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,Chapter 1 Obtaining an Initial History
V! V! V! V! V!
MULTIPLE CHOICE V!
1. The nurse is seeing an adolescent and the parents in the clinic for the first time. Which sho
V! V! V! V! V! V! V! V! V! V! V! V! V! V! V! V! V!
uld the nurse do first?
V! V! V! V!
a. Introduce him- or herself. V! V! V!
b. Make the family comfortable. V! V! V!
c. Give assurance of privacy. V! V! V!
d. Explain the purpose of the interview V! V! V! V! V!
. ANS: A
V! V!
The first thing that nurses must do is to introduce themselves to the patient and family. Paren
V! V! V! V! V! V! V! V! V! V! V! V! V! V! V! V!
ts and other adults should be addressed with appropriate titles unless they specify a preferred
V! V! V! V! V! V! V! V! V! V! V! V! V! V! V!
name. Clarification of the purpose of the interview and the nurses role is the second thing that
V! V! V! V! V! V! V! V! V! V! V! V! V! V! V! V! V
should be done. During the initial part of the interview, the nurse should include general con
! V! V! V! V! V! V! V! V! V! V! V! V! V! V! V!
versation to help make the family feel at ease. The interview also should take place in an env
V! V! V! V! V! V! V! V! V! V! V! V! V! V! V! V! V!
ironment as free of distraction as possible. In addition, the nurse should clarify which inform
V! V! V! V! V! V! V! V! V! V! V! V! V! V!
ation will be shared with other members of the health care team and any limits to the confide
V! V! V! V! V! V! V! V! V! V! V! V! V! V! V! V! V!
ntiality.
2. Which is considered a block to effective communication?
V! V! V! V! V! V! V!
a. Using silence V!
b. Using clichs V!
c. Directing the focus V! V!
d. Defining the problem V! V!
ANS: B
V! V!
Using stereotyped comments or clichs can block effective communication. After the nurse uses
V! V! V! V! V! V! V! V! V! V! V! V!
such trite phrases, parents often do not respond. Silence can be an effective interviewing to
V! V! V! V! V! V! V! V! V! V! V! V! V! V!
ol. Silence permits the interviewee to sort out thoughts and feelings and search for respons
V! V! V! V! V! V! V! V! V! V! V! V! V! V!
es to questions. To be effective, the nurse must be able to direct the focus of the interview
V! V! V! V! V! V! V! V! V! V! V! V! V! V! V! V! V! V
while allowing maximum freedom of expression. By using open-
! V! V! V! V! V! V! V! V!
ended questions and guiding questions, the nurse can obtain the necessary information and
V! V! V! V! V! V! V! V! V! V! V! V! V!
maintain a relationship with the family. The nurse and parent must collaborate and define th
V! V! V! V! V! V! V! V! V! V! V! V! V! V!
e problem that will be the focus of the nursing intervention.
V! V! V! V! V! V! V! V! V! V!
3. Which is the single most important factor to consider when communicating with children?
V! V! V! V! V! V! V! V! V! V! V! V!
a. Presence of the childs parent V! V! V! V!
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,Chapter 1 Obtaining an Initial History
V! V! V! V! V!
MULTIPLE CHOICE V!
1. The nurse is seeing an adolescent and the parents in the clinic for the first time. Which sho
V! V! V! V! V! V! V! V! V! V! V! V! V! V! V! V! V!
uld the nurse do first?
V! V! V! V!
a. Introduce him- or herself. V! V! V!
b. Make the family comfortable. V! V! V!
c. Give assurance of privacy. V! V! V!
d. Explain the purpose of the interview V! V! V! V! V!
. ANS: A
V! V!
The first thing that nurses must do is to introduce themselves to the patient and family. Paren
V! V! V! V! V! V! V! V! V! V! V! V! V! V! V! V!
ts and other adults should be addressed with appropriate titles unless they specify a preferred
V! V! V! V! V! V! V! V! V! V! V! V! V! V! V!
name. Clarification of the purpose of the interview and the nurses role is the second thing that
V! V! V! V! V! V! V! V! V! V! V! V! V! V! V! V! V
should be done. During the initial part of the interview, the nurse should include general con
! V! V! V! V! V! V! V! V! V! V! V! V! V! V! V!
versation to help make the family feel at ease. The interview also should take place in an env
V! V! V! V! V! V! V! V! V! V! V! V! V! V! V! V! V!
ironment as free of distraction as possible. In addition, the nurse should clarify which inform
V! V! V! V! V! V! V! V! V! V! V! V! V! V!
ation will be shared with other members of the health care team and any limits to the confide
V! V! V! V! V! V! V! V! V! V! V! V! V! V! V! V! V!
ntiality.
2. Which is considered a block to effective communication?
V! V! V! V! V! V! V!
a. Using silence V!
b. Using clichs V!
c. Directing the focus V! V!
d. Defining the problem V! V!
ANS: B
V! V!
Using stereotyped comments or clichs can block effective communication. After the nurse uses
V! V! V! V! V! V! V! V! V! V! V! V!
such trite phrases, parents often do not respond. Silence can be an effective interviewing to
V! V! V! V! V! V! V! V! V! V! V! V! V! V!
ol. Silence permits the interviewee to sort out thoughts and feelings and search for respons
V! V! V! V! V! V! V! V! V! V! V! V! V! V!
es to questions. To be effective, the nurse must be able to direct the focus of the interview
V! V! V! V! V! V! V! V! V! V! V! V! V! V! V! V! V! V
while allowing maximum freedom of expression. By using open-
! V! V! V! V! V! V! V! V!
ended questions and guiding questions, the nurse can obtain the necessary information and
V! V! V! V! V! V! V! V! V! V! V! V! V!
maintain a relationship with the family. The nurse and parent must collaborate and define th
V! V! V! V! V! V! V! V! V! V! V! V! V! V!
e problem that will be the focus of the nursing intervention.
V! V! V! V! V! V! V! V! V! V!
3. Which is the single most important factor to consider when communicating with children?
V! V! V! V! V! V! V! V! V! V! V! V!
a. Presence of the childs parent V! V! V! V!
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