TEST BANK
Pediatric Primary Care
Beth Richardson
4th Edition
JN
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SE
,Table of Contents
Section 1: Child Health Care
1. Obtaining an Initial History
2. Obtaining an Interval History
3. Performing a Physical Examination
4. Making Newborn Rounds
5. Guidelines for Breastfeeding
6. Common Genetic Disorders
7. Two-Week Visit
8. One-Month Visit
9. Two-Month Visit
10. Four-Month Visit
11. Six-Month Visit
12. Nine-Month Visit
13. Twelve-Month Visit
14. Fifteen- to Eighteen-Month Visit
15. Two-Year Visit
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16. Three-Year Visit (Preschool)
17. Six-Year Visit (School Readiness)
18. Seven- to Ten-Year Visit (School Age)
19. Eleven- to Thirteen-Year Visit (Preadolescent)
20. Fourteen- to Eighteen-Year Visit (Adolescent)
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Section 2: Common Childhood Disorders
21. Dermatological Problems
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22. Eye Disorders
23. Ear Disorders
24. Sinus, Mouth, Throat, and Neck Disorders
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25. Respiratory Disorders
26. Cardiovascular Disorders
27. Gastrointestinal Disorders
28. Genitourinary Disorders
29. Gynecologic Disorders
30. Endocrine Disorders
31. Musculoskeletal Disorders
32. Neurologic Disorders
33. Hematologic Disorders
34. Pediatric Obesity
35. Behavioral Disorders
36. Mental Health Disorders
,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.
ANS: 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
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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
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c. Directing the focus
d. Defining the problem
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ANS: 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.
SE
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
c. Childs developmental level
d. Childs nonverbal behaviors
ANS: 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.
ANS: 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?
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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.
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d. The child is too young to understand what the equipment does.
ANS: A
Young children attribute human characteristics to inanimate objects. They often fear that the
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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 how it will feel will help alleviate the childs fear. Preschoolers need repeated
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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.
ANS: 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
Pediatric Primary Care
Beth Richardson
4th Edition
JN
U
R
SE
,Table of Contents
Section 1: Child Health Care
1. Obtaining an Initial History
2. Obtaining an Interval History
3. Performing a Physical Examination
4. Making Newborn Rounds
5. Guidelines for Breastfeeding
6. Common Genetic Disorders
7. Two-Week Visit
8. One-Month Visit
9. Two-Month Visit
10. Four-Month Visit
11. Six-Month Visit
12. Nine-Month Visit
13. Twelve-Month Visit
14. Fifteen- to Eighteen-Month Visit
15. Two-Year Visit
JN
16. Three-Year Visit (Preschool)
17. Six-Year Visit (School Readiness)
18. Seven- to Ten-Year Visit (School Age)
19. Eleven- to Thirteen-Year Visit (Preadolescent)
20. Fourteen- to Eighteen-Year Visit (Adolescent)
U
Section 2: Common Childhood Disorders
21. Dermatological Problems
R
22. Eye Disorders
23. Ear Disorders
24. Sinus, Mouth, Throat, and Neck Disorders
SE
25. Respiratory Disorders
26. Cardiovascular Disorders
27. Gastrointestinal Disorders
28. Genitourinary Disorders
29. Gynecologic Disorders
30. Endocrine Disorders
31. Musculoskeletal Disorders
32. Neurologic Disorders
33. Hematologic Disorders
34. Pediatric Obesity
35. Behavioral Disorders
36. Mental Health Disorders
,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.
ANS: 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
JN
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
U
c. Directing the focus
d. Defining the problem
R
ANS: 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.
SE
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
c. Childs developmental level
d. Childs nonverbal behaviors
ANS: 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.
ANS: 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?
JN
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.
U
d. The child is too young to understand what the equipment does.
ANS: A
Young children attribute human characteristics to inanimate objects. They often fear that the
R
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 how it will feel will help alleviate the childs fear. Preschoolers need repeated
SE
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.
ANS: 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
