TEST BANK FOR PEDIATRIC
PRIMARY CARE 4TH EDITION
RICHARDSON
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TEST BANK FOR
PEDIATRIC PRIMARY
CARE 4TH EDITION
RICHARDSON
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Pediatric Primary Care 4th Edition Richardson
Testbank/StudyGuide
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
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
c. Directing the focus
d. Defining the problem
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
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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 hchildren hyounger hthan h5 hyears hare hegocentric, hthe hnurse hshould hdo
hwhich hwhenhcommunicating hwith hthem?
a. Focus hcommunication hon hthe hchild.
b. Use heasy hanalogies hwhen hpossible.
c. Explain hexperiences hof hothers hto hthe hchild.
d. Assure hthe hchild hthat hcommunication his
hprivate.hANS: hA
Because hchildren hof hthis hage hare hable hto hsee hthings honly hin hterms hof hthemselves, hthe hbest happroach
is hto hfocus hcommunication hdirectly hon hthem. hChildren hshould hbe hprovided hwith
hinformation habouthwhat hthey hcan hdo hand hhow hthey hwill hfeel. hWith hchildren hwho hare
hegocentric, hanalogies, hexperiences, hand hassurances hthat hcommunication his hprivate hwill hnot
hbe heffective hbecause hthe hchildhis h not hcapable h of hunderstanding.
5. The hnurses happroach hwhen hintroducing hhospital hequipment hto ha hpreschooler hwho
hseems hafraidhshould hbe hbased h on hwhich hprinciple?
a. The hchild hmay hthink hthe hequipment his halive.
b. Explaining hthe hequipment hwill honly hincrease hthe hchilds hfear.
c. One hbrief hexplanation hwill hbe henough hto hreduce hthe hchilds hfear.
d. The hchild his htoo hyoung hto hunderstand hwhat hthe hequipment
hdoes.hANS: hA
Young hchildren hattribute hhuman hcharacteristics hto hinanimate hobjects. hThey hoften hfear hthat hthe
objects hmay hjump, hbite, hcut, hor hpinch hall hby hthemselves hwithout hhuman hdirection.
hEquipment hshould hbe hkept hout hof hsight huntil hneeded. hSimple, hconcrete hexplanations habout
hwhat hthe hequipmenthdoes hand hhow hit hwill hfeel hwill hhelp halleviate hthe hchilds hfear.
hPreschoolers hneed hrepeated hexplanations has hreassurance.
6. When hthe hnurse hinterviews han hadolescent, hwhich his hespecially himportant?
a. Focus hthe hdiscussion hon hthe hpeer hgroup.
b. Allow han hopportunity hto hexpress hfeelings.
c. Use hthe hsame htype hof hlanguage has hthe hadolescent.
d. Emphasize hthat hconfidentiality hwill halways hbe
hmaintained.hANS: hB
Adolescents, hlike hall hchildren, hneed hopportunities hto hexpress htheir hfeelings. hOften hthey hinterject
feelings hinto htheir hwords. hThe hnurse hmust hbe halert hto hthe hwords hand hfeelings hexpressed. hThe hnurse
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PRIMARY CARE 4TH EDITION
RICHARDSON
written by
SuperA
Downloaded by: SuperA |
Distribution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
TEST BANK FOR
PEDIATRIC PRIMARY
CARE 4TH EDITION
RICHARDSON
Downloaded by: SuperA |
Distribution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
Pediatric Primary Care 4th Edition Richardson
Testbank/StudyGuide
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
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
c. Directing the focus
d. Defining the problem
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
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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 hchildren hyounger hthan h5 hyears hare hegocentric, hthe hnurse hshould hdo
hwhich hwhenhcommunicating hwith hthem?
a. Focus hcommunication hon hthe hchild.
b. Use heasy hanalogies hwhen hpossible.
c. Explain hexperiences hof hothers hto hthe hchild.
d. Assure hthe hchild hthat hcommunication his
hprivate.hANS: hA
Because hchildren hof hthis hage hare hable hto hsee hthings honly hin hterms hof hthemselves, hthe hbest happroach
is hto hfocus hcommunication hdirectly hon hthem. hChildren hshould hbe hprovided hwith
hinformation habouthwhat hthey hcan hdo hand hhow hthey hwill hfeel. hWith hchildren hwho hare
hegocentric, hanalogies, hexperiences, hand hassurances hthat hcommunication his hprivate hwill hnot
hbe heffective hbecause hthe hchildhis h not hcapable h of hunderstanding.
5. The hnurses happroach hwhen hintroducing hhospital hequipment hto ha hpreschooler hwho
hseems hafraidhshould hbe hbased h on hwhich hprinciple?
a. The hchild hmay hthink hthe hequipment his halive.
b. Explaining hthe hequipment hwill honly hincrease hthe hchilds hfear.
c. One hbrief hexplanation hwill hbe henough hto hreduce hthe hchilds hfear.
d. The hchild his htoo hyoung hto hunderstand hwhat hthe hequipment
hdoes.hANS: hA
Young hchildren hattribute hhuman hcharacteristics hto hinanimate hobjects. hThey hoften hfear hthat hthe
objects hmay hjump, hbite, hcut, hor hpinch hall hby hthemselves hwithout hhuman hdirection.
hEquipment hshould hbe hkept hout hof hsight huntil hneeded. hSimple, hconcrete hexplanations habout
hwhat hthe hequipmenthdoes hand hhow hit hwill hfeel hwill hhelp halleviate hthe hchilds hfear.
hPreschoolers hneed hrepeated hexplanations has hreassurance.
6. When hthe hnurse hinterviews han hadolescent, hwhich his hespecially himportant?
a. Focus hthe hdiscussion hon hthe hpeer hgroup.
b. Allow han hopportunity hto hexpress hfeelings.
c. Use hthe hsame htype hof hlanguage has hthe hadolescent.
d. Emphasize hthat hconfidentiality hwill halways hbe
hmaintained.hANS: hB
Adolescents, hlike hall hchildren, hneed hopportunities hto hexpress htheir hfeelings. hOften hthey hinterject
feelings hinto htheir hwords. hThe hnurse hmust hbe halert hto hthe hwords hand hfeelings hexpressed. hThe hnurse
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