Informal communication is more unofficial than formal communication within organizations. People gossip. Employees complain about their boss. People talk about their favorite sports teams. Work teams tell newcomers how to get by. The grapevine is the social network which is problematic within organizations and must be ‘nipped in the bud’ under all circumstances.

A 15-year-old pregnant female comes to a clinic for their first prenatal visit with a health care provider. How should the nurse obtain consent for the client to be examined? 

The nurse is caring for a child in the emergency department. The child’s arm is abnormally positioned, and the child is crying with pain as they hold their arm. The child’s parents explain that the child fell off a bicycle when riding on the street. What is the priority nursing intervention for this client?

What is the most important factor for the nurse to consider when communicating with a child?

The nurse is performing a developmental assessment on a 12-month old child. What findings indicate the child is developing appropriately? (Select all that apply)

The nurse is teaching the parent of a 3-year old child about home safety measures to prevent accidental poisonings. Which statement made by the parent would indicate a need for further instruction?

During a well child visit, the parent of a 8-month old infant states “Even if he is playing with a toy, he cries as soon as he notices I have left the room.” Which response by the nurse is most appropriate?

Which assessment question would be most appropriate for the nurse to ask when communicating with a 5-year old child who disclosed sexual abuse?

The nurse is caring for a 4-week old infant who is experiencing pain. What nonpharmacological pain intervention would be most appropriate for this client?

A parent needs to leave their hospitalized 9-month old child for a short period of time. What coping strategy for the child would be most appropriate for the nurse to recommend to the parent?