TEST BANK FOR PEDI
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ATRICPRIMARY CARm
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E 4TH EDITION BY RIC
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HARDSON
,Chapter 1 Obtaining an Initial History
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MULTIPLE CHOICE pm
1. The nurse is seeing an adolescent and the parents in the clinic for the first time. Which shou
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ld the nurse do first?
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a. Introduce him- or herself. pm pm pm
b. Make the family comfortable.
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c. Give assurance of privacy.
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d. Explain the purpose of the interview. pm pm pm pm pm
ANS: A
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The first thing that nurses must do is to introduce themselves to the patient and family. Parent
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
s and other adults should be addressed with appropriate titles unless they specify a preferred na
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me. Clarification of the purpose of the interview and the nurses role is the second thing that sho
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uld be done. During the initial part of the interview, the nurse should include general conversa
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tion to help make the family feel at ease. The interview also should take place in an environm
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ent as free of distraction as possible. In addition, the nurse should clarify which information w
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ill be shared with other members of the health care team and any limits to the confidentiality.
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2. Which is considered a block to effective communication?
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a. Using silence pm
b. Using clichs pm
c. Directing the focus pm pm
d. Defining the problem pm pm
ANS: B
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Using stereotyped comments or clichs can block effective communication. After the nurse uses
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such trite phrases, parents often do not respond. Silence can be an effective interviewing too
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l. Silence permits the interviewee to sort out thoughts and feelings and search for responses
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to questions. To be effective, the nurse must be able to direct the focus of the interview whi
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
le allowing maximum freedom of expression. By using open-
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ended questions and guiding questions, the nurse can obtain the necessary information and
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maintain a relationship with the family. The nurse and parent must collaborate and define the
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problem that will be the focus of the nursing intervention.
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3. Which is the single most important factor to consider when communicating with children?
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a. Presence of the childs parent pm pm pm pm
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m
Distribution of this document is illegal pm pm pm pm pm
,b. Childs physical condition
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c. Childs developmental level
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m
Distribution of this document is illegal
pm pm pm pm pm
, Stuvia.com - pm
The Marketplace to Buy and Sell your Study Material
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d. Childs nonverbal behaviors pm pm
ANS: C
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The nurse must be aware of the childs developmental stage to engage in effective communicat
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ion. The use of both verbal and nonverbal communication should be appropriate to the develo
pm pm pm pm pm pm pm pm pm pm pm pm pm pm
pmental level. Nonverbal behaviors vary in importance based on the childs developmental leve
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l and physical condition. Although the childs physical condition is a consideration, developme
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ntal level is much more important. The presence of parents is important when communicating
pm pm pm pm pm pm pm pm pm pm pm pm pm pm
with young children but may be detrimental when speaking with adolescents.
pm pm pm pm pm pm pm pm pm pm
4. Because children younger than 5 years are egocentric, the nurse should do which whe
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n communicating with them?
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a. Focus communication on the child. pm pm pm pm
b. Use easy analogies when possible.
pm pm pm pm
c. Explain experiences of others to the child.
pm pm pm pm pm pm
d. Assure the child that communication is private pm pm pm pm pm pm
. ANS: A
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Because children of this age are able to see things only in terms of themselves, the best approach
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
is to focus communication directly on them. Children should be provided with information abou
pm pm pm pm pm pm pm pm pm pm pm pm pm
t what they can do and how they will feel. With children who are egocentric, analogies, experi
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
ences, and assurances that communication is private will not be effective because the child is n
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
ot capable of understanding.
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5. The nurses approach when introducing hospital equipment to a preschooler who seems afrai
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d should be based on which principle?
