client's temperature: External cooling measures can provide comfort but may trigger shivering, which can increase body temperature. Cold packs do not treat the underlying cause of fever and are supportive rather than primary interventions.
C. Administer antipyretics as prescribed: Antipyretics help lower body temperature and improve comfort. However, administering medication without assessing for the underlying cause of fever or notifying the provider may overlook a potentially serious infection.
D. Assess for signs of infection and notify the provider: A high fever can indicate an acute infection or other serious condition. Assessing for source, monitoring vital signs, and communicating findings to the healthcare provider ensures timely diagnosis and treatment, making this the priority action.
Correct Answer is A
Explanation
A. A patient presents with sudden onset facial drooping and slurred speech: Charting by Exception focuses on documenting deviations from normal findings. Sudden facial drooping and slurred speech are abnormal and potentially indicative of a stroke or other urgent condition, requiring detailed documentation and prompt provider notification.
B. A patient reports no pain and demonstrates normal gait: Normal findings are considered expected and typically do not require additional documentation in a CBE system unless they change from baseline.
C. A patient has a blood pressure of 120/80 mmHg with no other changes: This is within normal limits and would not require additional notes, as CBE emphasizes abnormal or significant deviations.
D. A patient exhibits stable vital signs and no new symptoms: Stability and absence of symptoms reflect expected outcomes and are usually captured by the standard flow sheet in CBE, requiring no extra documentation.
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