Which communication technique should the nurse avoid when ...

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Which communication technique should the nurse avoid when interviewing children and their families?
 
  a. Using silence
  b. Using clichs
  c. Directing the focus
  d. Defining the problem

Question 2

Which is most likely to encourage parents to talk about their feelings related to their child's illness?
 
  a. Be sympathetic.
  b. Use direct questions.
  c. Use open-ended questions.
  d. Avoid periods of silence.

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Answer to Question 1

ANS: B
Using stereotyped comments or clichs can block effective communication, and this technique should be avoided. After use of such trite phrases, parents will often not respond. Silence can be an effective interviewing tool. Silence permits the interviewee to sort out thoughts and feelings and search for responses to questions. To be effective, the nurse must be able to direct the focus of the interview while allowing maximal freedom of expression. By using open-ended questions, along with guiding questions, the nurse can obtain the necessary information and maintain the relationship with the family. The nurse and parent must collaborate and define the problem that will be the focus of the nursing intervention.

Answer to Question 2

ANS: C
Closed-ended questions should be avoided when attempting to elicit parents' feelings. Open-ended questions require the parent to respond with more than a brief answer. Sympathy is having feelings or emotions in common with another person rather than understanding those feelings (empathy). Sympathy is not therapeutic in helping the relationship. Direct questions may obtain limited information. In addition, the parent may consider them threatening. Silence can be an effective interviewing tool. It allows sharing of feelings in which two or more people absorb the emotion in depth. Silence permits the interviewee to sort out thoughts and feelings and search for responses to questions.

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