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Test bank for
Pediatric Primary Care: Practical
Guidelines for Nurses - 4th edition
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Pediatric Primary Care 4th Edition Richardson Testbank/St
ru ru ru ru ru ru
udyGuide
Chapterru1ruObtainingruanruInitialruHistory
MULTIPLEruCHOICE
1. Therunurseruisruseeingruanruadolescentruandrutheruparentsruinrutheruclinicruforrutherufirstrutime.ruW
hichrushouldrutherunurserudorufirst?
a. Introduceruhim-ruorruherself.
b. Makerutherufamilyrucomfortable.
c. Giveruassuranceruofruprivacy.
d. Explainrutherupurposeruofrutheruintervi
ew.ruANS:ruA
Therufirstruthingruthatrunursesrumustrudoruisrutoruintroduceruthemselvesrutorutherupatientruandrufamily.ruParents
andruotherruadultsrushouldruberuaddressedruwithruappropriaterutitlesruunlessrutheyruspecifyruaruprefer
redruname.ruClarificationruofrutherupurposeruofrutheruinterviewruandrutherunursesruroleruisrutherusecon
druthingruthatrushouldruberudone.ruDuringrutheruinitialrupartruofrutheruinterview,rutherunurserushouldru
includerugeneralruconversationrutoruhelprumakerutherufamilyrufeelruatruease.ruTheruinterviewrualsorus
houldrutakeruplaceruinruanruenvironmentruasrufreeruofrudistractionruasrupossible.ruInruaddition,rutheru
nurserushouldruclarifyruwhichruinformationruwillruberusharedruwithruotherrumembersruofrutheruhealth
rucareruteamruandruanyrulimitsrutorutheruconfidentiality.
2. Whichruisruconsideredruarublockrutorueffectiverucommunication?
a. Usingrusilence
b. Usingruclichs
c. Directingrutherufocus
d. Definingrutheruproble
mruANS:ruB
Usingrustereotypedrucommentsruorruclichsrucanrublockrueffectiverucommunication.ruAfterrutherunurseruuses
suchrutriteruphrases,ruparentsruoftenrudorunotrurespond.ruSilencerucanruberuanrueffectiveruinterviewi
ngrutool.ruSilencerupermitsrutheruintervieweerutorusortruoutruthoughtsruandrufeelingsruandrusearchruf
orruresponsesrutoruquestions.ruToruberueffective,rutherunurserumustruberuablerutorudirectrutherufocusr
uofrutheruinterviewruwhileruallowingrumaximumrufreedomruofruexpression.ruByruusingruopen-
endedruquestionsruandruguidingruquestions,rutherunurserucanruobtainrutherunecessaryruinformationru
andrumaintainruarurelationshipruwithrutherufamily.ruTherunurseruandruparentrumustrucollaborateruan
drudefinerutheruproblemruthatruwillruberutherufocusruofrutherunursingruintervention.
3. Whichruisrutherusinglerumostruimportantrufactorrutoruconsiderruwhenrucommunicatingruwithruchildren?
a. Presenceruofrutheruchildsruparent
b. Childsruphysicalrucondition
c. Childsrudevelopmentalrulevel
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d. Childsrunonverbalrubehavior
sruANS:ruC
Therunurserumustruberuawareruofrutheruchildsrudevelopmentalrustagerutoruengageruinrueffective
communication.ruTheruuseruofrubothruverbalruandrunonverbalrucommunicationrushouldruberuapprop
riaterutorutherudevelopmentalrulevel.ruNonverbalrubehaviorsruvaryruinruimportancerubasedruonrutheru
childsrudevelopmentalrulevelruandruphysicalrucondition.ruAlthoughrutheruchildsruphysicalruconditio
nruisruaruconsideration,rudevelopmentalrulevelruisrumuchrumoreruimportant.ruTherupresenceruofrupare
ntsruisruimportantruwhenrucommunicatingruwithruyoungruchildrenrubutrumayruberudetrimentalruwhe
nruspeakingruwithruadolescents.
4. Becauseruchildrenruyoungerruthanru5ruyearsruareruegocentric,rutherunurserushouldrudoruwhi
chruwhenrucommunicatingruwithruthem?
a. Focusrucommunicationruonrutheruchild.
b. Userueasyruanalogiesruwhenrupossible.
c. Explainruexperiencesruofruothersrutorutheruchild.
d. Assurerutheruchildruthatrucommunicationruisrupri
vate.ruANS:ruA
Becauseruchildrenruofruthisruageruareruablerutoruseeruthingsruonlyruinrutermsruofruthemselves,rutherubestruapproach
isrutorufocusrucommunicationrudirectlyruonruthem.ruChildrenrushouldruberuprovidedruwithruinformati
onruaboutruwhatrutheyrucanrudoruandruhowrutheyruwillrufeel.ruWithruchildrenruwhoruareruegocentric,ru
analogies,ruexperiences,ruandruassurancesruthatrucommunicationruisruprivateruwillrunotruberueffectiv
erubecauserutheruchildruisrunotrucapableruofruunderstanding.
