Assessing Depressed Behavior in School-Aged Children: A Reflective Approach

What is the best approach when assessing a school-aged child for depressed behavior?

a. "Tell me about yourself."
b. "Let's talk about what you do after school."
c. "Can you tell me what's making you so unhappy?"
d. "Why does your mother think that you're unhappy?"

Answer:

When assessing a school-aged child for depressed behavior, the nurse should initially begin with an open-ended question to encourage the child to express their feelings.

When assessing a school-aged child for signs of depression, it is crucial to approach the situation with sensitivity and empathy. Children may not always openly communicate their feelings, especially when experiencing emotional distress. By utilizing open-ended questions, the nurse can create a safe space for the child to share their thoughts and emotions.

Open-ended questions, such as "Tell me about yourself" or "Can you tell me what's making you so unhappy?" allow the child to express themselves freely without feeling pressured or judged. This approach helps the nurse gain valuable insights into the child's emotional state and potential underlying issues.

It is essential for the nurse to establish trust and rapport with the child during the assessment. By actively listening and showing empathy, the nurse can create a supportive environment where the child feels comfortable opening up about their feelings. Non-verbal cues and body language should also be observed to better understand the child's emotional well-being.

By beginning the assessment with open-ended questions, the nurse demonstrates a caring and understanding attitude towards the child, which can pave the way for a more in-depth conversation about their emotional health. It is important to approach the assessment process with patience and compassion, ensuring that the child feels heard and supported throughout the evaluation.