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Distribution of this document is illegal
,Chapter 1 Obtaining an Initial History
km km km km km
MULTIPLE CHOICE km
1. The nurse is seeing an adolescent and the parents in the clinic for the first time. Which
km km km km km km km km km km km km km km km km km
should the nurse do first?
km km km km
a. Introduce him- or herself. km km km
b. Make the family comfortable.
km km km
c. Give assurance of privacy.
km km km
d. Explain the purpose of the intervie km km km km km
w. ANS: Akm km
The first thing that nurses must do is to introduce themselves to the patient and family. Pa
km km km km km km km km km km km km km km km km
rents and other adults should be addressed with appropriate titles unless they specify a pref
km km km km km km km km km km km km km km
erred name. Clarification of the purpose of the interview and the nurses role is the second t
km km km km km km km km km km km km km km km km
hing that should be done. During the initial part of the interview, the nurse should include
km km km km km km km km km km km km km km km km
general conversation to help make the family feel at ease. The interview also should take p
km km km km km km km km km km km km km km km
lace in an environment as free of distraction as possible. In addition, the nurse should clari
km km km km km km km km km km km km km km km
fy which information will be shared with other members of the health care team and any l
km km km km km km km km km km km km km km km km
imits to the confidentiality.
km km km
2. Which is considered a block to effective communication?
km km km km km km km
a. Using silence km
b. Using clichs km
c. Directing the focus km km
d. Defining the proble km km
m ANS: B
km km
Using stereotyped comments or clichs can block effective communication. After the nurse uses
km km km km km km km km km km km km
such trite phrases, parents often do not respond. Silence can be an effective interviewing
km km km km km km km km km km km km km k
mtool. Silence permits the interviewee to sort out thoughts and feelings and search for res
km km km km km km km km km km km km km km
ponses to questions. To be effective, the nurse must be able to direct the focus of the in
km km km km km km km km km km km km km km km km km
terview while allowing maximum freedom of expression. By using open-
km km km km km km km km km
ended questions and guiding questions, the nurse can obtain the necessary information an
km km km km km km km km km km km km
d maintain a relationship with the family. The nurse and parent must collaborate and defi
km km km km km km km km km km km km km km
ne the problem that will be the focus of the nursing intervention.
km km km km km km km km km km km
3. Which is the single most important factor to consider when communicating with children?
km km km km km km km km km km km km
a. Presence of the childs parent km km km km
Downloadedkmby:kmYongsamkm|kmsamsonkariuki04@gmail.c
om
Distribution of this document is illegal
,b. Childs physical condition
km km
c. Childs developmental level
km km
Downloadedkmby:kmYongsamkm|kmsamsonkariuki04@gmail.c
om
Distribution of this document is illegal
, Stuvia.comkm-
The Marketplace to Buy and Sell your Study Material
d. Childs nonverbal behavior km km
s ANS: C
km km
The nurse must be aware of the childs developmental stage to engage in effective commun
km km km km km km km km km km km km km km
ication. The use of both verbal and nonverbal communication should be appropriate to the
km km km km km km km km km km km km km km
developmental level. Nonverbal behaviors vary in importance based on the childs developm
km km km km km km km km km km km
ental level and physical condition. Although the childs physical condition is a consideration
km km km km km km km km km km km km
, developmental level is much more important. The presence of parents is important when c
km km km km km km km km km km km km km km
ommunicating with young children but may be detrimental when speaking with adolescents.
km km km km km km km km km km km
4. Because children younger than 5 years are egocentric, the nurse should do which
km km km km km km km km km km km km km
when communicating with them?
km km km
a. Focus communication on the child. km km km km
b. Use easy analogies when possible.
km km km km
c. Explain experiences of others to the child.