5. Therunursesruapproachruwhenruintroducingruhospitalruequipmentrutoruarupreschoolerruwhorusee
msruafraidrushouldruberubasedruonruwhichruprinciple?
a. Theruchildrumayruthinkrutheruequipmentruisrualive.
b. Explainingrutheruequipmentruwillruonlyruincreaserutheruchildsrufear.
c. Onerubriefruexplanationruwillruberuenoughrutorureducerutheruchildsrufear.
d. Theruchildruisrutooruyoungrutoruunderstandruwhatrutheruequipmen
trudoes.ruANS:ruA
Youngruchildrenruattributeruhumanrucharacteristicsrutoruinanimateruobjects.ruTheyruoftenrufearruthatruthe
objectsrumayrujump,rubite,rucut,ruorrupinchruallrubyruthemselvesruwithoutruhumanrudirection.ruEquip
mentrushouldruberukeptruoutruofrusightruuntilruneeded.ruSimple,ruconcreteruexplanationsruaboutruwhat
rutheruequipmentrudoesruandruhowruitruwillrufeelruwillruhelprualleviaterutheruchildsrufear.ruPreschoole
rsruneedrurepeatedruexplanationsruasrureassurance.
6. Whenrutherunurseruinterviewsruanruadolescent,ruwhichruisruespeciallyruimportant?
a. Focusrutherudiscussionruonrutherupeerrugroup.
b. Allowruanruopportunityrutoruexpressrufeelings.
c. Userutherusamerutyperuofrulanguageruasrutheruadolescent.
d. Emphasizeruthatruconfidentialityruwillrualwaysruberumaintai
ned.ruANS:ruB
Adolescents,rulikeruallruchildren,runeedruopportunitiesrutoruexpressrutheirrufeelings.ruOftenrutheyruinterject
feelingsruintorutheirruwords.ruTherunurserumustruberualertrutorutheruwordsruandrufeelingsruexpressed.ruTherunurse
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shouldrumaintainruaruprofessionalrurelationshipruwithruadolescents.ruToruavoidrumisunderstandingr
uorrumisinterpretationruofruwordsruandruphrasesruused,rutherunurserushouldruclarifyrutherutermsruuse
d,ruwhatruinformationruwillruberusharedruwithruotherrumembersruofrutheruhealthrucareruteam,ruandru
anyrulimitsrutoruconfidentiality.ruAlthoughrutherupeerrugroupruisruimportantrutoruthisruagerugroup,rut
heruinterviewrushouldrufocusruonrutheruadolescent.
7. Therunurseruisrupreparingrutoruassessruaru10-month-
oldruinfant.ruHeruisrusittingruonruhisrufathersrulapruandruappearsrutoruberuafraidruofrutherunurserua
ndruofruwhatrumightruhappenrunext.ruWhichruinitialruactionsrubyrutherunurserushouldruberumostru
appropriate?
a. Initiateruarugameruofrupeek-a-boo.
b. Askrutheruinfantsrufatherrutoruplacerutheruinfantruonrutheruexaminationrutable.
c. Talkrusoftlyrutorutheruinfantruwhilerutakingruhimrufromruhisrufather.
d. Undressrutheruinfantruwhileruheruisrustillrusittingruonruhisrufath
ersrulap.ruANS:ruA
Peek-a-booruisruanruexcellentrumeansruofruinitiatingrucommunicationruwithruinfantsruwhilerumaintainingrua
safe,runonthreateningrudistance.ruTheruchildruwillrumostrulikelyrubecomeruupsetruifruseparatedrufrom
ruhisrufather.ruAsrumuchruofrutheruassessmentruasrupossiblerushouldruberudoneruwithrutheruchildruonrut
herufathersrulap.ruTherunurserushouldruhaverutherufatherruundressrutheruchildruasruneededruduringruth
eruexamination.
