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i PRIMARY CARE 4TH EDITION
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TEST BANK FOR
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PEDIATRIC PRIMARY i
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Pediatric Primary Care 4th Edition Richardson
i i i i i
Testbank/StudyGuide
i
Chapter i1 iObtaining ian iInitial iHistory
MULTIPLE iCHOICE
1. The inurse iis iseeing ian iadolescent iand ithe iparents iin ithe iclinic ifor ithe ifirst itime. iWhich
ishouldithe inurse ido ifirst?
a. Introduce ihim- ior iherself.
b. Make ithe ifamily icomfortable.
c. Give iassurance iof iprivacy.
d. Explain ithe ipurpose iof ithe
iinterview.iANS: iA
The ifirst ithing ithat inurses imust ido iis ito iintroduce ithemselves ito ithe ipatient iand ifamily. iParents
and iother iadults ishould ibe iaddressed iwith iappropriate ititles iunless ithey ispecify ia ipreferred
iname.iClarification iof ithe ipurpose iof ithe iinterview iand ithe inurses irole iis ithe isecond ithing ithat
ishould ibeidone. iDuring ithe iinitial ipart iof ithe iinterview, ithe inurse ishould iinclude igeneral
iconversation ito ihelp imake ithe ifamily ifeel iat iease. iThe iinterview ialso ishould itake iplace iin ian
ienvironment ias ifree iof idistraction ias ipossible. iIn iaddition, ithe inurse ishould iclarify iwhich
iinformation iwill ibe ishared iwith iother imembers i of ithe ihealth icare iteam iand i any ilimits ito ithe
iconfidentiality.
2. Which iis iconsidered ia iblock ito ieffective icommunication?
a. Using isilence
b. Using iclichs
c. Directing ithe ifocus
d. Defining ithe
iproblemiANS: iB
Using istereotyped icomments ior iclichs ican iblock ieffective icommunication. iAfter ithe inurse iuses
such itrite iphrases, iparents ioften ido inot irespond. iSilence ican ibe ian ieffective iinterviewing
itool. iSilence ipermits ithe iinterviewee ito i sort iout ithoughts iand ifeelings iand isearch ifor
iresponses ito iquestions. iTo ibe ieffective, ithe inurse imust ibe iable ito idirect ithe ifocus iof ithe
iinterview iwhile iallowing imaximum ifreedom iof iexpression. iBy iusing iopen-ended iquestions
iand iguiding iquestions, ithe inurse ican iobtain ithe inecessary iinformation iand imaintain ia
irelationship iwith itheifamily. iThe inurse iand iparent imust icollaborate iand idefine ithe iproblem
ithat iwill ibe ithe ifocus iofithe inursing i intervention.
3. Which iis ithe isingle imost iimportant ifactor ito iconsider iwhen icommunicating iwith ichildren?
a. Presence iof ithe ichilds iparent
b. Childs iphysical icondition
c. Childs idevelopmental ilevel
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d. Childs inonverbal ibehaviors
iANS: iC
The inurse imust ibe iaware iof ithe ichilds idevelopmental istage ito iengage iin ieffective
communication. iThe iuse iof iboth iverbal iand inonverbal icommunication ishould ibe iappropriate ito
ithe idevelopmental ilevel. iNonverbal ibehaviors ivary iin iimportance ibased ion ithe ichilds
idevelopmental ilevel iand iphysical icondition. iAlthough ithe ichilds iphysical icondition iis ia
iconsideration, idevelopmental ilevel iis imuch imore iimportant. iThe ipresence iof iparents iis
iimportantiwhen icommunicating iwith iyoung ichildren ibut imay ibe idetrimental iwhen ispeaking
iwith iadolescents.
4. Because ichildren iyounger ithan i5 iyears iare iegocentric, ithe inurse ishould ido iwhich
iwhenicommunicating iwith ithem?
a. Focus icommunication ion ithe ichild.
b. Use ieasy ianalogies iwhen ipossible.
c. Explain iexperiences iof iothers ito ithe ichild.
d. Assure ithe ichild ithat icommunication iis
iprivate.iANS: iA
Because ichildren iof ithis iage iare iable ito isee ithings ionly iin iterms iof ithemselves, ithe ibest iapproach
is ito ifocus icommunication idirectly ion ithem. iChildren ishould ibe iprovided iwith iinformation
iaboutiwhat ithey ican ido iand ihow ithey iwill ifeel. iWith ichildren iwho iare iegocentric, ianalogies,
iexperiences, iand iassurances ithat icommunication iis iprivate iwill inot ibe ieffective ibecause ithe
ichildiis i not i capable i of iunderstanding.
