Week 1 Health assessments of Peds and Family Flashcards
What is avoidance language?
When you ask a question and the answer is unrelated.
How was school? I like baseball after school
What is distancing language?
“I know this family that has a kid who is a little bit violent”
Why is being aware of nonverbal communication especially important with pediatrics?
Because children are much more perceptive to body language
What is confirming behavior?
Smiling, eye contact, nonverbal matches verbal
What is disconfirming behavior?
Eye avoidance, distracted, nonverbal does not match verbal
in regard to nonverbal communication, the pediatric nurse’s job is to ____
use confirming behavior that can be mirrored back
What is abstract communication?
Forms of communications beyond written and verbal/nonverbal.
Give some examples of abstract communication
- play
- art
- symbols
- photographs
- clothing style
When a pediatric client is using a form of abstract communication then nurse can always just____
ask about it!
What are the four most important aspects of the initial meeting with the client and family?
- Introduce yourself to the client and then all members of the family
- Be clear in your role clarification
- ease into your role
- Assure privacy
When communicating with an adolecent what are some important clarifications to make?
- No judgment
- avoid giving adivce
- confidental unless there is harm to self and others
what are four general guidelines when communicating with children?
- Think developmentally
- Watch them play and interact
- Give them time to warm up dont force it
- Get on their level!
What are some considerations when communicating with infants?
- They understand and respond to nonverbal communication
- Stranger anxiety at 6mo
- Seperation anxiety as early as 6 months
Toddlers and preschoolers have a ___ world view
Egocentric
The focus of communication with toddlers and preschoolers should be
on the child and not other children
What are some communication considerations for early childhood(toddlers and pre-k)
- Be direct and concrete
- use confirming behavior
- Consider developmental level when choosing verbage
What are some ways to make a toddler/preschooler more comfortable in the clinical setting?
- Let them touch and play with equiptment
- Keep their favorite toys nearby
- Keep non-essential equiptment out of sight
- Utilize their transition object
What are the four main considerations when communicating with a school aged child?
- They are very curious and want to know everything
- They need simple and honest explainations
- They are very concerned with body mutiliation
- They take things very literally so watch what you say
What are some considerations to keep in mind when communicating with adolescents?
- They are in a transitional stage and are often confused * identity vs role confusion*
- They often accept adults outside of their family
- They are expressive but can be cryptic abstract communication
- There are always 2 views. Parent and child
What are some ways to make the adolescent client more comfortable?
- Listen
- Dont pry
- Dont “give advice
- Clarify terms and assure they understand
- Talk to the teen first then the parent
Play is to a chid as ___ is to and adult
Work
Watching play allows the nurse to___
-Assess development and plan communication style
What are some benefits of play?
- Reduces stress
- Prepares the child for procedures
- Cope with stress
What aspect of play is important to school age children?
A sense of accomplishment
When taking the health history of a child, it is important to identify the familys _____of healthcare via their past experiences and illnessess
perception
in a pediatric health history, what unique physiologic data is collected?
Birth history
sleep pattern
nutrition
immunizations
Family health history is recorded back to ___ generations
3
When assessing the cultural needs of a family it best tool is to ____
just ask
Physical assessment of a child take a ___ approach
Developmental
What are some considerations about physical assesments in children
- consider developmental stage
- it is stressful to the child and the family
- the parent should be involved and can coach you on their childs specific needs
- consider the differences between children and adults
What are some ways to reduce the stress of a physical assessment of children?
- Assess least painful to most
- assess least invasive to most
- Toe to head is better
Child length is measured until ___ after which height is measured
2
BP should not be taked on a child under ___ unless medically necessary
3
Measuring the heartrate on a child uner 2 is done via
apical heart rate
Always count RR before ___. Why?
HR
Because measuring the heart rate on a child can be stressfull and may cause the RR to go up or crying to begin
A childs skin integrity is measured via the ____ scale
BradenQ
What age should a child have around 4 teeth?
6 months
How many teeth should a child have at 12 months?
8
How many primary teeth do children usually have before adult teeth
20
How is the AP ratio different in children?
- in infants the AP ratio is almost equal the length
- after 2 years old chest becomes more oval
A rounded chest in a child after the age of 2 could indicate what?
Chronic respiratory issues