8. Anru8-year-
oldrugirlruasksrutherunurseruhowrutherubloodrupressureruapparatusruworks.ruTherumostruapp
ropriaterunursingruactionruisruwhich?
a. Askruherruwhyrusheruwantsrutoruknow.
b. Determineruwhyrusheruisrusoruanxious.
c. Explainruinrusimplerutermsruhowruitruworks.
d. Tellruherrusheruwillruseeruhowruitruworksruasruitrui
sruused.ruANS:ruC
School-ageruchildrenrurequireruexplanationsruandrureasonsruforrueverything.ruTheyruareruinterestedruinruthe
functionalruaspectruofruallruprocedures,ruobjects,ruandruactivities.ruItruisruappropriateruforrutherunur
serutoruexplainruhowruequipmentruworksruandruwhatruwillruhappenrutorutheruchildrusoruthatrutheruch
ildrucanruthenruobserveruduringrutheruprocedure.ruTherunurserushouldrurespondrupositivelyruforrureq
uestsruforruinformationruaboutruproceduresruandruhealthruinformation.ruByrunotruresponding,rutheru
nurserumayruberulimitingrucommunicationruwithrutheruchild.ruTheruchildruisrunotruexhibitingruanxie
tyruinruaskingruhowrutherubloodrupressureruapparatusruworks,rujustrurequestingruclarificationruofruw
hatruwillruoccur.
9. Therunurseruisruhavingrudifficultyrucommunicatingruwithruaruhospitalizedru6-year-
oldruchild.ruWhichrutechniquerushouldruberumostruhelpful?
a. Recommendruthatrutheruchildrukeepruarudiary.
b. Providerusuppliesruforrutheruchildrutorudrawruarupicture.
c. Suggestruthatrutheruparentrureadrufairyrutalesrutorutheruchild.
d. Askrutheruparentruifrutheruchildruisrualwaysruuncommunic
ative.ruANS:ruB
Drawingruisruoneruofrutherumostruvaluableruformsruofrucommunication.ruChildrensrudrawingsrutellruarugreat
dealruaboutruthemrubecauserutheyruareruprojectionsruofrutheruchildrensruinnerruself.ruArudiaryrushoul
druberudifficultruforruaru6-year-
oldruchild,ruwhoruisrumostrulikelyrulearningrutoruread.ruTheruparentrureadingrufairyrutalesrutorutheruchi
ldruisruarupassiveruactivityruinvolvingrutheruparentruandruchild;ruitrushouldrunotrufacilitate
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Test bank for
Pediatric Primary Care: Practical
Guidelines for Nurses - 4th edition
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m
Distributionruofruthisrudocumentruisruillegal
, Stuvia.comru-
ruTheruMarketplacerutoruBuyruandruSellruyourruStudyruMaterial
Pediatric Primary Care 4th Edition Richardson Testbank/St
ru ru ru ru ru ru
udyGuide
Chapterru1ruObtainingruanruInitialruHistory
MULTIPLEruCHOICE
1. Therunurseruisruseeingruanruadolescentruandrutheruparentsruinrutheruclinicruforrutherufirstrutime.ruW
hichrushouldrutherunurserudorufirst?
a. Introduceruhim-ruorruherself.
b. Makerutherufamilyrucomfortable.
c. Giveruassuranceruofruprivacy.
d. Explainrutherupurposeruofrutheruintervi
ew.ruANS:ruA
Therufirstruthingruthatrunursesrumustrudoruisrutoruintroduceruthemselvesrutorutherupatientruandrufamily.ruParents
andruotherruadultsrushouldruberuaddressedruwithruappropriaterutitlesruunlessrutheyruspecifyruaruprefer
redruname.ruClarificationruofrutherupurposeruofrutheruinterviewruandrutherunursesruroleruisrutherusecon
druthingruthatrushouldruberudone.ruDuringrutheruinitialrupartruofrutheruinterview,rutherunurserushouldru
includerugeneralruconversationrutoruhelprumakerutherufamilyrufeelruatruease.ruTheruinterviewrualsorus
houldrutakeruplaceruinruanruenvironmentruasrufreeruofrudistractionruasrupossible.ruInruaddition,rutheru
nurserushouldruclarifyruwhichruinformationruwillruberusharedruwithruotherrumembersruofrutheruhealth
rucareruteamruandruanyrulimitsrutorutheruconfidentiality.
2. Whichruisruconsideredruarublockrutorueffectiverucommunication?
a. Usingrusilence
b. Usingruclichs
c. Directingrutherufocus
d. Definingrutheruproble
mruANS:ruB
Usingrustereotypedrucommentsruorruclichsrucanrublockrueffectiverucommunication.ruAfterrutherunurseruuses
suchrutriteruphrases,ruparentsruoftenrudorunotrurespond.ruSilencerucanruberuanrueffectiveruinterviewi
ngrutool.ruSilencerupermitsrutheruintervieweerutorusortruoutruthoughtsruandrufeelingsruandrusearchruf
orruresponsesrutoruquestions.ruToruberueffective,rutherunurserumustruberuablerutorudirectrutherufocusr
uofrutheruinterviewruwhileruallowingrumaximumrufreedomruofruexpression.ruByruusingruopen-
endedruquestionsruandruguidingruquestions,rutherunurserucanruobtainrutherunecessaryruinformationru
andrumaintainruarurelationshipruwithrutherufamily.ruTherunurseruandruparentrumustrucollaborateruan
drudefinerutheruproblemruthatruwillruberutherufocusruofrutherunursingruintervention.
