Health interview

Health interview

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 are: Temp 98.6 oral, Pulse 122, Respirations 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!”
QUESTIONS TO SCENARIO ABOVE: (a) How should the nurse proceed with the health interview? (b) What factors may affect communication with this
patient? (c) What are the three phases of the interview process? Describe each phase of the interview process. (d) What communication techniques would be appropriate for
gathering the data needed to complete the health history?

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