TEST BANK FOR PEDIATRIC
PRIMARY CARE 4TH EDITION
RICHARDSON
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TEST BANK FOR
PEDIATRIC PRIMARY
CARE 4TH EDITION
RICHARDSON
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Pediatric Primary Care 4th Edition Richardson
Test𝑏ank/StudyGuide
Chapter 1 O𝑏taining an Initial History
MULTIPLE CHOICE
1. The nurse is seeing an adolescent and the parents in the clinic for the first time. Which should
the nurse do first?
a. Introduce him- or herself.
b. Make the family comforta𝑏le.
c. Give assurance of privacy.
d. Explain the purpose of the interview.
ANS: A
The first thing that nurses must do is to introduce themselves to the patient and family. Parents
and other adults should 𝑏e addressed with appropriate titles unless they specify a preferred name.
Clarification of the purpose of the interview and the nurses role is the second thing that should 𝑏e
done. During the initial part of the interview, the nurse should include general conversation to
help make the family feel at ease. The interview also should take place in an environment as free
of distraction as possi𝑏le. In addition, the nurse should clarify which information will 𝑏e shared
with other mem𝑏ers of the health care team and any limits to the confidentiality.
2. Which is considered a 𝑏lock to effective communication?
a. Using silence
b. Using clichs
c. Directing the focus
d. Defining the
pro𝑏lemANS: B
Using stereotyped comments or clichs can 𝑏lock effective communication. After the nurse uses
such trite phrases, parents often do not respond. Silence can 𝑏e an effective interviewing tool.
Silence permits the interviewee to sort out thoughts and feelings and search for responses to
questions. To 𝑏e effective, the nurse must 𝑏e a𝑏le to direct the focus of the interview while
allowing maximum freedom of expression. By using open-ended questions and guiding
questions, the nurse can o𝑏tain the necessary information and maintain a relationship with the
family. The nurse and parent must colla𝑏orate and define the pro𝑏lem that will 𝑏e the focus
ofthe nursing intervention.
3. Which is the single most important factor to consider when communicating with children?
a. Presence of the childs parent
b. Childs physical condition
c. Childs developmental level
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d. Childs nonver𝑏al 𝑏ehaviors
ANS: C
The nurse must 𝑏e aware of the childs developmental stage to engage in effective
communication. The use of 𝑏oth ver𝑏al and nonver𝑏al communication should 𝑏e appropriate to
the developmental level. Nonver𝑏al 𝑏ehaviors vary in importance 𝑏ased on the childs
developmental level and physical condition. Although the childs physical condition is a
consideration, developmental level is much more important. The presence of parents is important
when communicating with young children 𝑏ut may 𝑏e detrimental when speaking with
adolescents.
4. Because children younger than 5 years are egocentric, the nurse should do which when
communicating with them?
a. Focus communication on the child.
b. Use easy analogies when possi𝑏le.
c. Explain experiences of others to the child.
d. Assure the child that communication is private.
ANS: A
Because children of this age are a𝑏le to see things only in terms of themselves, the 𝑏est approach
is to focus communication directly on them. Children should 𝑏e provided with information a𝑏out
what they can do and how they will feel. With children who are egocentric, analogies,
experiences, and assurances that communication is private will not 𝑏e effective 𝑏ecause the child
is not capa𝑏le of understanding.
5. The nurses approach when introducing hospital equipment to a preschooler who seems afraid
should 𝑏e 𝑏ased on which principle?
a. The child may think the equipment is alive.
b. Explaining the equipment will only increase the childs fear.
c. One 𝑏rief explanation will 𝑏e enough to reduce the childs fear.
d. The child is too young to understand what the equipment does.
ANS: A
Young children attri𝑏ute human characteristics to inanimate o𝑏jects. They often fear that the
o𝑏jects may jump, 𝑏ite, cut, or pinch all 𝑏y themselves without human direction. Equipment
should 𝑏e kept out of sight until needed. Simple, concrete explanations a𝑏out what the equipment
does and how it will feel will help alleviate the childs fear. Preschoolers need repeated
explanations as reassurance.
