The nurse is conducting a health history for the family of a ...

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The nurse is conducting a health history for the family of a 3-year-old child. Which statements or questions by the nurse would establish rapport and elicit an accurate response from the family? Select all that apply.
 
  1. Hello, I would like to talk with you and get some information on you and your child.
  2. Does any member of your family have a history of asthma, heart disease, or diabetes?
  3. Tell me about the concerns that brought you to the clinic today.
  4. You will need to fill out these forms; make sure that the information is as complete as possible.
  5. Asking the child, What is your doll's name?

Question 2

The nurse manager of the neonatal intensive care unit is preparing a handout for new parents. Which statement should the nurse include?
 
  1. Neonates have a tendency to become dehydrated.
  2. Sugar is always present in the urine of a newborn.
  3. The kidneys are fully functional by 30 weeks' gestation.
  4. Newborns can eliminate excess fluid as quickly as an adult.

[pallen55]

Answer to Question 1

3, 5
Explanation:
1. Introducing self before asking the parents for information is likely to establish rapport, but it does not give the nurse an understanding of the parents' perceptions.
2. Beginning with a question about family history of diseases does not establish rapport.
3. Asking the parents to talk about their concerns is an open-ended question, and one that will establish rapport and give the nurse an understanding of the parents' perceptions.
4. Simply asking the parents to fill out forms is very impersonal, and more information is likely to be obtained and clarified by the nurse directing the interview.
5. Including the child in the health history process by asking the name of the doll is aquestion from the nurse that establishes rapport.

Answer to Question 2

1
Explanation:
1. Neonates cannot concentrate their urine or pull water back into the vascular volume, and thus can become dehydrated easily.
2. Glucose is not identified as always being present in the urine of a newborn.
3. Full nephron function does not develop until 34 to 36 weeks.
4. Newborns have difficulty eliminating excess fluid because of their relatively low glomerular filtration rate during the first 2 weeks of life.