Evaluation for Family Vehemence

Evaluation for Family Vehemence

Introduction

From the above analysis, the growth and development stage of the clients should be taken into consideration. In regards to Piaget’s stages of cognitive development, the client is under the concrete operational stage (7-11 years). Generally, the individuals under the mentioned stage learn to reason in given situations. (Weber & Kelley, 2018) They consider the thoughts and ideas of other people and start to reason about what they see in the environment.

First, I would take the client (Elizabeth) together with the mother in a quiet place where nobody apart from the can listen to the whole discussion. It is also essential to ensure that the home is comfortable free nice, and a favorable temperature. I would start talking while maintaining a good mood, quiet tone, and be relaxed with the primary intention of making the client feel free (Weber & Kelley, 2018). I would start asking the two to the center and be very keen on taking notes of Elizabeth’s reaction (anxious or afraid). I would converse directly to Elizabeth and assure her unwavering safety. I would also confirm that the concerned nurses and doctors are ready to assist her in case something goes wrong. Using the technique of open-ended questions, I would allow for additional time for the mother and client (Elizabeth) to answer each time. I would take that opportunity to assess the actions of Elizabeth and determine if there is any sign of fear. I would ask her if it fine talking with her mother from her presence. I would also tell her that another nurse will come to talk about her while the mother is away. I would alert the other nurse of the issue and ask her to sit with the client while I am attending to the mother. I would take the opportunity to ask for the mother why she came in and explain to her that I would require a report finding of abuse of Elizabeth’s safety.

I would evaluate for any developmental or school concerns with the client, bullying, or family history of substance abuse. I would return to the client and ask her if she should want to talk to me or with her mom. It should be noted that some children feel safe talking in the presence of their parents.

I should note that at the time, she may not speak freely. Therefore I will use my judgment on that incidence. If she becomes fearful in the parent’s presence, then I would ask the mother to give some time and then process to ask her the questions, hoping that Elizabeth will explain what happened. In case she is comfortable with the mother’s presence, I will ask her if she has even been hurt in the family or if she feels safe. In the analysis, I would use the open-ended questions or questions with answer choices. I would use playing with the doll (assuming that she carried one with her) and ask her to show where she hurts with the doll. I would also ask her to draw a picture of what happened.

Some teenagers feel comfortable when using toys or drawing what happened after an act of violence. I might consider the idea of asking the services of a social worker to come and converse with the client or the mother. It would depend on the answer I get from the mother and client. I would notify the concerned doctor of the events to complete a physical exam for healing injuries, present injuries, and further evaluate the situation (Jordan & Steelman, 2015, p. 112). All healthcare providers must maintain an attitude of awareness and open aptitude for suspicions for illness and injuries as a result of maltreatment for recognition.

Personally, it will be a challenging situation for me, and this explains why I always shy from working in emergency care and pediatrics in my profession.  I am still affected by cases of child abuse, and I face difficulties controlling my emotions on the matter. I would struggle in maintaining a calm demeanor to keep trust with the parent, and I would alert the doctor of the issue and the situation of the matter.

During the interview of a child, it is crucial to take into account the state of the growth and development, for example, any possible disability that troubles the child.  Children with speech delay may make it difficult for the children to explain themselves fully. In this situation, the nurse will have to use the picture board, playing and asking the child to narrate what happened and which place in his body is hurting. They should not be coerced or given rewards for them to provide definite answers (Weber & Kelley, 2018).  Maintaining patient safety is paramount, and medical teams should be ready to assist victims. Using open-ended questions will automatically allow more time for the child to respond.