Reference no: EM133361242

Emily, a 3-year-old toddler, presents to the pediatrician's office for her yearly physical examination. Her mother and 6-year-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 T 98.6 P 122 R 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!"

For this activity, you will assume the role of the nurse in the above situation and explain how you would address each of the following questions.

How should the nurse proceed with the health interview?

What factors may affect communication with this patient?

What communication techniques would be appropriate for gathering the data needed to complete the health history?