3. Whichruisrutherusinglerumostruimportantrufactorrutoruconsiderruwhenrucommunicatingruwithruchildren?
a. Presenceruofrutheruchildsruparent
b. Childsruphysicalrucondition
c. Childsrudevelopmentalrulevel
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Distributionruofruthisrudocumentruisruillegal
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d. Childsrunonverbalrubehavior
sruANS:ruC
Therunurserumustruberuawareruofrutheruchildsrudevelopmentalrustagerutoruengageruinrueffective
communication.ruTheruuseruofrubothruverbalruandrunonverbalrucommunicationrushouldruberuapprop
riaterutorutherudevelopmentalrulevel.ruNonverbalrubehaviorsruvaryruinruimportancerubasedruonrutheru
childsrudevelopmentalrulevelruandruphysicalrucondition.ruAlthoughrutheruchildsruphysicalruconditio
nruisruaruconsideration,rudevelopmentalrulevelruisrumuchrumoreruimportant.ruTherupresenceruofrupare
ntsruisruimportantruwhenrucommunicatingruwithruyoungruchildrenrubutrumayruberudetrimentalruwhe
nruspeakingruwithruadolescents.
4. Becauseruchildrenruyoungerruthanru5ruyearsruareruegocentric,rutherunurserushouldrudoruwhi
chruwhenrucommunicatingruwithruthem?
a. Focusrucommunicationruonrutheruchild.
b. Userueasyruanalogiesruwhenrupossible.
c. Explainruexperiencesruofruothersrutorutheruchild.
d. Assurerutheruchildruthatrucommunicationruisrupri
vate.ruANS:ruA
Becauseruchildrenruofruthisruageruareruablerutoruseeruthingsruonlyruinrutermsruofruthemselves,rutherubestruapproach
isrutorufocusrucommunicationrudirectlyruonruthem.ruChildrenrushouldruberuprovidedruwithruinformati
onruaboutruwhatrutheyrucanrudoruandruhowrutheyruwillrufeel.ruWithruchildrenruwhoruareruegocentric,ru
analogies,ruexperiences,ruandruassurancesruthatrucommunicationruisruprivateruwillrunotruberueffectiv
erubecauserutheruchildruisrunotrucapableruofruunderstanding.
5. Therunursesruapproachruwhenruintroducingruhospitalruequipmentrutoruarupreschoolerruwhorusee
msruafraidrushouldruberubasedruonruwhichruprinciple?
a. Theruchildrumayruthinkrutheruequipmentruisrualive.
b. Explainingrutheruequipmentruwillruonlyruincreaserutheruchildsrufear.
c. Onerubriefruexplanationruwillruberuenoughrutorureducerutheruchildsrufear.
d. Theruchildruisrutooruyoungrutoruunderstandruwhatrutheruequipmen
trudoes.ruANS:ruA
Youngruchildrenruattributeruhumanrucharacteristicsrutoruinanimateruobjects.ruTheyruoftenrufearruthatruthe
objectsrumayrujump,rubite,rucut,ruorrupinchruallrubyruthemselvesruwithoutruhumanrudirection.ruEquip
mentrushouldruberukeptruoutruofrusightruuntilruneeded.ruSimple,ruconcreteruexplanationsruaboutruwhat
rutheruequipmentrudoesruandruhowruitruwillrufeelruwillruhelprualleviaterutheruchildsrufear.ruPreschoole
rsruneedrurepeatedruexplanationsruasrureassurance.
