Pediatrics Communicating with Families Exam 1

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  1. What are the four different types of communication?
    • Verbal
    • Non-Verbal (body language)
    • Abstract (play, art)
    • Paralanguage (pitch of voice)
  2. How do children respond to communication?
    • Young children are very adept to understanding non-verbal and paralanguage
    • Can sense anxiety and fear by the rise in pitch or accelerated rate of voice
    • Children respond attentively to a slow, even, steady voice
  3. What are some blocks to effective communication?
    • Closed ended yes/no questions
    • Prejudice or preconvieved ideas
    • Unaddressed fears of the child or caregiver
    • Child, parent or caregiver not being treated with respect
    • Insufficient information
    • Not answering minor questions, such as those related to diet
    • Failure to include parents in the care plan
    • Failure of the nurse to understand the parent-child relationship
    • Failure of the nurse to meet the developmental needs of the child
    • Failure to take into cultural aspects
  4. Describe some useful communication techniques for children
    • Use "I" messages
    • 3rd person technique
    • Storytelling
    • Bibliotherapy (through books)
    • "What if" questions
    • Three wishes questions
    • rating game
    • Touch
    • Writing
    • Drawing
    • Playing
  5. What theory is key in understanding effective communication with children?
  6. Describe how Infants communicate according to Erikson's developmental theory
    • Developing a sense of Trust
    • Rely on non-verbal communication
    • Respond to firm, gentle handing and quiet, calm speech
    • Use sensory soothing measures
    • Hold infants so that they can see their parents and keep frightening objects out of sight
    • Maintain crib as a safe place and do all invasive procedures in the procedure room
    • Model desired behavior as they imitate gestures
  7. How do Toddlers communicate according to Erikson's theory of development?
    • Toddlers are developing a sense of autonomy
    • Focus on themselves and cannot relate to other's feelings
    • Describe to them what they will see, hear, feel, touch, smell and let them examine things
    • Tell them what to do and what they can do. ¬†Offer choices when appropriate to allow to participate in care
    • Ignore negative behaviors and utilize distraction
    • Use short, simple language with concrete ideas as they will take things literally
  8. Describe how preschoolers communicate according to Erikson's theory of development
    • Continue to use simple terms and demonstrate use of equipment
    • Allow child to play with the equipment and offer choices when appropriate
    • Often view illness and hospitalization as form of punishment, emphasize that it is not
    • Involve in care whenever possible
  9. How do school age children communicate according to Erikson's theory of development?
    • Interested in functional aspects and wants an explanation and reason for everything
    • Use correct medical terms, anatomy and encourage questions
    • Allow to manipulate equipment, be responsible for simple tasks, and actively participate in cae
    • Include in decision making
  10. Describe how adolescents communicate according to Erikson's theory of development
    • Adolescents are developing a sense of Identity
    • Listen attentively and talk more freely
    • Avoid prying, embarrassing questions, passing judgement and giving advice
    • Give support, be attentive and try not to interrupt
    • Provide detailed explanations and involve them in the decision making
Card Set:
Pediatrics Communicating with Families Exam 1
2014-09-15 00:29:52
LCCC Nursing Pediatrics

For Gosselin's Exam 1
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