communication and physical assessment of the child and family Flashcards
what influences nurse’s perception of parent behavior?
their own prejudice and assumptions, which may include racial, religious, and cultural stereotypes
what the nurse interpret as a parent’s passive hostility or lack of interest
may be shyness or an expression of anxiety
In western cultures, what does eye contact mean?
they are paying attention
how is non-western cultures, including that of American Indians, directness (looking someone in the eye) mean
they are rude
what does careful listening rely on
clues
verbal leads
signals from interviewee
what serves as cues to the interviewer for direction of inquiry
an area of concerns
repetition of certain key words
special emphasis on something or someone
silence
a response is often the most difficult interviewing technique to learn
allow interviewee space in which to think without interruptions.
permits the interviewee to sort out thoughts and feelings and search for response to questions.
empathy
the capacity to understand what another person is experiencing from within that person’s frame of reference; it is often described as the ability to put oneself in another’s shoe.
sympathy
having feelings or emotions similar to those of another person rather than understanding those feelings.
anticipatory guidance
focus on providing families with information on normal growth and development and nurturing childbearing practices.
the ideal way to handle a situation is to deal with it before it becomes a problem.
ex: injury prevention; parents need specific instructions on home safety.
what are unprepared parents disturbed by what normal developmental changes?
toddler’s diminished appetite
negativism
altered sleeping patterns
anxiety towards strangers
anticipatory guidance should extend beyond giving general information how?
empower families to use the information as a means of building competence in their parenting abilities
how to empower families on how to use the information?
based interventions on needs identified by the family, not by the professional
view the family as competent or having the ability to be competent
provide opportunities for the family to achieve competence
information overload
when individuals receive too many information or information that is overwhelming, they can demonstrate signs of increasing anxiety or decreasing attention
interviewer should give less information or clarify what has been said.
communication barriers
- socializing
- giving unrestricted and sometimes unsought advice
- offering premature or false reassurance
- giving over encouragement
- defending a situation or opinion
- using stereotyped comment or cliche
- using complex medical language
- limiting expression of emotions by asking directed, closed-ended questions.
- asking leading question that suggest only “correct answers”
- interrupting and finishing the person’s sentence
- talking more than the interviewee
- forming prejudiced conclusions
- deliberately changing the focus
signs of information overload
- long period of silence
- wide eyes and fixed facial expressions
- constant fidgeting or attempting to move away
- nervous habits (tapping, playing with hair
- looking around
- yawning eyes drooping
- frequently looking at a watch or clock
- attempting to change the topic of discussion
what does drinking include?
all types of alcohol, including beer and wine
what is an essential component of adolescents’ health assessment?
sexual history
uncovers areas of concerns related to sexual activity, alerts the nurse to circumstances that may indicate the need for screening for sexually transmitted infections or testing for pregnancy, and provide information related to the need for sexual health counseling, such as safer sex practices
assess for the presence or absence of consanguinity
if anyone in the family is related to their spouse’s or partner’s family)
first degree relatives
parents
siblings
grandparents
immediate aunts and uncles
what assessment of the family is an important component of the history taking process
both its structure and its function
family assessment
the collection of data about the composition of the family and the relationship among the members
family
refers to all those individuals who are considered by the family member to be significant to the nuclear unit, including relatives, friends, and social groups (daycare, school, church)
habits to explore during a health interview
- sleep
- alcohol/ substance use
- sexual history
- family health history
- geographic location
- family structure
