Introduction
Introduction ( 5 Questions)
A nurse is interviewing a child who is suspected of being sexually abused by a family member. The child is reluctant to talk and appears fearful. Which of the following statements by the nurse is most likely to elicit a response from the child?
Reason: Telling the child that the nurse will not tell anyone what the child says is an inappropriate statement that the nurse should avoid, as it implies that the nurse is hiding something and may break the trust and rapport with the child. The nurse should also inform the child that some information may need to be shared with other professionals who can help the child.
Reason: Telling the child that the child did nothing wrong and is not to blame for what happened is an appropriate statement that the nurse should include in the therapeutic communication with the child, as it helps to reduce guilt and shame and restore self-esteem and self-worth. However, it is not the most likely statement to elicit a response from the child, as it may be too direct or confrontational for a child who is reluctant to talk and appears fearful.
Reason: Telling the child that the child is safe and no one can hurt the child anymore is an appropriate statement that the nurse should include in the therapeutic communication with the child, as it helps to reduce anxiety and fear and promote a sense of security and safety. However, it is not the most likely statement to elicit a response from the child, as it may be too reassuring or unrealistic for a child who is reluctant to talk and appears fearful.
Reason: Praising the child for being brave and expressing pride for talking to the nurse is an appropriate statement that the nurse should include in the therapeutic communication with
the child, as it helps to increase confidence and motivation and encourage further disclosure. It is also the most likely statement to elicit a response from the child, as it acknowledges the difficulty and courage of talking about abuse and shows respect and appreciation for the child's efforts.
Choice A Reason: Telling the child that the nurse will not tell anyone what the child says is an inappropriate statement that the nurse should avoid, as it implies that the nurse is hiding something and may break the trust and rapport with the child. The nurse should also inform the child that some information may need to be shared with other professionals who can help the child.
Choice B Reason: Telling the child that the child did nothing wrong and is not to blame for what happened is an appropriate statement that the nurse should include in the therapeutic communication with the child, as it helps to reduce guilt and shame and restore self-esteem and self-worth. However, it is not the most likely statement to elicit a response from the child, as it may be too direct or confrontational for a child who is reluctant to talk and appears fearful.
Choice C Reason: Telling the child that the child is safe and no one can hurt the child anymore is an appropriate statement that the nurse should include in the therapeutic communication with the child, as it helps to reduce anxiety and fear and promote a sense of security and safety. However, it is not the most likely statement to elicit a response from the child, as it may be too reassuring or unrealistic for a child who is reluctant to talk and appears fearful.
Choice D Reason: Praising the child for being brave and expressing pride for talking to the nurse is an appropriate statement that the nurse should include in the therapeutic communication with the child, as it helps to increase confidence and motivation and encourage further disclosure. It is also the most likely statement to elicit a response from the child, as it acknowledges the difficulty and courage of talking about abuse and shows respect and appreciation for the child's efforts.