Test Bank for Pediatric Primary Care: Practice Guidelines for Nurses:
Practice Guidelines for Nurses 5th Edition All Chapters | Complete
Guide A+
, TEST BANK FOR PEDIATRIC PRIMARY CARE 5TH EDITION
f f f f f f f
RICHARDSON f
Well fElaborated fQuestions f& fAnswers
Chapter f1 fObtaining fan fInitial fHistory
MULTIPLE fCHOICE
1. The fnurse fis fseeing fan fadolescent fand fthe fparents fin fthe fclinic ffor fthe ffirst ftime. fWhich
fshould fthe fnurse fdo ffirst?
a. Introduce fhim- for fherself.
b. Make fthe ffamily fcomfortable.
c. Give fassurance fof fprivacy.
d. Explain fthe fpurpose fof fthe finterview.
fANS: fA
The ffirst fthing fthat fnurses fmust fdo fis fto fintroduce fthemselves fto fthe fpatient fand ffamily. fParents
fand fother fadults fshould fbe faddressed fwith fappropriate ftitles funless fthey fspecify fa fpreferred
fname. fClarification fof fthe fpurpose fof fthe finterview fand fthe fnurses frole fis fthe fsecond fthing fthat
fshould fbe fdone. fDuring fthe finitial fpart fof fthe finterview, fthe fnurse fshould finclude fgeneral
fconversation fto fhelp fmake fthe ffamily ffeel fat fease. fThe finterview falso fshould ftake fplace fin fan
fenvironment fas ffree fof fdistraction fas fpossible. fIn faddition, fthe fnurse fshould fclarify fwhich
finformation fwill fbe fshared fwith fother fmembers fof fthe fhealth fcare fteam fand fany flimits fto fthe
fconfidentiality.
2. Which fis fconsidered fa fblock fto feffective fcommunication?
a. Using fsilence
b. Using fclichs
c. Directing fthe ffocus
d. Defining fthe fproblem
fANS: fB
Using fstereotyped fcomments for fclichs fcan fblock feffective fcommunication. fAfter fthe fnurse fuses
such ftrite fphrases, fparents foften fdo fnot frespond. fSilence fcan fbe fan feffective finterviewing ftool.
fSilence fpermits fthe finterviewee fto fsort fout fthoughts fand ffeelings fand fsearch ffor fresponses fto
fquestions. fTo fbe feffective, fthe fnurse fmust fbe fable fto fdirect fthe ffocus fof fthe finterview fwhile
fallowing fmaximum ffreedom fof fexpression. fBy fusing fopen-ended fquestions fand fguiding
fquestions, fthe fnurse fcan fobtain fthe fnecessary finformation fand fmaintain fa frelationship fwith fthe
ffamily. fThe fnurse fand fparent fmust fcollaborate fand fdefine fthe fproblem fthat fwill fbe fthe ffocus fof
fthe fnursing fintervention.
3. Which fis fthe fsingle fmost fimportant ffactor fto fconsider fwhen fcommunicating fwith fchildren?
a. Presence fof fthe fchilds fparent
b. Childs fphysical fcondition
c. Childs fdevelopmental flevel
d. Childs fnonverbal fbehaviorsANS: fC
The fnurse fmust fbe faware fof fthe fchilds fdevelopmental fstage fto fengage fin feffective
fcommunication. fThe fuse fof fboth fverbal fand fnonverbal fcommunication fshould fbe fappropriate fto
fthe fdevelopmental flevel. fNonverbal fbehaviors fvary fin fimportance fbased fon fthe fchilds
fdevelopmental flevel fand fphysical fcondition. fAlthough fthe fchilds fphysical fcondition fis fa
fconsideration, fdevelopmental flevel fis fmuch fmore fimportant. fThe fpresence fof fparents fis
fimportant fwhen fcommunicating fwith fyoung fchildren fbut fmay fbe fdetrimental fwhen fspeaking
fwith fadolescents.
