Communication and Physical Assessment of the Child and Family : Blocks to communication

Blocks to communication

  • Communication Barriers (Nurse)
    • Socializing
    • Giving unrestricted and sometimes unsought advice
    • Offering premature or inappropriate reassurance
    • Giving over-ready encouragement
    • Defending a situation or opinion
    • Using stereotyped comments or clichés
    • Limiting expression of emotion by asking directed, closed-ended questions
    • Interrupting and finishing the person’s sentence
    • Talking more than the interviewee
    • Forming prejudged conclusions
    • Deliberately changing the focus
  • Signs of Information Overload (Patient)
    • Long periods of silence
    • Wide eyes and fixed facial expression
    • Constant fidgeting or attempting to move away
    • Nervous habits (e.g., tapping, playing with hair)
    • Sudden interruptions (e.g., asking to go to the bathroom)
    • Looking around
    • Yawning, eyes drooping
    • Frequently looking at a watch or clock
    • Attempting to change the topic of discussion

Communicating with Children

  • Allow children time to feel comfortable
  • Avoid sudden or rapid advances, broad smiles, extended eye contact, and other gestures that may be threatening.
  • Talk to the parent if the child is initially shy.
  • Communicate through transition objects (such as, dolls, puppets, and stuffed animals) before questioning a young child directly.
  • Give older children the opportunity to talk without the parents’ present.
  • Assume a position that is at eye level with the child 
  • Speak in a quiet, unhurried, and confident voice.
  • Speak clearly, be specific, and use simple words and short sentences.
  • State directions and suggestions positively.
  • Offer a choice only when one exists.
  • Be honest with children.
  • Allow children to express their concerns and fears.
  • Use a variety of communication techniques.

Communicating with Adolescents

  • Build a Foundation
    • Spend time together.
    • Encourage expression of ideas and feelings.
    • Respect their views.
    • Tolerate differences.
    • Praise good points.
    • Respect their privacy.
    • Set a good example
    • Communicate Effectively
  • Give undivided attention.
    • Listen, listen, and listen.
    • Be courteous, calm, honest, and open-minded.
    • Try not to overreact. If you do, take a break.
    • Avoid judging or criticizing.
    • Avoid the “third degree” of continuous questioning.
    • Choose important issues when taking a stand.
    • After taking a stand:
    • Think through all options.
    • Make expectations clear


More Posts

Heart Attack Symptoms

Español Not all heart attacks begin with the sudden and crushing chest pain that comes when the blood flow to heart gets blocked. Heart attack

Sun Safety

Skin cancer is the most common cancer in the U.S. Too much sun can cause skin cancer. Spending time outside is a great way to

Leave Fireworks to the Experts

Summer is synonymous with barbecues, parades and fireworks. The National Safety Council advises everyone to enjoy fireworks at public displays conducted by professionals, and not