Question

Emily, a 3-year-old toddler, presents to the pediatrician's office for her yearly physical. Her mother and 6-month-old brother accompany her. Emily's brother was seen first for immunizations and a checkup, and now it is Emily's turn for an exam and immunization check. The nurse notes that Emily's immunizations are up-to-date (she received the pneumonia vaccine in the fall, as well as her yearly flu shot). Emily's mother reports that her daughter is doing well in preschool and has had no illnesses since the last visit. Vital signs: T 98.6 P 122 R 20 BP 90/40. Emily is clinging to her mother; she is visibly upset, crying and shouting, "Please don't let them give me boo boo shot!"

How should the nurse proceed with the health interview?

What factors may affect communication with this patient?

What are the three phases of the interview process?

What communication techniques would be appropriate for gathering the data needed to complete the health history?

Provide Answers in an APA formatted paper. 

Answer 1

1.Nurse can first calm the child by saying that there is no need to get a boo boo shot this time.Nurse knows that child's immunization is upto date so she is telling the truth about not getting the shot and calm the child.

2.Factors affect the communication is that patient is a three old toddler and she has previous experience about the shot and she remembers the pain from the incident so it may effect the communication.And nurse don't interact daily with the patient and the patient may not trust the nurse and may think that she is lying and will give her a shot.

3.The three phases of interview is

Introduction phase.

In this phase introduces herself and explain the reason for the interview and makes the client comfortable and assures that the information discussed will be confidential.

Working phase.

Asks information about patients lifestyle, health history, family history, concerns,health problems and uses critical thinking and makes the information obtained from client.

Summary

Explains the information and the discusses the problems and ways to resolve the problems and makes plans.And asks if they have any others helath related concerns.

4.Listening with attention and asking open ended questions, encouragement and summarising the information given by client.