5. The inurses iapproach iwhen iintroducing ihospital iequipment ito ia ipreschooler iwho iseems
iafraidishould ibe ibased i on iwhich iprinciple?
a. The ichild imay ithink ithe iequipment iis ialive.
b. Explaining ithe iequipment iwill ionly iincrease ithe ichilds ifear.
c. One ibrief iexplanation iwill ibe ienough ito ireduce ithe ichilds ifear.
d. The ichild iis itoo iyoung ito iunderstand iwhat ithe iequipment
idoes.iANS: iA
Young ichildren iattribute ihuman icharacteristics ito iinanimate iobjects. iThey ioften ifear ithat ithe
objects imay ijump, ibite, icut, ior ipinch iall iby ithemselves iwithout ihuman idirection. iEquipment
ishould ibe ikept iout iof i sight iuntil ineeded. iSimple, iconcrete iexplanations iabout iwhat ithe
iequipmentidoes iand ihow iit iwill ifeel iwill ihelp ialleviate ithe ichilds ifear. iPreschoolers ineed
irepeated iexplanations ias ireassurance.
6. When ithe inurse iinterviews ian iadolescent, iwhich iis iespecially iimportant?
a. Focus ithe idiscussion ion ithe ipeer igroup.
b. Allow ian iopportunity ito iexpress ifeelings.
c. Use ithe isame itype iof ilanguage ias ithe iadolescent.
d. Emphasize ithat iconfidentiality iwill ialways ibe
imaintained.iANS: iB
Adolescents, ilike iall ichildren, ineed iopportunities ito iexpress itheir ifeelings. iOften ithey iinterject
feelings iinto itheir iwords. iThe inurse imust ibe ialert ito ithe iwords iand ifeelings iexpressed. iThe inurse
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i i i
i PRIMARY CARE 4TH EDITION
i i i
RICHARDSON
i
written by i
SuperA
www.stuvia.com
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TEST BANK FOR
i i
PEDIATRIC PRIMARY i
i CARE4TH EDITION
i
i
i RICHARDSON
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iMaterial
Pediatric Primary Care 4th Edition Richardson
i i i i i
Testbank/StudyGuide
i
Chapter i1 iObtaining ian iInitial iHistory
MULTIPLE iCHOICE
1. The inurse iis iseeing ian iadolescent iand ithe iparents iin ithe iclinic ifor ithe ifirst itime. iWhich
ishouldithe inurse ido ifirst?
a. Introduce ihim- ior iherself.
b. Make ithe ifamily icomfortable.
c. Give iassurance iof iprivacy.
d. Explain ithe ipurpose iof ithe
iinterview.iANS: iA
The ifirst ithing ithat inurses imust ido iis ito iintroduce ithemselves ito ithe ipatient iand ifamily. iParents
and iother iadults ishould ibe iaddressed iwith iappropriate ititles iunless ithey ispecify ia ipreferred
iname.iClarification iof ithe ipurpose iof ithe iinterview iand ithe inurses irole iis ithe isecond ithing ithat
ishould ibeidone. iDuring ithe iinitial ipart iof ithe iinterview, ithe inurse ishould iinclude igeneral
iconversation ito ihelp imake ithe ifamily ifeel iat iease. iThe iinterview ialso ishould itake iplace iin ian
ienvironment ias ifree iof idistraction ias ipossible. iIn iaddition, ithe inurse ishould iclarify iwhich
iinformation iwill ibe ishared iwith iother imembers i of ithe ihealth icare iteam iand i any ilimits ito ithe
iconfidentiality.