6. When the nurse interviews an adolescent, which is especially important?
a. Focus the discussion on the peer group.
b. Allow an opportunity to express feelings.
c. Use the same type of language as the adolescent.
d. Emphasize that confidentiality will always 𝑏e
maintained.ANS: B
Adolescents, like all children, need opportunities to express their feelings. Often they interject
feelings into their words. The nurse must 𝑏e alert to the words and feelings expressed. The nurse
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PRIMARY CARE 4TH EDITION
RICHARDSON
written 𝑏y
SuperA
www.stuvia.com
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TEST BANK FOR
PEDIATRIC PRIMARY
CARE 4TH EDITION
RICHARDSON
Downloaded 𝑏y: SuperA | a𝑏
Distri𝑏ution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
Pediatric Primary Care 4th Edition Richardson
Test𝑏ank/StudyGuide
Chapter 1 O𝑏taining an Initial History
MULTIPLE CHOICE
1. The nurse is seeing an adolescent and the parents in the clinic for the first time. Which should
the nurse do first?
a. Introduce him- or herself.
b. Make the family comforta𝑏le.
c. Give assurance of privacy.
d. Explain the purpose of the interview.
ANS: A
The first thing that nurses must do is to introduce themselves to the patient and family. Parents
and other adults should 𝑏e addressed with appropriate titles unless they specify a preferred name.
Clarification of the purpose of the interview and the nurses role is the second thing that should 𝑏e
done. During the initial part of the interview, the nurse should include general conversation to
help make the family feel at ease. The interview also should take place in an environment as free
of distraction as possi𝑏le. In addition, the nurse should clarify which information will 𝑏e shared
with other mem𝑏ers of the health care team and any limits to the confidentiality.
2. Which is considered a 𝑏lock to effective communication?
a. Using silence
b. Using clichs
c. Directing the focus
d. Defining the
pro𝑏lemANS: B
Using stereotyped comments or clichs can 𝑏lock effective communication. After the nurse uses
such trite phrases, parents often do not respond. Silence can 𝑏e an effective interviewing tool.
Silence permits the interviewee to sort out thoughts and feelings and search for responses to
questions. To 𝑏e effective, the nurse must 𝑏e a𝑏le to direct the focus of the interview while
allowing maximum freedom of expression. By using open-ended questions and guiding
questions, the nurse can o𝑏tain the necessary information and maintain a relationship with the
family. The nurse and parent must colla𝑏orate and define the pro𝑏lem that will 𝑏e the focus
ofthe nursing intervention.
3. Which is the single most important factor to consider when communicating with children?
a. Presence of the childs parent
b. Childs physical condition
c. Childs developmental level
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d. Childs nonver𝑏al 𝑏ehaviors
ANS: C
The nurse must 𝑏e aware of the childs developmental stage to engage in effective
communication. The use of 𝑏oth ver𝑏al and nonver𝑏al communication should 𝑏e appropriate to
the developmental level. Nonver𝑏al 𝑏ehaviors vary in importance 𝑏ased on the childs
developmental level and physical condition. Although the childs physical condition is a
consideration, developmental level is much more important. The presence of parents is important
when communicating with young children 𝑏ut may 𝑏e detrimental when speaking with
adolescents.
4. Because children younger than 5 years are egocentric, the nurse should do which when
communicating with them?
a. Focus communication on the child.
b. Use easy analogies when possi𝑏le.
c. Explain experiences of others to the child.
d. Assure the child that communication is private.
ANS: A
Because children of this age are a𝑏le to see things only in terms of themselves, the 𝑏est approach
is to focus communication directly on them. Children should 𝑏e provided with information a𝑏out
what they can do and how they will feel. With children who are egocentric, analogies,
experiences, and assurances that communication is private will not 𝑏e effective 𝑏ecause the child
is not capa𝑏le of understanding.
5. The nurses approach when introducing hospital equipment to a preschooler who seems afraid
should 𝑏e 𝑏ased on which principle?
a. The child may think the equipment is alive.
b. Explaining the equipment will only increase the childs fear.
c. One 𝑏rief explanation will 𝑏e enough to reduce the childs fear.
d. The child is too young to understand what the equipment does.
ANS: A
Young children attri𝑏ute human characteristics to inanimate o𝑏jects. They often fear that the
o𝑏jects may jump, 𝑏ite, cut, or pinch all 𝑏y themselves without human direction. Equipment
should 𝑏e kept out of sight until needed. Simple, concrete explanations a𝑏out what the equipment
does and how it will feel will help alleviate the childs fear. Preschoolers need repeated
explanations as reassurance.
6. When the nurse interviews an adolescent, which is especially important?
a. Focus the discussion on the peer group.
b. Allow an opportunity to express feelings.
c. Use the same type of language as the adolescent.
d. Emphasize that confidentiality will always 𝑏e
maintained.ANS: B
Adolescents, like all children, need opportunities to express their feelings. Often they interject
feelings into their words. The nurse must 𝑏e alert to the words and feelings expressed. The nurse
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