km km km km km km
d. Assure the child that communication is privat
km km km km km km
e. ANS: A
km km
Because children of this age are able to see things only in terms of themselves, the best approach
km km km km km km km km km km km km km km km km km
is to focus communication directly on them. Children should be provided with information a
km km km km km km km km km km km km km
bout what they can do and how they will feel. With children who are egocentric, analogies
km km km km km km km km km km km km km km km
, experiences, and assurances that communication is private will not be effective because the
km km km km km km km km km km km km km
child is not capable of understanding.
km km km km km km
5. The nurses approach when introducing hospital equipment to a preschooler who seems a
km km km km km km km km km km km km
fraid should be based on which principle?
km km km km km km
a. The child may think the equipment is alive.
km km km km km km km
b. Explaining the equipment will only increase the childs fear.
km km km km km km km km
c. One brief explanation will be enough to reduce the childs fear.
km km km km km km km km km km
d. The child is too young to understand what the equipment d
km km km km km km km km km km
oes. ANS: Akm km
Young children attribute human characteristics to inanimate objects. They often fear that the
km km km km km km km km km km km km
objects may jump, bite, cut, or pinch all by themselves without human direction. Equipmen
km km km km km km km km km km km km km
t should be kept out of sight until needed. Simple, concrete explanations about what the equ
km km km km km km km km km km km km km km km
ipment does and how it will feel will help alleviate the childs fear. Preschoolers need repe
km km km km km km km km km km km km km km km
ated explanations as reassurance.
km km km
6. When the nurse interviews an adolescent, which is especially important?
km km km km km km km km km
a. Focus the discussion on the peer group. km km km km km km
b. Allow an opportunity to express feelings.
km km km km km
c. Use the same type of language as the adolescent.
km km km km km km km km
d. Emphasize that confidentiality will always be maintaine km km km km km km
d. ANS: B
km km
Adolescents, like all children, need opportunities to express their feelings. Often they interject
km km km km km km km km km km km km
feelings into their words. The nurse must be alert to the words and feelings expressed. The nurse
km km km km km km km km km km km km km km km km
Downloadedkmby:kmYongsamkm|kmsamsonkariuki04@gmail.c
om
Distribution of this document is illegal
om
Distribution of this document is illegal
,Chapter 1 Obtaining an Initial History
km km km km km
MULTIPLE CHOICE km
1. The nurse is seeing an adolescent and the parents in the clinic for the first time. Which
km km km km km km km km km km km km km km km km km
should the nurse do first?
km km km km
a. Introduce him- or herself. km km km
b. Make the family comfortable.
km km km
c. Give assurance of privacy.
km km km
d. Explain the purpose of the intervie km km km km km
w. ANS: Akm km
The first thing that nurses must do is to introduce themselves to the patient and family. Pa
km km km km km km km km km km km km km km km km
rents and other adults should be addressed with appropriate titles unless they specify a pref
km km km km km km km km km km km km km km
erred name. Clarification of the purpose of the interview and the nurses role is the second t
km km km km km km km km km km km km km km km km
hing that should be done. During the initial part of the interview, the nurse should include
km km km km km km km km km km km km km km km km
general conversation to help make the family feel at ease. The interview also should take p
km km km km km km km km km km km km km km km
lace in an environment as free of distraction as possible. In addition, the nurse should clari
km km km km km km km km km km km km km km km
fy which information will be shared with other members of the health care team and any l
km km km km km km km km km km km km km km km km
imits to the confidentiality.
km km km
2. Which is considered a block to effective communication?
km km km km km km km
a. Using silence km
b. Using clichs km
c. Directing the focus km km
d. Defining the proble km km
m ANS: B
km km
Using stereotyped comments or clichs can block effective communication. After the nurse uses
km km km km km km km km km km km km
such trite phrases, parents often do not respond. Silence can be an effective interviewing
km km km km km km km km km km km km km k
mtool. Silence permits the interviewee to sort out thoughts and feelings and search for res
km km km km km km km km km km km km km km
ponses to questions. To be effective, the nurse must be able to direct the focus of the in
km km km km km km km km km km km km km km km km km
terview while allowing maximum freedom of expression. By using open-
km km km km km km km km km
ended questions and guiding questions, the nurse can obtain the necessary information an
km km km km km km km km km km km km
d maintain a relationship with the family. The nurse and parent must collaborate and defi
km km km km km km km km km km km km km km
ne the problem that will be the focus of the nursing intervention.
