The nurse is assessing a child who is suspected to have suffered child abuse. Which of the following statements demonstrate therapeutic communication when interacting with the child?
"You can tell me what happened, I won't tell anyone."
"Who did this to you?, I need to know."
"Your mother should have protected you from this!"
"This is not your fault: you are not to blame for this."
The Correct Answer is D
A. This statement is not appropriate as the nurse is required to report any suspected abuse and cannot promise confidentiality.
B. This statement is too direct and may make the child feel uncomfortable or threatened.
C. This statement places blame and is not supportive or therapeutic.
D. Reassuring the child that they are not to blame is supportive and helps to build trust.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Showing pictures may not be as effective for a 4-year-old to understand the procedure and what to expect.
B. A cartoon video may not accurately depict the procedure and could create unrealistic expectations.
C. Using a doll with a sternal incision and dressing helps the child visualize and understand what will happen, making the experience less frightening.
D. Avoiding the mention of post-operative discomfort and interventions can lead to mistrust and anxiety; it's important to provide age-appropriate explanations.
Correct Answer is D
Explanation
A. This statement is not appropriate as the nurse is required to report any suspected abuse and cannot promise confidentiality.
B. This statement is too direct and may make the child feel uncomfortable or threatened.
C. This statement places blame and is not supportive or therapeutic.
D. Reassuring the child that they are not to blame is supportive and helps to build trust.
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