2. Which iis iconsidered ia iblock ito ieffective icommunication?
a. Using isilence
b. Using iclichs
c. Directing ithe ifocus
d. Defining ithe
iproblemiANS: iB
Using istereotyped icomments ior iclichs ican iblock ieffective icommunication. iAfter ithe inurse iuses
such itrite iphrases, iparents ioften ido inot irespond. iSilence ican ibe ian ieffective iinterviewing
itool. iSilence ipermits ithe iinterviewee ito i sort iout ithoughts iand ifeelings iand isearch ifor
iresponses ito iquestions. iTo ibe ieffective, ithe inurse imust ibe iable ito idirect ithe ifocus iof ithe
iinterview iwhile iallowing imaximum ifreedom iof iexpression. iBy iusing iopen-ended iquestions
iand iguiding iquestions, ithe inurse ican iobtain ithe inecessary iinformation iand imaintain ia
irelationship iwith itheifamily. iThe inurse iand iparent imust icollaborate iand idefine ithe iproblem
ithat iwill ibe ithe ifocus iofithe inursing i intervention.
3. Which iis ithe isingle imost iimportant ifactor ito iconsider iwhen icommunicating iwith ichildren?
a. Presence iof ithe ichilds iparent
b. Childs iphysical icondition
c. Childs idevelopmental ilevel
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iMaterial
d. Childs inonverbal ibehaviors
iANS: iC
The inurse imust ibe iaware iof ithe ichilds idevelopmental istage ito iengage iin ieffective
communication. iThe iuse iof iboth iverbal iand inonverbal icommunication ishould ibe iappropriate ito
ithe idevelopmental ilevel. iNonverbal ibehaviors ivary iin iimportance ibased ion ithe ichilds
idevelopmental ilevel iand iphysical icondition. iAlthough ithe ichilds iphysical icondition iis ia
iconsideration, idevelopmental ilevel iis imuch imore iimportant. iThe ipresence iof iparents iis
iimportantiwhen icommunicating iwith iyoung ichildren ibut imay ibe idetrimental iwhen ispeaking
iwith iadolescents.
4. Because ichildren iyounger ithan i5 iyears iare iegocentric, ithe inurse ishould ido iwhich
iwhenicommunicating iwith ithem?
a. Focus icommunication ion ithe ichild.
b. Use ieasy ianalogies iwhen ipossible.
c. Explain iexperiences iof iothers ito ithe ichild.
d. Assure ithe ichild ithat icommunication iis
iprivate.iANS: iA
Because ichildren iof ithis iage iare iable ito isee ithings ionly iin iterms iof ithemselves, ithe ibest iapproach
is ito ifocus icommunication idirectly ion ithem. iChildren ishould ibe iprovided iwith iinformation
iaboutiwhat ithey ican ido iand ihow ithey iwill ifeel. iWith ichildren iwho iare iegocentric, ianalogies,
iexperiences, iand iassurances ithat icommunication iis iprivate iwill inot ibe ieffective ibecause ithe
ichildiis i not i capable i of iunderstanding.
5. The inurses iapproach iwhen iintroducing ihospital iequipment ito ia ipreschooler iwho iseems
iafraidishould ibe ibased i on iwhich iprinciple?
a. The ichild imay ithink ithe iequipment iis ialive.
b. Explaining ithe iequipment iwill ionly iincrease ithe ichilds ifear.
c. One ibrief iexplanation iwill ibe ienough ito ireduce ithe ichilds ifear.
d. The ichild iis itoo iyoung ito iunderstand iwhat ithe iequipment
idoes.iANS: iA
Young ichildren iattribute ihuman icharacteristics ito iinanimate iobjects. iThey ioften ifear ithat ithe
objects imay ijump, ibite, icut, ior ipinch iall iby ithemselves iwithout ihuman idirection. iEquipment
ishould ibe ikept iout iof i sight iuntil ineeded. iSimple, iconcrete iexplanations iabout iwhat ithe
iequipmentidoes iand ihow iit iwill ifeel iwill ihelp ialleviate ithe ichilds ifear. iPreschoolers ineed
irepeated iexplanations ias ireassurance.
6. When ithe inurse iinterviews ian iadolescent, iwhich iis iespecially iimportant?
a. Focus ithe idiscussion ion ithe ipeer igroup.
b. Allow ian iopportunity ito iexpress ifeelings.
c. Use ithe isame itype iof ilanguage ias ithe iadolescent.
d. Emphasize ithat iconfidentiality iwill ialways ibe
imaintained.iANS: iB
Adolescents, ilike iall ichildren, ineed iopportunities ito iexpress itheir ifeelings. iOften ithey iinterject
feelings iinto itheir iwords. iThe inurse imust ibe ialert ito ithe iwords iand ifeelings iexpressed. iThe inurse
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