Test bank for Pediatric Primary Care: Practical Guidelines for Nurses - 4th edit

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Test bank for
Pediatric Primary Care: Practical
Guidelines for Nurses - 4th edit
ion




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Pediatric Primary Care 4th Edition Richardson Testb
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ank/StudyGuide


Chapterwt1wtObtainingwtanwtInitialwtHistory

MULTIPLEwtCHOICE
1. Thewtnursewtiswtseeingwtanwtadolescentwtandwtthewtparentswtinwtthewtclinicwtforwtthewtfirstwttime
.wtWhichwtshouldwtthewtnursewtdowtfirst?
a. Introducewthim-wtorwtherself.
b. Makewtthewtfamilywtcomfortable.
c. Givewtassurancewtofwtprivacy.
d. Explainwtthewtpurposewtofwtthewtinter
view.wtANS:wtA
Thewtfirstwtthingwtthatwtnurseswtmustwtdowtiswttowtintroducewtthemselveswttowtthewtpatientwtandwtfamily.wtParen
ts
andwtotherwtadultswtshouldwtbewtaddressedwtwithwtappropriatewttitleswtunlesswttheywtspecifywtawtpr
eferredwtname.wtClarificationwtofwtthewtpurposewtofwtthewtinterviewwtandwtthewtnurseswtrolewtiswtth
ewtsecondwtthingwtthatwtshouldwtbewtdone.wtDuringwtthewtinitialwtpartwtofwtthewtinterview,wtthewtnu
rsewtshouldwtincludewtgeneralwtconversationwttowthelpwtmakewtthewtfamilywtfeelwtatwtease.wtThewti
nterviewwtalsowtshouldwttakewtplacewtinwtanwtenvironmentwtaswtfreewtofwtdistractionwtaswtpossible.
wtInwtaddition,wtthewtnursewtshouldwtclarifywtwhichwtinformationwtwillwtbewtsharedwtwithwtotherwt
memberswtofwtthewthealthwtcarewtteamwtandwtanywtlimitswttowtthewtconfidentiality.
2. Whichwtiswtconsideredwtawtblockwttowteffectivewtcommunication?
a. Usingwtsilence
b. Usingwtclichs
c. Directingwtthewtfocus
d. Definingwtthewtproble
mwtANS:wtB
Usingwtstereotypedwtcommentswtorwtclichswtcanwtblockwteffectivewtcommunication.wtAfterwtthewtnursewtuses
suchwttritewtphrases,wtparentswtoftenwtdowtnotwtrespond.wtSilencewtcanwtbewtanwteffectivewtintervi
ewingwttool.wtSilencewtpermitswtthewtintervieweewttowtsortwtoutwtthoughtswtandwtfeelingswtandwts
earchwtforwtresponseswttowtquestions.wtTowtbewteffective,wtthewtnursewtmustwtbewtablewttowtdirect
wtthewtfocuswtofwtthewtinterviewwtwhilewtallowingwtmaximumwtfreedomwtofwtexpression.wtBywtus
ingwtopen-
endedwtquestionswtandwtguidingwtquestions,wtthewtnursewtcanwtobtainwtthewtnecessarywtinformati
onwtandwtmaintainwtawtrelationshipwtwithwtthewtfamily.wtThewtnursewtandwtparentwtmustwtcollabor
atewtandwtdefinewtthewtproblemwtthatwtwillwtbewtthewtfocuswtofwtthewtnursingwtintervention.
3. Whichwtiswtthewtsinglewtmostwtimportantwtfactorwttowtconsiderwtwhenwtcommunicatingwtwithwtchildren?
a. Presencewtofwtthewtchildswtparent
b. Childswtphysicalwtcondition
c. Childswtdevelopmentalwtlevel




