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.
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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Write My Essay For MeInitial 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 GCU.
Sample AI Generated Approach for Guidance
When communicating with a child between the ages of 3 and 12 during a physical assessment, it’s essential to adapt your approach based on their developmental stage, level of understanding, and emotional needs. Here’s how I would tailor my communication and engagement strategies:
1. Establish Trust & Reduce Anxiety
- Use a calm, friendly tone – Smile, kneel to their eye level, and introduce myself in a warm, non-threatening way.
- Explain who you are and what you’ll do – “Hi! I’m Nurse [Name]. I’m here to check how your body is doing. Can we be a team today?”
- Acknowledge feelings – “It’s okay to feel a little nervous. Some kids feel that way too. You’re doing great!”
2. Use Age-Appropriate Language
- For younger children (3-5 years old):
- Use simple, concrete terms (e.g., “I’m going to listen to your heart with this magic stick!” instead of “I need to auscultate your chest”).
- Offer choices when possible – “Do you want to sit on the bed or on your parent’s lap first?”
- For school-age children (6-12 years old):
- Explain steps in a clear but more detailed way – “This light helps me see inside your ears to make sure everything looks healthy.”
- Involve them in the process – “Can you take a big deep breath like you’re blowing up a balloon?”
3. Engage Through Play & Distraction
- Incorporate play – Let them hold or explore safe medical tools (e.g., touch the stethoscope first, listen to their teddy bear’s “heartbeat”).
- Use pretend play – “Let’s pretend your arm is a superhero, and I need to check its power!”
- Distraction techniques – Ask about their favorite toy, show, or game. Sing a song, count together, or use a light-up toy to redirect attention during uncomfortable parts.
4. Encourage Participation & Praise
- Give them a role – “You’re the helper today! Can you hold this for me?”
- Offer praise & rewards – “Wow, you’re such a great listener! High five!” Stickers or small rewards can reinforce cooperation.
- Use humor – Make a silly face or joke to ease tension (“Does your tummy ever do the dinosaur growl?”).
5. Involve Parents/Caregivers
- Younger children may feel safer with a parent holding them.
- Older children may want to show independence, so ask, “Would you like your mom/dad to stay close, or are you okay with me checking you on your own?”
6. Be Observant & Adapt
- Watch for nonverbal cues (fidgeting, hiding) and adjust your approach.
- If a child resists, pause and try again later rather than forcing compliance.
By making the experience interactive, reassuring, and fun, you can build trust, reduce fear, and encourage cooperation during the assessment.
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Also Read: NRS 420 Topic 2 Developmental Assessment and the School-Aged Child
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