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a. The child may think the equipment is alive. pm pm pm pm pm pm pm
b. Explaining the equipment will only increase the childs fear.
pm pm pm pm pm pm pm pm
c. One brief explanation will be enough to reduce the childs fear.
pm pm pm pm pm pm pm pm pm pm
d. The child is too young to understand what the equipment doe
pm pm pm pm pm pm pm pm pm pm
s. ANS: A
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Young children attribute human characteristics to inanimate objects. They often fear that the
pm pm pm pm pm pm pm pm pm pm pm pm
objects may jump, bite, cut, or pinch all by themselves without human direction. Equipment s
pm pm pm pm pm pm pm pm pm pm pm pm pm pm
hould be kept out of sight until needed. Simple, concrete explanations about what the equipmen
pm pm pm pm pm pm pm pm pm pm pm pm pm pm
t does and how it will feel will help alleviate the childs fear. Preschoolers need repeated expla
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
nations as reassurance. pm pm
6. When the nurse interviews an adolescent, which is especially important?
pm pm pm pm pm pm pm pm pm
a. Focus the discussion on the peer group. pm pm pm pm pm pm
b. Allow an opportunity to express feelings.
pm pm pm pm pm
c. Use the same type of language as the adolescent.
pm pm pm pm pm pm pm pm
d. Emphasize that confidentiality will always be maintained pm pm pm pm pm pm
. ANS: B
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Adolescents, like all children, need opportunities to express their feelings. Often they interject
pm pm pm pm pm pm pm pm pm pm pm pm
feelings into their words. The nurse must be alert to the words and feelings expressed. The nurse
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
Downloaded by: Yongsam |
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m
Distribution of this document is illegal pm pm pm pm pm
pm pm pm
ATRICPRIMARY CARm
p pm
E 4TH EDITION BY RIC
pm pm pm pm
HARDSON
,Chapter 1 Obtaining an Initial History
pm pm pm pm pm
MULTIPLE CHOICE pm
1. The nurse is seeing an adolescent and the parents in the clinic for the first time. Which shou
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
ld the nurse do first?
pm pm pm pm
a. Introduce him- or herself. pm pm pm
b. Make the family comfortable.
pm pm pm
c. Give assurance of privacy.
pm pm pm
d. Explain the purpose of the interview. pm pm pm pm pm
ANS: A
pm pm
The first thing that nurses must do is to introduce themselves to the patient and family. Parent
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
s and other adults should be addressed with appropriate titles unless they specify a preferred na
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
me. Clarification of the purpose of the interview and the nurses role is the second thing that sho
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
uld be done. During the initial part of the interview, the nurse should include general conversa
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
tion to help make the family feel at ease. The interview also should take place in an environm
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
ent as free of distraction as possible. In addition, the nurse should clarify which information w
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
ill be shared with other members of the health care team and any limits to the confidentiality.
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
2. Which is considered a block to effective communication?
pm pm pm pm pm pm pm
a. Using silence pm
b. Using clichs pm
c. Directing the focus pm pm
d. Defining the problem pm pm
ANS: B
pm pm
Using stereotyped comments or clichs can block effective communication. After the nurse uses
pm pm pm pm pm pm pm pm pm pm pm pm
such trite phrases, parents often do not respond. Silence can be an effective interviewing too
pm pm pm pm pm pm pm pm pm pm pm pm pm pm
l. Silence permits the interviewee to sort out thoughts and feelings and search for responses
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
to questions. To be effective, the nurse must be able to direct the focus of the interview whi
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
le allowing maximum freedom of expression. By using open-
pm pm pm pm pm pm pm pm
ended questions and guiding questions, the nurse can obtain the necessary information and
pm pm pm pm pm pm pm pm pm pm pm pm pm
maintain a relationship with the family. The nurse and parent must collaborate and define the
pm pm pm pm pm pm pm pm pm pm pm pm pm pm
problem that will be the focus of the nursing intervention.