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d. Childswtnonverbalwtbehavio
rswtANS:wtC
Thewtnursewtmustwtbewtawarewtofwtthewtchildswtdevelopmentalwtstagewttowtengagewtinwteffective
communication.wtThewtusewtofwtbothwtverbalwtandwtnonverbalwtcommunicationwtshouldwtbewtappr
opriatewttowtthewtdevelopmentalwtlevel.wtNonverbalwtbehaviorswtvarywtinwtimportancewtbasedwton
wtthewtchildswtdevelopmentalwtlevelwtandwtphysicalwtcondition.wtAlthoughwtthewtchildswtphysicalw
tconditionwtiswtawtconsideration,wtdevelopmentalwtlevelwtiswtmuchwtmorewtimportant.wtThewtpresen
cewtofwtparentswtiswtimportantwtwhenwtcommunicatingwtwithwtyoungwtchildrenwtbutwtmaywtbewtdet
rimentalwtwhenwtspeakingwtwithwtadolescents.
4. Becausewtchildrenwtyoungerwtthanwt5wtyearswtarewtegocentric,wtthewtnursewtshouldwtdowt
whichwtwhenwtcommunicatingwtwithwtthem?
a. Focuswtcommunicationwtonwtthewtchild.
b. Usewteasywtanalogieswtwhenwtpossible.
c. Explainwtexperienceswtofwtotherswttowtthewtchild.
d. Assurewtthewtchildwtthatwtcommunicationwtiswtpr
ivate.wtANS:wtA
Becausewtchildrenwtofwtthiswtagewtarewtablewttowtseewtthingswtonlywtinwttermswtofwtthemselves,wtthewtbestwtapp
roach
iswttowtfocuswtcommunicationwtdirectlywtonwtthem.wtChildrenwtshouldwtbewtprovidedwtwithwtinfor
mationwtaboutwtwhatwttheywtcanwtdowtandwthowwttheywtwillwtfeel.wtWithwtchildrenwtwhowtarewtego
centric,wtanalogies,wtexperiences,wtandwtassuranceswtthatwtcommunicationwtiswtprivatewtwillwtnotwt
bewteffectivewtbecausewtthewtchildwtiswtnotwtcapablewtofwtunderstanding.
5. Thewtnurseswtapproachwtwhenwtintroducingwthospitalwtequipmentwttowtawtpreschoolerwtwhowts
eemswtafraidwtshouldwtbewtbasedwtonwtwhichwtprinciple?
a. Thewtchildwtmaywtthinkwtthewtequipmentwtiswtalive.
b. Explainingwtthewtequipmentwtwillwtonlywtincreasewtthewtchildswtfear.
c. Onewtbriefwtexplanationwtwillwtbewtenoughwttowtreducewtthewtchildswtfear.
d. Thewtchildwtiswttoowtyoungwttowtunderstandwtwhatwtthewtequipm
entwtdoes.wtANS:wtA
Youngwtchildrenwtattributewthumanwtcharacteristicswttowtinanimatewtobjects.wtTheywtoftenwtfearwtthatwtthe
objectswtmaywtjump,wtbite,wtcut,wtorwtpinchwtallwtbywtthemselveswtwithoutwthumanwtdirection.wtEq
uipmentwtshouldwtbewtkeptwtoutwtofwtsightwtuntilwtneeded.wtSimple,wtconcretewtexplanationswtabou
twtwhatwtthewtequipmentwtdoeswtandwthowwtitwtwillwtfeelwtwillwthelpwtalleviatewtthewtchildswtfear.wt
Preschoolerswtneedwtrepeatedwtexplanationswtaswtreassurance.
6. Whenwtthewtnursewtinterviewswtanwtadolescent,wtwhichwtiswtespeciallywtimportant?
a. Focuswtthewtdiscussionwtonwtthewtpeerwtgroup.
b. Allowwtanwtopportunitywttowtexpresswtfeelings.
c. Usewtthewtsamewttypewtofwtlanguagewtaswtthewtadolescent.
d. Emphasizewtthatwtconfidentialitywtwillwtalwayswtbewtmaint
ained.wtANS:wtB
Adolescents,wtlikewtallwtchildren,wtneedwtopportunitieswttowtexpresswttheirwtfeelings.wtOftenwttheywtinterject
feelingswtintowttheirwtwords.wtThewtnursewtmustwtbewtalertwttowtthewtwordswtandwtfeelingswtexpressed.wtThewtn
urse




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