km km km km km km km km km km km
3. Which is the single most important factor to consider when communicating with children?
km km km km km km km km km km km km
a. Presence of the childs parent km km km km
Downloadedkmby:kmYongsamkm|kmsamsonkariuki04@gmail.c
om
Distribution of this document is illegal
,b. Childs physical condition
km km
c. Childs developmental level
km km
Downloadedkmby:kmYongsamkm|kmsamsonkariuki04@gmail.c
om
Distribution of this document is illegal
, Stuvia.comkm-
The Marketplace to Buy and Sell your Study Material
d. Childs nonverbal behavior km km
s ANS: C
km km
The nurse must be aware of the childs developmental stage to engage in effective commun
km km km km km km km km km km km km km km
ication. The use of both verbal and nonverbal communication should be appropriate to the
km km km km km km km km km km km km km km
developmental level. Nonverbal behaviors vary in importance based on the childs developm
km km km km km km km km km km km
ental level and physical condition. Although the childs physical condition is a consideration
km km km km km km km km km km km km
, developmental level is much more important. The presence of parents is important when c
km km km km km km km km km km km km km km
ommunicating with young children but may be detrimental when speaking with adolescents.
km km km km km km km km km km km
4. Because children younger than 5 years are egocentric, the nurse should do which
km km km km km km km km km km km km km
when communicating with them?
km km km
a. Focus communication on the child. km km km km
b. Use easy analogies when possible.
km km km km
c. Explain experiences of others to the child.
km km km km km km
d. Assure the child that communication is privat
km km km km km km
e. ANS: A
km km
Because children of this age are able to see things only in terms of themselves, the best approach
km km km km km km km km km km km km km km km km km
is to focus communication directly on them. Children should be provided with information a
km km km km km km km km km km km km km
bout what they can do and how they will feel. With children who are egocentric, analogies
km km km km km km km km km km km km km km km
, experiences, and assurances that communication is private will not be effective because the
km km km km km km km km km km km km km
child is not capable of understanding.
km km km km km km
5. The nurses approach when introducing hospital equipment to a preschooler who seems a
km km km km km km km km km km km km
fraid should be based on which principle?
km km km km km km
a. The child may think the equipment is alive.
km km km km km km km
b. Explaining the equipment will only increase the childs fear.
km km km km km km km km
c. One brief explanation will be enough to reduce the childs fear.
km km km km km km km km km km
d. The child is too young to understand what the equipment d
km km km km km km km km km km
oes. ANS: Akm km
Young children attribute human characteristics to inanimate objects. They often fear that the
km km km km km km km km km km km km
objects may jump, bite, cut, or pinch all by themselves without human direction. Equipmen
km km km km km km km km km km km km km
t should be kept out of sight until needed. Simple, concrete explanations about what the equ
km km km km km km km km km km km km km km km
ipment does and how it will feel will help alleviate the childs fear. Preschoolers need repe
km km km km km km km km km km km km km km km
ated explanations as reassurance.
km km km
6. When the nurse interviews an adolescent, which is especially important?
km km km km km km km km km
a. Focus the discussion on the peer group. km km km km km km
b. Allow an opportunity to express feelings.
km km km km km
c. Use the same type of language as the adolescent.
km km km km km km km km
d. Emphasize that confidentiality will always be maintaine km km km km km km
d. ANS: B
km km
Adolescents, like all children, need opportunities to express their feelings. Often they interject
km km km km km km km km km km km km
feelings into their words. The nurse must be alert to the words and feelings expressed. The nurse
km km km km km km km km km km km km km km km km
Downloadedkmby:kmYongsamkm|kmsamsonkariuki04@gmail.c
om
Distribution of this document is illegal
