Test Bank: Pediatric Primary Care: Practice Guidelines for
Nurses (5th Edition) by Beth Richardson – ISBN:
9781284248302 – All Chapters Included with Verified
Answers & Rationales
SECTION 1: CHILD HEALTH CARE
CHAPTER 1: OBTAINING AN INITIAL HISTORY
Question 1
The nurse is seeing an adolescent and the parents in the clinic for the first time. Which
should the nurse do first?
A. Make the family comfortable
B. Give assurance of privacy
C. Introduce him- or herself
D. Explain the purpose of the interview
Answer: C
, Rationale: 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 nurse's 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 .
Question 2
Which is considered a block to effective communication?
A. Using silence
B. Using clichés
C. Directing the focus
D. Defining the problem
Answer: B
Rationale: Using stereotyped comments or clichés 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 .
Question 3
Which is the single most important factor to consider when communicating with
children?
,A. Presence of the child's parent
B. Child's physical condition
C. Child's developmental level
D. Child's nonverbal behaviors
Answer: C
Rationale: The nurse must be aware of the child's 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 child's developmental level and physical condition.
Although the child's 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 .
Question 4
A 3-year-old child is being seen for the first time in the clinic. The nurse should:
A. Address all questions to the child
B. Address all questions to the parent
C. Include the child in the conversation while obtaining information from the parent
D. Separate the child from the parent for the interview
Answer: C
Rationale: For a preschool-aged child, the nurse should include the child in the
conversation while obtaining the primary history from the parent. This helps build
rapport with the child and allows observation of the child's behavior and
developmental level. Questions should be directed to the parent for factual
information, but the nurse should engage the child in age-appropriate
conversation .
, Question 5
The nurse is interviewing an adolescent. Which communication technique is most
effective?
A. Direct all questions to the parents first
B. Allow the adolescent to speak privately without the parent
C. Use medical jargon to establish credibility
D. Avoid asking about sensitive topics
Answer: B
Rationale: Adolescents need an opportunity to speak privately with the healthcare
provider. This promotes autonomy and allows for discussion of sensitive topics such
as sexual activity, substance use, and mental health concerns. The nurse should
explain confidentiality limits first, then interview the adolescent alone. Using
medical jargon is not appropriate; the nurse should use language the adolescent
can understand .
Question 6
A mother brings her 6-month-old infant to the clinic for a well-child visit. Which
information should the nurse include in the initial history?
A. Only the chief complaint
B. Family history and immunization status
C. Only the child's current symptoms
D. The mother's employment history only
Answer: B
Nurses (5th Edition) by Beth Richardson – ISBN:
9781284248302 – All Chapters Included with Verified
Answers & Rationales
SECTION 1: CHILD HEALTH CARE
CHAPTER 1: OBTAINING AN INITIAL HISTORY
Question 1
The nurse is seeing an adolescent and the parents in the clinic for the first time. Which
should the nurse do first?
A. Make the family comfortable
B. Give assurance of privacy
C. Introduce him- or herself
D. Explain the purpose of the interview
Answer: C
, Rationale: 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 nurse's 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 .
Question 2
Which is considered a block to effective communication?
A. Using silence
B. Using clichés
C. Directing the focus
D. Defining the problem
Answer: B
Rationale: Using stereotyped comments or clichés 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 .
Question 3
Which is the single most important factor to consider when communicating with
children?
,A. Presence of the child's parent
B. Child's physical condition
C. Child's developmental level
D. Child's nonverbal behaviors
Answer: C
Rationale: The nurse must be aware of the child's 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 child's developmental level and physical condition.
Although the child's 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 .
Question 4
A 3-year-old child is being seen for the first time in the clinic. The nurse should:
A. Address all questions to the child
B. Address all questions to the parent
C. Include the child in the conversation while obtaining information from the parent
D. Separate the child from the parent for the interview
Answer: C
Rationale: For a preschool-aged child, the nurse should include the child in the
conversation while obtaining the primary history from the parent. This helps build
rapport with the child and allows observation of the child's behavior and
developmental level. Questions should be directed to the parent for factual
information, but the nurse should engage the child in age-appropriate
conversation .
, Question 5
The nurse is interviewing an adolescent. Which communication technique is most
effective?
A. Direct all questions to the parents first
B. Allow the adolescent to speak privately without the parent
C. Use medical jargon to establish credibility
D. Avoid asking about sensitive topics
Answer: B
Rationale: Adolescents need an opportunity to speak privately with the healthcare
provider. This promotes autonomy and allows for discussion of sensitive topics such
as sexual activity, substance use, and mental health concerns. The nurse should
explain confidentiality limits first, then interview the adolescent alone. Using
medical jargon is not appropriate; the nurse should use language the adolescent
can understand .
Question 6
A mother brings her 6-month-old infant to the clinic for a well-child visit. Which
information should the nurse include in the initial history?
A. Only the chief complaint
B. Family history and immunization status
C. Only the child's current symptoms
D. The mother's employment history only
Answer: B