Med 4. Because fchildren fyounger fthan f5 fyears fare fegocentric, fthe fnurse fshould fdo fwhich fwhen
fC
, communicating fwith fthem?
a. Focus fcommunication fon fthe fchild.
b. Use feasy fanalogies fwhen fpossible.
c. Explain fexperiences fof fothers fto fthe fchild.
d. Assure fthe fchild fthat fcommunication fis fprivate.
fANS: fA
Because fchildren fof fthis fage fare fable fto fsee fthings fonly fin fterms fof fthemselves, fthe fbest fapproach
is fto ffocus fcommunication fdirectly fon fthem. fChildren fshould fbe fprovided fwith finformation
fabout fwhat fthey fcan fdo fand fhow fthey fwill ffeel. fWith fchildren fwho fare fegocentric, fanalogies,
fexperiences, fand fassurances fthat fcommunication fis fprivate fwill fnot fbe feffective fbecause fthe
fchild fis fnot fcapable fof funderstanding.
5. The fnurses fapproach fwhen fintroducing fhospital fequipment fto fa fpreschooler fwho fseems
fafraid fshould fbe fbased fon fwhich fprinciple?
a. The fchild fmay fthink fthe fequipment fis falive.
b. Explaining fthe fequipment fwill fonly fincrease fthe fchilds ffear.
c. One fbrief fexplanation fwill fbe fenough fto freduce fthe fchilds ffear.
d. The fchild fis ftoo fyoung fto funderstand fwhat fthe fequipment fdoes.
fANS: fA
Young fchildren fattribute fhuman fcharacteristics fto finanimate fobjects. fThey foften ffear fthat fthe
objects fmay fjump, fbite, fcut, for fpinch fall fby fthemselves fwithout fhuman fdirection. fEquipment
fshould fbe fkept fout fof fsight funtil fneeded. fSimple, fconcrete fexplanations fabout fwhat fthe
fequipment fdoes fand fhow fit fwill ffeel fwill fhelp falleviate fthe fchilds ffear. fPreschoolers fneed
frepeated fexplanations fas freassurance.
6. When fthe fnurse finterviews fan fadolescent, fwhich fis fespecially fimportant?
a. Focus fthe fdiscussion fon fthe fpeer fgroup.
b. Allow fan fopportunity fto fexpress ffeelings.
c. Use fthe fsame ftype fof flanguage fas fthe fadolescent.
d. Emphasize fthat fconfidentiality fwill falways fbe fmaintained.
fANS: fB
Adolescents, flike fall fchildren, fneed fopportunities fto fexpress ftheir ffeelings. fOften fthey finterject
feelings finto ftheir fwords. fThe fnurse fmust fbe falert fto fthe fwords fand ffeelings fexpressed. fThe fnurse
Med fC
, Stuvia.com f- fThe fMarketplace fto fBuy fand fSell fyour fStudy
fMaterial
should fmaintain fa fprofessional frelationship fwith fadolescents. fTo favoid fmisunderstanding for
fmisinterpretation fof fwords fand fphrases fused, fthe fnurse fshould fclarify fthe fterms fused, fwhat
finformation fwill fbe fshared fwith fother fmembers fof fthe fhealth fcare fteam, fand fany flimits fto
fconfidentiality. fAlthough fthe fpeer fgroup fis fimportant fto fthis fage fgroup, fthe finterview fshould
ffocus fon fthe fadolescent.
7. The fnurse fis fpreparing fto fassess fa f10-month-old finfant. fHe fis fsitting fon fhis ffathers flap
fand fappears fto fbe fafraid fof fthe fnurse fand fof fwhat fmight fhappen fnext. fWhich finitial factions
fby fthe fnurse fshould fbe fmost fappropriate?
a. Initiate fa fgame fof fpeek-a-boo.
b. Ask fthe finfants ffather fto fplace fthe finfant fon fthe fexamination ftable.
c. Talk fsoftly fto fthe finfant fwhile ftaking fhim ffrom fhis ffather.
d. Undress fthe finfant fwhile fhe fis fstill fsitting fon fhis ffathers
flap. fANS: fA
Peek-a-boo fis fan fexcellent fmeans fof finitiating fcommunication fwith finfants fwhile fmaintaining fa
safe, fnonthreatening fdistance. fThe fchild fwill fmost flikely fbecome fupset fif fseparated ffrom fhis
ffather. fAs fmuch fof fthe fassessment fas fpossible fshould fbe fdone fwith fthe fchild fon fthe ffathers flap.
fThe fnurse fshould fhave fthe ffather fundress fthe fchild fas fneeded fduring fthe fexamination.