pm pm pm pm pm pm pm pm pm pm
3. Which is the single most important factor to consider when communicating with children?
pm pm pm pm pm pm pm pm pm pm pm pm
a. Presence of the childs parent pm pm pm pm
Downloaded by: Yongsam |
pm pm pm pm
m
Distribution of this document is illegal pm pm pm pm pm
,b. Childs physical condition
pm pm
c. Childs developmental level
pm pm
Downloaded by: Yongsam |
pm pm pm pm
m
Distribution of this document is illegal
pm pm pm pm pm
, Stuvia.com - pm
The Marketplace to Buy and Sell your Study Material
pm pm pm pm pm pm pm pm pm
d. Childs nonverbal behaviors pm pm
ANS: C
pm pm
The nurse must be aware of the childs developmental stage to engage in effective communicat
pm pm pm pm pm pm pm pm pm pm pm pm pm pm
ion. The use of both verbal and nonverbal communication should be appropriate to the develo
pm pm pm pm pm pm pm pm pm pm pm pm pm pm
pmental level. Nonverbal behaviors vary in importance based on the childs developmental leve
pm pm pm pm pm pm pm pm pm pm pm pm
l and physical condition. Although the childs physical condition is a consideration, developme
pm pm pm pm pm pm pm pm pm pm pm pm
ntal level is much more important. The presence of parents is important when communicating
pm pm pm pm pm pm pm pm pm pm pm pm pm pm
with young children but may be detrimental when speaking with adolescents.
pm pm pm pm pm pm pm pm pm pm
4. Because children younger than 5 years are egocentric, the nurse should do which whe
pm pm pm pm pm pm pm pm pm pm pm pm pm
n communicating with them?
pm pm pm
a. Focus communication on the child. pm pm pm pm
b. Use easy analogies when possible.
pm pm pm pm
c. Explain experiences of others to the child.
pm pm pm pm pm pm
d. Assure the child that communication is private pm pm pm pm pm pm
. ANS: A
pm pm
Because children of this age are able to see things only in terms of themselves, the best approach
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
is to focus communication directly on them. Children should be provided with information abou
pm pm pm pm pm pm pm pm pm pm pm pm pm
t what they can do and how they will feel. With children who are egocentric, analogies, experi
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
ences, and assurances that communication is private will not be effective because the child is n
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
ot capable of understanding.
pm pm pm
5. The nurses approach when introducing hospital equipment to a preschooler who seems afrai
pm pm pm pm pm pm pm pm pm pm pm pm
d should be based on which principle?
pm pm pm pm pm pm
a. The child may think the equipment is alive. pm pm pm pm pm pm pm
b. Explaining the equipment will only increase the childs fear.
pm pm pm pm pm pm pm pm
c. One brief explanation will be enough to reduce the childs fear.
pm pm pm pm pm pm pm pm pm pm
d. The child is too young to understand what the equipment doe
pm pm pm pm pm pm pm pm pm pm
s. ANS: A
pm pm
Young children attribute human characteristics to inanimate objects. They often fear that the
pm pm pm pm pm pm pm pm pm pm pm pm
objects may jump, bite, cut, or pinch all by themselves without human direction. Equipment s
pm pm pm pm pm pm pm pm pm pm pm pm pm pm
hould be kept out of sight until needed. Simple, concrete explanations about what the equipmen
pm pm pm pm pm pm pm pm pm pm pm pm pm pm
t does and how it will feel will help alleviate the childs fear. Preschoolers need repeated expla
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
nations as reassurance. pm pm
6. When the nurse interviews an adolescent, which is especially important?
pm pm pm pm pm pm pm pm pm
a. Focus the discussion on the peer group. pm pm pm pm pm pm
b. Allow an opportunity to express feelings.
pm pm pm pm pm
c. Use the same type of language as the adolescent.
pm pm pm pm pm pm pm pm
d. Emphasize that confidentiality will always be maintained pm pm pm pm pm pm
. ANS: B
pm pm
Adolescents, like all children, need opportunities to express their feelings. Often they interject
pm pm pm pm pm pm pm pm pm pm pm pm
feelings into their words. The nurse must be alert to the words and feelings expressed. The nurse
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
Downloaded by: Yongsam |
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m
Distribution of this document is illegal pm pm pm pm pm