6. Whenrutherunurseruinterviewsruanruadolescent,ruwhichruisruespeciallyruimportant?
a. Focusrutherudiscussionruonrutherupeerrugroup.
b. Allowruanruopportunityrutoruexpressrufeelings.
c. Userutherusamerutyperuofrulanguageruasrutheruadolescent.
d. Emphasizeruthatruconfidentialityruwillrualwaysruberumaintai
ned.ruANS:ruB
Adolescents,rulikeruallruchildren,runeedruopportunitiesrutoruexpressrutheirrufeelings.ruOftenrutheyruinterject
feelingsruintorutheirruwords.ruTherunurserumustruberualertrutorutheruwordsruandrufeelingsruexpressed.ruTherunurse
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, Stuvia.comru-
ruTheruMarketplacerutoruBuyruandruSellruyourruStudyruMaterial
shouldrumaintainruaruprofessionalrurelationshipruwithruadolescents.ruToruavoidrumisunderstandingr
uorrumisinterpretationruofruwordsruandruphrasesruused,rutherunurserushouldruclarifyrutherutermsruuse
d,ruwhatruinformationruwillruberusharedruwithruotherrumembersruofrutheruhealthrucareruteam,ruandru
anyrulimitsrutoruconfidentiality.ruAlthoughrutherupeerrugroupruisruimportantrutoruthisruagerugroup,rut
heruinterviewrushouldrufocusruonrutheruadolescent.
7. Therunurseruisrupreparingrutoruassessruaru10-month-
oldruinfant.ruHeruisrusittingruonruhisrufathersrulapruandruappearsrutoruberuafraidruofrutherunurserua
ndruofruwhatrumightruhappenrunext.ruWhichruinitialruactionsrubyrutherunurserushouldruberumostru
appropriate?
a. Initiateruarugameruofrupeek-a-boo.
b. Askrutheruinfantsrufatherrutoruplacerutheruinfantruonrutheruexaminationrutable.
c. Talkrusoftlyrutorutheruinfantruwhilerutakingruhimrufromruhisrufather.
d. Undressrutheruinfantruwhileruheruisrustillrusittingruonruhisrufath
ersrulap.ruANS:ruA
Peek-a-booruisruanruexcellentrumeansruofruinitiatingrucommunicationruwithruinfantsruwhilerumaintainingrua
safe,runonthreateningrudistance.ruTheruchildruwillrumostrulikelyrubecomeruupsetruifruseparatedrufrom
ruhisrufather.ruAsrumuchruofrutheruassessmentruasrupossiblerushouldruberudoneruwithrutheruchildruonrut
herufathersrulap.ruTherunurserushouldruhaverutherufatherruundressrutheruchildruasruneededruduringruth
eruexamination.
8. Anru8-year-
oldrugirlruasksrutherunurseruhowrutherubloodrupressureruapparatusruworks.ruTherumostruapp
ropriaterunursingruactionruisruwhich?
a. Askruherruwhyrusheruwantsrutoruknow.
b. Determineruwhyrusheruisrusoruanxious.
c. Explainruinrusimplerutermsruhowruitruworks.
d. Tellruherrusheruwillruseeruhowruitruworksruasruitrui
sruused.ruANS:ruC
School-ageruchildrenrurequireruexplanationsruandrureasonsruforrueverything.ruTheyruareruinterestedruinruthe
functionalruaspectruofruallruprocedures,ruobjects,ruandruactivities.ruItruisruappropriateruforrutherunur
serutoruexplainruhowruequipmentruworksruandruwhatruwillruhappenrutorutheruchildrusoruthatrutheruch
ildrucanruthenruobserveruduringrutheruprocedure.ruTherunurserushouldrurespondrupositivelyruforrureq
uestsruforruinformationruaboutruproceduresruandruhealthruinformation.ruByrunotruresponding,rutheru
nurserumayruberulimitingrucommunicationruwithrutheruchild.ruTheruchildruisrunotruexhibitingruanxie
tyruinruaskingruhowrutherubloodrupressureruapparatusruworks,rujustrurequestingruclarificationruofruw
hatruwillruoccur.
9. Therunurseruisruhavingrudifficultyrucommunicatingruwithruaruhospitalizedru6-year-
oldruchild.ruWhichrutechniquerushouldruberumostruhelpful?
a. Recommendruthatrutheruchildrukeepruarudiary.
b. Providerusuppliesruforrutheruchildrutorudrawruarupicture.
c. Suggestruthatrutheruparentrureadrufairyrutalesrutorutheruchild.
d. Askrutheruparentruifrutheruchildruisrualwaysruuncommunic
ative.ruANS:ruB
Drawingruisruoneruofrutherumostruvaluableruformsruofrucommunication.ruChildrensrudrawingsrutellruarugreat
dealruaboutruthemrubecauserutheyruareruprojectionsruofrutheruchildrensruinnerruself.ruArudiaryrushoul
druberudifficultruforruaru6-year-
oldruchild,ruwhoruisrumostrulikelyrulearningrutoruread.ruTheruparentrureadingrufairyrutalesrutorutheruchi
ldruisruarupassiveruactivityruinvolvingrutheruparentruandruchild;ruitrushouldrunotrufacilitate
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