8. An f8-year-old fgirl fasks fthe fnurse fhow fthe fblood fpressure fapparatus fworks. fThe fmost
fappropriate fnursing faction fis fwhich?
a. Ask fher fwhy fshe fwants fto fknow.
b. Determine fwhy fshe fis fso fanxious.
c. Explain fin fsimple fterms fhow fit fworks.
d. Tell fher fshe fwill fsee fhow fit fworks fas fit fis
fused. fANS: fC
School-age fchildren frequire fexplanations fand freasons ffor feverything. fThey fare finterested fin fthe
functional faspect fof fall fprocedures, fobjects, fand factivities. fIt fis fappropriate ffor fthe fnurse fto
fexplain fhow fequipment fworks fand fwhat fwill fhappen fto fthe fchild fso fthat fthe fchild fcan fthen
fobserve fduring fthe fprocedure. fThe fnurse fshould frespond fpositively ffor frequests ffor finformation
fabout fprocedures fand fhealth finformation. fBy fnot fresponding, fthe fnurse fmay fbe flimiting
fcommunication fwith fthe fchild. fThe fchild fis fnot fexhibiting fanxiety fin fasking fhow fthe fblood
fpressure fapparatus fworks, fjust frequesting fclarification fof fwhat fwill foccur.
9. The fnurse fis fhaving fdifficulty fcommunicating fwith fa fhospitalized f6-year-old fchild.
fWhich ftechnique fshould fbe fmost fhelpful?
a. Recommend fthat fthe fchild fkeep fa fdiary.
b. Provide fsupplies ffor fthe fchild fto fdraw fa fpicture.
c. Suggest fthat fthe fparent fread ffairy ftales fto fthe fchild.
d. Ask fthe fparent fif fthe fchild fis falways funcommunicative.
fANS: fB
Drawing fis fone fof fthe fmost fvaluable fforms fof fcommunication. fChildrens fdrawings ftell fa fgreat
deal fabout fthem fbecause fthey fare fprojections fof fthe fchildrens finner fself. fA fdiary fshould fbe
fdifficult ffor fa f6-year-old fchild, fwho fis fmost flikely flearning fto fread. fThe fparent freading ffairy
ftales fto fthe fchild fis fa fpassive factivity finvolving fthe fparent fand fchild; fit fshould fnot ffacilitate
Downloaded fby: fYongsam f|
fDistribution fof fthis fdocument fis fillegal
Practice Guidelines for Nurses 5th Edition All Chapters | Complete
Guide A+
, TEST BANK FOR PEDIATRIC PRIMARY CARE 5TH EDITION
f f f f f f f
RICHARDSON f
Well fElaborated fQuestions f& fAnswers
Chapter f1 fObtaining fan fInitial fHistory
MULTIPLE fCHOICE
1. The fnurse fis fseeing fan fadolescent fand fthe fparents fin fthe fclinic ffor fthe ffirst ftime. fWhich
fshould fthe fnurse fdo ffirst?
a. Introduce fhim- for fherself.
b. Make fthe ffamily fcomfortable.
c. Give fassurance fof fprivacy.
d. Explain fthe fpurpose fof fthe finterview.
fANS: fA
The ffirst fthing fthat fnurses fmust fdo fis fto fintroduce fthemselves fto fthe fpatient fand ffamily. fParents
fand fother fadults fshould fbe faddressed fwith fappropriate ftitles funless fthey fspecify fa fpreferred
fname. fClarification fof fthe fpurpose fof fthe finterview fand fthe fnurses frole fis fthe fsecond fthing fthat
fshould fbe fdone. fDuring fthe finitial fpart fof fthe finterview, fthe fnurse fshould finclude fgeneral
fconversation fto fhelp fmake fthe ffamily ffeel fat fease. fThe finterview falso fshould ftake fplace fin fan
fenvironment fas ffree fof fdistraction fas fpossible. fIn faddition, fthe fnurse fshould fclarify fwhich
finformation fwill fbe fshared fwith fother fmembers fof fthe fhealth fcare fteam fand fany flimits fto fthe
fconfidentiality.
