NU 331 Ch 4-Communication

What is the first step in a thorough pediatric assessment?

Gathering the history through effective communication.

Who should you communicate with during a pediatric assessment?

Children, parents, or both.

How should you initially address parents or guardians?

Formally first, then by their preference.

What is the most important component of effective communication?

Listening (silence).

What should you do if a parent has a question or concern?

Pay attention, as parents are the child experts.

What are some principles of effective communication?

Encourage talking, minimize distractions, and ensure privacy.

What techniques can be used to encourage talking with children?

Open-ended questions, listening, paraphrasing, and using play.

Why is it important to minimize distractions in the communication environment?

To ensure effective communication and understanding.

What should you consider about physical proximity when communicating?

It may vary with culture and the comfort of the child/parent.

What approach should be taken when communicating with infants (0-8 months)?

Use a calm, soothing, and slow approach; respond to cries.

What is a key strategy for communicating with toddlers (8 months-2 years)?

Interact with the parent first and use short, simple sentences.

How should you communicate with preschoolers (3-5 years)?

Use play, offer choices, and keep sentences short and simple.

What is important to remember when communicating with school-age children (6-11 years)?

They can give history, but parents may need to supplement it.

What should be considered when communicating with adolescents (12-21 years)?

Be respectful, include their interests, and ensure privacy.

What are some communication techniques for older children and teens?

Use third-person techniques, word association, and sentence completion.

What is the purpose of the 'Teach Back' method?

To confirm understanding by having the parent explain back what they learned.

What factors should be assessed in a family history?

Composition, education, occupation, culture, and functional roles.

What should be included in a pediatric history for children under 2 years old?

Prenatal and birth history, immunizations, and growth milestones.

What does the acronym HEADS stand for in adolescent history?

Home, Education, Activities, Drugs/Drinking, and Sex.

What is a key aspect of effective communication with adolescents?

Building rapport and offering concern without judgment.

What should you do if a child appears shy during communication?

Ignore the child initially and talk to the parents or a doll first.

How can you assess if parents are listening during communication?

Look for cultural cues like eye contact and nodding.

What is the importance of using simple words and short sentences with children?

To ensure understanding and effective communication.

What should you do to help children feel comfortable during communication?

Attend to their comfort and adjust your approach to their developmental level.

What is the role of play in communicating with young children?

It helps to engage them and make communication more effective.

Why is it important to respect cultural differences in communication?

To build trust and ensure effective interaction with families.