TESTBANKS BY NURSINGNERD
Test Bank For Pediatric Primary Care: Practice Guidelines for Nurses 5th Edition (LATEST)
by Beth Richardson
|All Chapters (1-36) | Expert Verified Answers | Grade A+
1|Page
,TESTBANKS BY NURSINGNERD
Chapter 1 Obtaining an Initial History
MULTIPLE CHOICE
1. The nurse is seeing an adolescent and the parents in the clinic for the first time. Which
should the nurse do first?
a. Introduce him- or herself.
b. Make the family comfortable.
c. Give assurance of privacy.
d. Explain the purpose of the interview.
ANSWER: A
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 nurses 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. In addition, the nurse should clarify which information will be shared with
other members of the health care team and any limits to the confidentiality.
2. Which is considered a block to effective communication?
a. Using silence
b. Using clichs
c. Directing the focus
d. Defining the problem
ANSWER: B
Using stereotyped comments or clichs 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. The nurse and parent must
collaborate and define the problem that will be the focus of the nursing intervention.
3. Which is the single most important factor to consider when communicating with children?
a. Presence of the childs parent
b. Childs physical condition
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,TESTBANKS BY NURSINGNERD
c. Childs developmental level
d. Childs nonverbal behaviors
ANSWER: C
The nurse must be aware of the childs 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 childs developmental level and physical
condition. Although the childs 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.
4. Because children younger than 5 years are egocentric, the nurse should do which when
communicating with them?
a. Focus communication on the child.
b. Use easy analogies when possible.
c. Explain experiences of others to the child.
d. Assure the child that communication is private.
ANSWER: A
Because children of this age are able to see things only in terms of themselves, the best approach is
to focus communication directly on them. Children should be provided with information about
what they can do and how they will feel. With children who are egocentric, analogies, experiences,
and assurances that communication is private will not be effective because the child is not capable
of understanding.
5. The nurses approach when introducing hospital equipment to a preschooler who seems
afraid should be based on which principle?
a. The child may think the equipment is alive.
b. Explaining the equipment will only increase the childs fear.
c. One brief explanation will be enough to reduce the childs fear.
d. The child is too young to understand what the equipment does.
ANSWER: A
Young children attribute human characteristics to inanimate objects. They often fear that the
objects may jump, bite, cut, or pinch all by themselves without human direction. Equipment should
be kept out of sight until needed. Simple, concrete explanations about what the equipment does and
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, TESTBANKS BY NURSINGNERD
how it will feel will help alleviate the childs fear. Preschoolers need repeated explanations as
reassurance.
6. When the nurse interviews an adolescent, which is especially important?
a. Focus the discussion on the peer group.
b. Allow an opportunity to express feelings.
c. Use the same type of language as the adolescent.
d. Emphasize that confidentiality will always be maintained.
ANSWER: B
Adolescents, like all children, need opportunities to express their feelings. Often they interject
feelings into their words. The nurse must be alert to the words and feelings expressed. The nurse
should maintain a professional relationship with adolescents. To avoid misunderstanding or
misinterpretation of words and phrases used, the nurse should clarify the terms used, what
information will be shared with other members of the health care team, and any limits to
confidentiality. Although the peer group is important to this age group, the interview should focus
on the adolescent.
7. The nurse is preparing to assess a 10-month-old infant. He is sitting on his fathers lap and
appears to be afraid of the nurse and of what might happen next. Which initial actions by the nurse
should be most appropriate?
a. Initiate a game of peek-a-boo.
b. Ask the infants father to place the infant on the examination table.
c. Talk softly to the infant while taking him from his father.
d. Undress the infant while he is still sitting on his fathers lap.
ANSWER: A
Peek-a-boo is an excellent means of initiating communication with infants while maintaining a safe,
nonthreatening distance. The child will most likely become upset if separated from his father. As
much of the assessment as possible should be done with the child on the fathers lap. The nurse
should have the father undress the child as needed during the examination.
8. An 8-year-old girl asks the nurse how the blood pressure apparatus works. The most
appropriate nursing action is which?
a. Ask her why she wants to know.
b. Determine why she is so anxious.