2. Which fis fconsidered fa fblock fto feffective fcommunication?
a. Using fsilence
b. Using fclichs
c. Directing fthe ffocus
d. Defining fthe fproblem
fANS: fB
Using fstereotyped fcomments for fclichs fcan fblock feffective fcommunication. fAfter fthe fnurse fuses
such ftrite fphrases, fparents foften fdo fnot frespond. fSilence fcan fbe fan feffective finterviewing ftool.
fSilence fpermits fthe finterviewee fto fsort fout fthoughts fand ffeelings fand fsearch ffor fresponses fto
fquestions. fTo fbe feffective, fthe fnurse fmust fbe fable fto fdirect fthe ffocus fof fthe finterview fwhile
fallowing fmaximum ffreedom fof fexpression. fBy fusing fopen-ended fquestions fand fguiding
fquestions, fthe fnurse fcan fobtain fthe fnecessary finformation fand fmaintain fa frelationship fwith fthe
ffamily. fThe fnurse fand fparent fmust fcollaborate fand fdefine fthe fproblem fthat fwill fbe fthe ffocus fof
fthe fnursing fintervention.
3. Which fis fthe fsingle fmost fimportant ffactor fto fconsider fwhen fcommunicating fwith fchildren?
a. Presence fof fthe fchilds fparent
b. Childs fphysical fcondition
c. Childs fdevelopmental flevel
d. Childs fnonverbal fbehaviorsANS: fC
The fnurse fmust fbe faware fof fthe fchilds fdevelopmental fstage fto fengage fin feffective
fcommunication. fThe fuse fof fboth fverbal fand fnonverbal fcommunication fshould fbe fappropriate fto
fthe fdevelopmental flevel. fNonverbal fbehaviors fvary fin fimportance fbased fon fthe fchilds
fdevelopmental flevel fand fphysical fcondition. fAlthough fthe fchilds fphysical fcondition fis fa
fconsideration, fdevelopmental flevel fis fmuch fmore fimportant. fThe fpresence fof fparents fis
fimportant fwhen fcommunicating fwith fyoung fchildren fbut fmay fbe fdetrimental fwhen fspeaking
fwith fadolescents.
Med 4. Because fchildren fyounger fthan f5 fyears fare fegocentric, fthe fnurse fshould fdo fwhich fwhen
fC
, communicating fwith fthem?
a. Focus fcommunication fon fthe fchild.
b. Use feasy fanalogies fwhen fpossible.
c. Explain fexperiences fof fothers fto fthe fchild.
d. Assure fthe fchild fthat fcommunication fis fprivate.
fANS: fA
Because fchildren fof fthis fage fare fable fto fsee fthings fonly fin fterms fof fthemselves, fthe fbest fapproach
is fto ffocus fcommunication fdirectly fon fthem. fChildren fshould fbe fprovided fwith finformation
fabout fwhat fthey fcan fdo fand fhow fthey fwill ffeel. fWith fchildren fwho fare fegocentric, fanalogies,
fexperiences, fand fassurances fthat fcommunication fis fprivate fwill fnot fbe feffective fbecause fthe
fchild fis fnot fcapable fof funderstanding.
5. The fnurses fapproach fwhen fintroducing fhospital fequipment fto fa fpreschooler fwho fseems
fafraid fshould fbe fbased fon fwhich fprinciple?
a. The fchild fmay fthink fthe fequipment fis falive.
b. Explaining fthe fequipment fwill fonly fincrease fthe fchilds ffear.
c. One fbrief fexplanation fwill fbe fenough fto freduce fthe fchilds ffear.
d. The fchild fis ftoo fyoung fto funderstand fwhat fthe fequipment fdoes.
fANS: fA
Young fchildren fattribute fhuman fcharacteristics fto finanimate fobjects. fThey foften ffear fthat fthe
objects fmay fjump, fbite, fcut, for fpinch fall fby fthemselves fwithout fhuman fdirection. fEquipment
fshould fbe fkept fout fof fsight funtil fneeded. fSimple, fconcrete fexplanations fabout fwhat fthe
fequipment fdoes fand fhow fit fwill ffeel fwill fhelp falleviate fthe fchilds ffear. fPreschoolers fneed
frepeated fexplanations fas freassurance.
