@PROFDOCDIGITALLIBRARIES
TEST BANK
Pediatric Primary Care: Practice Guidelines for Nurses: Practice Guidelines for Nurses
Beth Richardson
5th Edition
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U
R
SE
,@PROFDOCDIGITALLIBRARIES
Table of Content
Section 1 Child Health Care
Chapter 1 Obtaining an Initial History
Chapter 2 Obtaining an Interval History
Chapter 3 Performing a Physical Examination
Chapter 4 Making Newborn Rounds
Chapter 5 Guidelines for Breastfeeding
Chapter 6 Common Genetic Disorders
Chapter 7 Two-Week Visit
Chapter 8 One-Month Visit
Chapter 9 Two-Month Visit
Chapter 10 Four-Month Visit
Chapter 11 Six-Month Visit
Chapter 12 Nine-Month Visit
Chapter 13 Twelve-Month Visit
Chapter 14 Fifteen- to Eighteen-Month Visit
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Chapter 15 Two-Year Visit
Chapter 16 Three-Year Visit (Preschool)
Chapter 17 Six-Year Visit (School Readiness)
Chapter 18 Seven- to Ten-Year Visit (School Age)
Chapter 19 Eleven- to Thirteen-Year Visit (Preadolescent)
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Chapter 20 Fourteen- to Eighteen-Year Visit (Adolescent)
Section 2 Common Childhood Disorders
R
Chapter 21 Dermatological Problems
Chapter 22 Eye Disorders
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Chapter 23 Ear Disorders
Chapter 24 Sinus, Mouth, Throat, and Neck Disorders
Chapter 25 Respiratory Disorders
Chapter 26 Cardiovascular Disorders
Chapter 27 Gastrointestinal Disorders
Chapter 28 Genitourinary Disorders
Chapter 29 Gynecologic Disorders
Chapter 30 Endocrine Disorders
Chapter 31 Musculoskeletal Disorders
Chapter 32 Neurologic Disorders
Chapter 33 Hematologic Disorders
Chapter 34 Pediatric Obesity
Chapter 35 Behavioral Disorders
Chapter 36 Mental Health Disorders
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Richardson: Pediatric Primary Care- Practice Guidelines for Nurses 5th Edition Test Bank
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
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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?
U
a. Using silence
b. Using clichs
R
c. Directing the focus
d. Defining the problem
SE
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.
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
, @PROFDOCDIGITALLIBRARIES
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
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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.
U
b. Explaining the equipment will only increase the childs fear.
c. One brief explanation will be enough to reduce the childs fear.
R
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
SE
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
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
TEST BANK
Pediatric Primary Care: Practice Guidelines for Nurses: Practice Guidelines for Nurses
Beth Richardson
5th Edition
JN
U
R
SE
,@PROFDOCDIGITALLIBRARIES
Table of Content
Section 1 Child Health Care
Chapter 1 Obtaining an Initial History
Chapter 2 Obtaining an Interval History
Chapter 3 Performing a Physical Examination
Chapter 4 Making Newborn Rounds
Chapter 5 Guidelines for Breastfeeding
Chapter 6 Common Genetic Disorders
Chapter 7 Two-Week Visit
Chapter 8 One-Month Visit
Chapter 9 Two-Month Visit
Chapter 10 Four-Month Visit
Chapter 11 Six-Month Visit
Chapter 12 Nine-Month Visit
Chapter 13 Twelve-Month Visit
Chapter 14 Fifteen- to Eighteen-Month Visit
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Chapter 15 Two-Year Visit
Chapter 16 Three-Year Visit (Preschool)
Chapter 17 Six-Year Visit (School Readiness)
Chapter 18 Seven- to Ten-Year Visit (School Age)
Chapter 19 Eleven- to Thirteen-Year Visit (Preadolescent)
U
Chapter 20 Fourteen- to Eighteen-Year Visit (Adolescent)
Section 2 Common Childhood Disorders
R
Chapter 21 Dermatological Problems
Chapter 22 Eye Disorders
SE
Chapter 23 Ear Disorders
Chapter 24 Sinus, Mouth, Throat, and Neck Disorders
Chapter 25 Respiratory Disorders
Chapter 26 Cardiovascular Disorders
Chapter 27 Gastrointestinal Disorders
Chapter 28 Genitourinary Disorders
Chapter 29 Gynecologic Disorders
Chapter 30 Endocrine Disorders
Chapter 31 Musculoskeletal Disorders
Chapter 32 Neurologic Disorders
Chapter 33 Hematologic Disorders
Chapter 34 Pediatric Obesity
Chapter 35 Behavioral Disorders
Chapter 36 Mental Health Disorders
,@PROFDOCDIGITALLIBRARIES
Richardson: Pediatric Primary Care- Practice Guidelines for Nurses 5th Edition Test Bank
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
JN
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?
U
a. Using silence
b. Using clichs
R
c. Directing the focus
d. Defining the problem
SE
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.
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
, @PROFDOCDIGITALLIBRARIES
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
JN
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.
U
b. Explaining the equipment will only increase the childs fear.
c. One brief explanation will be enough to reduce the childs fear.
R
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
SE
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
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