4|Page
Test Bank For Pediatric Primary Care: Practice Guidelines for Nurses 5th Edition (LATEST)
by Beth Richardson
|All Chapters (1-36) | Expert Verified Answers | Grade A+
1|Page
,TESTBANKS BY NURSINGNERD
Chapter 1 Obtaining an Initial History
MULTIPLE CHOICE
1. The nurse is seeing an adolescent and the parents in the clinic for the first time. Which
should the nurse do first?
a. Introduce him- or herself.
b. Make the family comfortable.
c. Give assurance of privacy.
d. Explain the purpose of the interview.
ANSWER: A
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 nurses 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. In addition, the nurse should clarify which information will be shared with
other members of the health care team and any limits to the confidentiality.
2. Which is considered a block to effective communication?
a. Using silence
b. Using clichs
c. Directing the focus
d. Defining the problem
ANSWER: B
Using stereotyped comments or clichs 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. The nurse and parent must
collaborate and define the problem that will be the focus of the nursing intervention.
3. Which is the single most important factor to consider when communicating with children?
a. Presence of the childs parent
b. Childs physical condition
2|Page
,TESTBANKS BY NURSINGNERD
c. Childs developmental level
d. Childs nonverbal behaviors
ANSWER: C
The nurse must be aware of the childs 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 childs developmental level and physical
condition. Although the childs 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.
4. Because children younger than 5 years are egocentric, the nurse should do which when
communicating with them?
a. Focus communication on the child.
b. Use easy analogies when possible.
c. Explain experiences of others to the child.
d. Assure the child that communication is private.
ANSWER: A
Because children of this age are able to see things only in terms of themselves, the best approach is
to focus communication directly on them. Children should be provided with information about
what they can do and how they will feel. With children who are egocentric, analogies, experiences,
and assurances that communication is private will not be effective because the child is not capable
of understanding.
5. The nurses approach when introducing hospital equipment to a preschooler who seems
afraid should be based on which principle?
a. The child may think the equipment is alive.
b. Explaining the equipment will only increase the childs fear.
c. One brief explanation will be enough to reduce the childs fear.
d. The child is too young to understand what the equipment does.
ANSWER: A
Young children attribute human characteristics to inanimate objects. They often fear that the
objects may jump, bite, cut, or pinch all by themselves without human direction. Equipment should
be kept out of sight until needed. Simple, concrete explanations about what the equipment does and
3|Page
, TESTBANKS BY NURSINGNERD
how it will feel will help alleviate the childs fear. Preschoolers need repeated explanations as
reassurance.
6. When the nurse interviews an adolescent, which is especially important?
a. Focus the discussion on the peer group.
b. Allow an opportunity to express feelings.
c. Use the same type of language as the adolescent.
d. Emphasize that confidentiality will always be maintained.
ANSWER: B
Adolescents, like all children, need opportunities to express their feelings. Often they interject
feelings into their words. The nurse must be alert to the words and feelings expressed. The nurse
should maintain a professional relationship with adolescents. To avoid misunderstanding or
misinterpretation of words and phrases used, the nurse should clarify the terms used, what
information will be shared with other members of the health care team, and any limits to
confidentiality. Although the peer group is important to this age group, the interview should focus
on the adolescent.
7. The nurse is preparing to assess a 10-month-old infant. He is sitting on his fathers lap and
appears to be afraid of the nurse and of what might happen next. Which initial actions by the nurse
should be most appropriate?
a. Initiate a game of peek-a-boo.
b. Ask the infants father to place the infant on the examination table.
c. Talk softly to the infant while taking him from his father.
d. Undress the infant while he is still sitting on his fathers lap.
ANSWER: A
Peek-a-boo is an excellent means of initiating communication with infants while maintaining a safe,
nonthreatening distance. The child will most likely become upset if separated from his father. As
much of the assessment as possible should be done with the child on the fathers lap. The nurse
should have the father undress the child as needed during the examination.
8. An 8-year-old girl asks the nurse how the blood pressure apparatus works. The most
appropriate nursing action is which?
a. Ask her why she wants to know.
b. Determine why she is so anxious.
4|Page