6. When fthe fnurse finterviews fan fadolescent, fwhich fis fespecially fimportant?
a. Focus fthe fdiscussion fon fthe fpeer fgroup.
b. Allow fan fopportunity fto fexpress ffeelings.
c. Use fthe fsame ftype fof flanguage fas fthe fadolescent.
d. Emphasize fthat fconfidentiality fwill falways fbe fmaintained.
fANS: fB
Adolescents, flike fall fchildren, fneed fopportunities fto fexpress ftheir ffeelings. fOften fthey finterject
feelings finto ftheir fwords. fThe fnurse fmust fbe falert fto fthe fwords fand ffeelings fexpressed. fThe fnurse
Med fC
, Stuvia.com f- fThe fMarketplace fto fBuy fand fSell fyour fStudy
fMaterial
should fmaintain fa fprofessional frelationship fwith fadolescents. fTo favoid fmisunderstanding for
fmisinterpretation fof fwords fand fphrases fused, fthe fnurse fshould fclarify fthe fterms fused, fwhat
finformation fwill fbe fshared fwith fother fmembers fof fthe fhealth fcare fteam, fand fany flimits fto
fconfidentiality. fAlthough fthe fpeer fgroup fis fimportant fto fthis fage fgroup, fthe finterview fshould
ffocus fon fthe fadolescent.
7. The fnurse fis fpreparing fto fassess fa f10-month-old finfant. fHe fis fsitting fon fhis ffathers flap
fand fappears fto fbe fafraid fof fthe fnurse fand fof fwhat fmight fhappen fnext. fWhich finitial factions
fby fthe fnurse fshould fbe fmost fappropriate?
a. Initiate fa fgame fof fpeek-a-boo.
b. Ask fthe finfants ffather fto fplace fthe finfant fon fthe fexamination ftable.
c. Talk fsoftly fto fthe finfant fwhile ftaking fhim ffrom fhis ffather.
d. Undress fthe finfant fwhile fhe fis fstill fsitting fon fhis ffathers
flap. fANS: fA
Peek-a-boo fis fan fexcellent fmeans fof finitiating fcommunication fwith finfants fwhile fmaintaining fa
safe, fnonthreatening fdistance. fThe fchild fwill fmost flikely fbecome fupset fif fseparated ffrom fhis
ffather. fAs fmuch fof fthe fassessment fas fpossible fshould fbe fdone fwith fthe fchild fon fthe ffathers flap.
fThe fnurse fshould fhave fthe ffather fundress fthe fchild fas fneeded fduring fthe fexamination.
8. An f8-year-old fgirl fasks fthe fnurse fhow fthe fblood fpressure fapparatus fworks. fThe fmost
fappropriate fnursing faction fis fwhich?
a. Ask fher fwhy fshe fwants fto fknow.
b. Determine fwhy fshe fis fso fanxious.
c. Explain fin fsimple fterms fhow fit fworks.
d. Tell fher fshe fwill fsee fhow fit fworks fas fit fis
fused. fANS: fC
School-age fchildren frequire fexplanations fand freasons ffor feverything. fThey fare finterested fin fthe
functional faspect fof fall fprocedures, fobjects, fand factivities. fIt fis fappropriate ffor fthe fnurse fto
fexplain fhow fequipment fworks fand fwhat fwill fhappen fto fthe fchild fso fthat fthe fchild fcan fthen
fobserve fduring fthe fprocedure. fThe fnurse fshould frespond fpositively ffor frequests ffor finformation
fabout fprocedures fand fhealth finformation. fBy fnot fresponding, fthe fnurse fmay fbe flimiting
fcommunication fwith fthe fchild. fThe fchild fis fnot fexhibiting fanxiety fin fasking fhow fthe fblood
fpressure fapparatus fworks, fjust frequesting fclarification fof fwhat fwill foccur.
9. The fnurse fis fhaving fdifficulty fcommunicating fwith fa fhospitalized f6-year-old fchild.
fWhich ftechnique fshould fbe fmost fhelpful?
a. Recommend fthat fthe fchild fkeep fa fdiary.
b. Provide fsupplies ffor fthe fchild fto fdraw fa fpicture.
c. Suggest fthat fthe fparent fread ffairy ftales fto fthe fchild.
d. Ask fthe fparent fif fthe fchild fis falways funcommunicative.
fANS: fB
Drawing fis fone fof fthe fmost fvaluable fforms fof fcommunication. fChildrens fdrawings ftell fa fgreat
deal fabout fthem fbecause fthey fare fprojections fof fthe fchildrens finner fself. fA fdiary fshould fbe
fdifficult ffor fa f6-year-old fchild, fwho fis fmost flikely flearning fto fread. fThe fparent freading ffairy
ftales fto fthe fchild fis fa fpassive factivity finvolving fthe fparent fand fchild; fit fshould fnot ffacilitate
Downloaded fby: fYongsam f|
fDistribution fof fthis fdocument fis fillegal
