NRS-420 Topic 2 DQ 2

NRS-420 Topic 2 DQ 2

You are a nurse conducting a physical assessment of a child between the ages of 3 and 12 at an urgent care clinic. Describe how your communication would be adapted to be able to effectively communicate with a patient of this age. What strategies would you use to encourage engagement with the child? 

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Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN DQ Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.   

1. Class the following question is a Classroom Assessment Technique. (CAT) It is not required. If you choose to do so with a substantive post or response you will earn participation points. 

How would you handle a situation where a parent or guardian would not allow the child to answer any of the questions during a physical exam? 

Sample Answer for NRS-420 Topic 2 DQ 2

When a parent refuses to allow a child to answer questions during a physical exam, it’s essential to approach the matter with professionalism and sensitivity.  The most important factor to remember is to remain respectful while explaining the importance of the information you seek to gather for the provider. Ask the parents open questions regarding concerns they might have.  Acknowledge those concerns expressed and reassure them that the questions being asked are standard practice and aim to keep the child’s well-being the priority.  Education will always remain the key.  Let the parents know the purpose of every question being asked.  Assuring confidentiality and that the child’s answers are confidential and will not be shared with anyone without consent is an important step.  Remind the parents that you value their privacy, that there are no judgments, and that it is a safe space to speak freely.  When a parent continues to refuse to allow a child to answer questions, document every effort made and the continued refusal of the parent to let the child answer questions directly.  Empathy, professionalism, and respectful communication will help any nurse navigate this unique challenge.  The child’s well-being is the most important factor to remember (Marting, 2019).  

References 

Marting, R. (2019, January 1). Protecting Adolescent Patient Privacy: Four Key Questions. Family Practice Management, 26(1), 7–10 

Sample Answer for NRS-420 Topic 2 DQ 2

I couldn’t agree more with your assessment. Giant red flag that the parent wont let the child answer any questions. What most people are unaware of the child loves the one who is abusing them. So the approach must be clever and professional. First make the child feel comfortable. Reassure the child this isn’t their fault and all will be fine. Don’t interview the child or force the child to show you injuries. Most importantly don’t ask “why” questions this might confuse the child and and make the problem worse. If the nurse feels there is abuse they must contact CPS at once (Ramamoorthy,Meyers,2024). 

Reference: 

  https://familynurture.org/community-resources/talking-child-abused/#:~:text=Let%20her%20talk%20to%20you,is%20more%20comfortable%20talking%20about. 

Sample Answer for NRS-420 Topic 2 DQ 2

Navigating the delicate dynamics between healthcare professionals, patients, and their families requires a thoughtful approach, particularly when a guardian restricts a child’s participation during a physical exam. First and foremost, it’s crucial to respect the family’s wishes while ensuring the child’s well-being. Building trust with the guardian can often alleviate concerns, making them more amenable to allowing the child to engage in the examination process. 

One strategy is to employ effective communication techniques. This involves explaining the importance of the child’s input to the accuracy of the diagnosis and treatment plan. The American Academy of Pediatrics (2018) emphasizes the value of patient-centered communication, noting that children, even at a young age, can provide invaluable insights into their symptoms and experiences. 

Additionally, incorporating child-friendly language and demonstrations can demystify the examination process for both the child and guardian. This approach not only helps in reducing anxiety but also fosters a collaborative environment. Engaging the child in simple decisions during the exam, such as which arm to use for a blood pressure reading, can empower them and encourage participation. 

In cases where guardians remain hesitant, it’s essential to remain flexible and consider alternative assessment methods that might be less intimidating. For instance, observation and non-verbal cues can be incredibly telling in pediatric assessments  

Handling a situation where a guardian does not allow a child to participate in their physical exam requires a balance of respect, communication, and adaptability. By prioritizing the establishment of trust, employing effective communication strategies, and being receptive to non-traditional assessment methods, healthcare professionals can navigate these challenging scenarios effectively. 

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References: 

Chiocca, E. M. (2011). Advanced pediatric assessment. Wolters Kluwer Health/Lippincott Williams & Wilkins. 

Perry, S. E., Hockenberry, M. J., Lowdermilk, D. L., & Wilson, D. (2017). Maternal child nursing care (5th ed.). Mosby. 

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