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,Chapter 1 Obtaining an Initial History
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MULTIPLE CHOICE nw
1. The nurse is seeing an adolescent and the parents in the clinic for the first time. Which s
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hould the nurse do first?
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a. Introduce him- or herself. nw nw nw
b. Make the family comfortable.
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c. Give assurance of privacy.
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d. Explain the purpose of the intervie nw nw nw nw nw
w. ANS: A nw nw
The first thing that nurses must do is to introduce themselves to the patient and family. Par
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ents and other adults should be addressed with appropriate titles unless they specify a prefer
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red name. Clarification of the purpose of the interview and the nurses role is the second thin
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g that should be done. During the initial part of the interview, the nurse should include gen
nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw
eral conversation to help make the family feel at ease. The interview also should take place
nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw
in an environment as free of distraction as possible. In addition, the nurse should clarify w
nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw
hich information will be shared with other members of the health care team and any limits
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to the confidentiality.
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2. Which is considered a block to effective communication?
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a. Using silence nw
b. Using clichs nw
c. Directing the focus nw nw
d. Defining the proble nw nw
m 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
nw nw nw nw nw nw nw nw nw nw nw nw nw nw
tool. Silence permits the interviewee to sort out thoughts and feelings and search for resp
nw nw nw nw nw nw nw nw nw nw nw nw nw nw
onses to questions. To be effective, the nurse must be able to direct the focus of the inte
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rview while allowing maximum freedom of expression. By using open-
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ended questions and guiding questions, the nurse can obtain the necessary information an
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d maintain a relationship with the family. The nurse and parent must collaborate and defi
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ne the 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 nw nw nw nw
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,b. Childs physical condition
nw nw
c. Childs developmental level
nw nw
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, Stuvia.comnw-
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d. Childs nonverbal behavior nw nw
s ANS: C
nw nw
The nurse must be aware of the childs developmental stage to engage in effective communi
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cation. The use of both verbal and nonverbal communication should be appropriate to the d
nw nw nw nw nw nw nw nw nw nw nw nw nw nw
evelopmental level. Nonverbal behaviors vary in importance based on the childs developme
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ntal level and physical condition. Although the childs physical condition is a consideration,
nw nw nw nw nw nw nw nw nw nw nw nw nw
developmental level is much more important. The presence of parents is important when co
nw nw nw nw nw nw nw nw nw nw nw nw nw
mmunicating with young children but may be detrimental when speaking with adolescents.
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4. Because children younger than 5 years are egocentric, the nurse should do which
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when communicating with them?
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a. Focus communication on the child. nw nw nw nw
b. Use easy analogies when possible.
nw nw nw nw
c. Explain experiences of others to the child.
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d. Assure the child that communication is privat nw nw nw nw nw nw
e. ANS: A
nw nw
Because children of this age are able to see things only in terms of themselves, the best approach
nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw
is to focus communication directly on them. Children should be provided with information a
nw nw nw nw nw nw nw nw nw nw nw nw nw
bout what they can do and how they will feel. With children who are egocentric, analogies,
nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw
experiences, and assurances that communication is private will not be effective because the
nw nw nw nw nw nw nw nw nw nw nw nw nw nw
child is not capable of understanding.
nw nw nw nw nw
5. The nurses approach when introducing hospital equipment to a preschooler who seems af
nw nw nw nw nw nw nw nw nw nw nw nw
raid should be based on which principle?
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a. The child may think the equipment is alive.
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b. Explaining the equipment will only increase the childs fear.
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c. One brief explanation will be enough to reduce the childs fear.
nw nw nw nw nw nw nw nw nw nw
d. The child is too young to understand what the equipment d
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oes. ANS: Anw nw
Young children attribute human characteristics to inanimate objects. They often fear that the
nw nw nw nw nw nw nw nw nw nw nw nw
objects may jump, bite, cut, or pinch all by themselves without human direction. Equipment
nw nw nw nw nw nw nw nw nw nw nw nw nw
should be kept out of sight until needed. Simple, concrete explanations about what the equi
nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw
pment does and how it will feel will help alleviate the childs fear. Preschoolers need repeat
nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw
ed explanations as reassurance.
nw nw nw
6. When the nurse interviews an adolescent, which is especially important?
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a. Focus the discussion on the peer group. nw nw nw nw nw nw
b. Allow an opportunity to express feelings.
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c. Use the same type of language as the adolescent.
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d. Emphasize that confidentiality will always be maintaine nw nw nw nw nw nw
d. ANS: B
nw nw
Adolescents, like all children, need opportunities to express their feelings. Often they interject
nw nw nw nw nw nw nw nw nw nw nw nw
feelings into their words. The nurse must be alert to the words and feelings expressed. The nurse
nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw
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m
Distribution of this document is illegal
m
Distribution of this document is illegal
,Chapter 1 Obtaining an Initial History
nw nw nw nw nw
MULTIPLE CHOICE nw
1. The nurse is seeing an adolescent and the parents in the clinic for the first time. Which s
nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw
hould the nurse do first?
nw nw nw nw
a. Introduce him- or herself. nw nw nw
b. Make the family comfortable.
nw nw nw
c. Give assurance of privacy.
nw nw nw
d. Explain the purpose of the intervie nw nw nw nw nw
w. ANS: A nw nw
The first thing that nurses must do is to introduce themselves to the patient and family. Par
nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw
ents and other adults should be addressed with appropriate titles unless they specify a prefer
nw nw nw nw nw nw nw nw nw nw nw nw nw nw
red name. Clarification of the purpose of the interview and the nurses role is the second thin
nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw
g that should be done. During the initial part of the interview, the nurse should include gen
nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw
eral conversation to help make the family feel at ease. The interview also should take place
nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw
in an environment as free of distraction as possible. In addition, the nurse should clarify w
nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw
hich information will be shared with other members of the health care team and any limits
nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw
to the confidentiality.
nw nw
2. Which is considered a block to effective communication?
nw nw nw nw nw nw nw
a. Using silence nw
b. Using clichs nw
c. Directing the focus nw nw
d. Defining the proble nw nw
m ANS: B
nw nw
Using stereotyped comments or clichs can block effective communication. After the nurse uses
nw nw nw nw nw nw nw nw nw nw nw nw
such trite phrases, parents often do not respond. Silence can be an effective interviewing
nw nw nw nw nw nw nw nw nw nw nw nw nw nw
tool. Silence permits the interviewee to sort out thoughts and feelings and search for resp
nw nw nw nw nw nw nw nw nw nw nw nw nw nw
onses to questions. To be effective, the nurse must be able to direct the focus of the inte
nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw
rview while allowing maximum freedom of expression. By using open-
nw nw nw nw nw nw nw nw nw
ended questions and guiding questions, the nurse can obtain the necessary information an
nw nw nw nw nw nw nw nw nw nw nw nw
d maintain a relationship with the family. The nurse and parent must collaborate and defi
nw nw nw nw nw nw nw nw nw nw nw nw nw nw
ne the problem that will be the focus of the nursing intervention.
nw nw nw nw nw nw nw nw nw nw nw
3. Which is the single most important factor to consider when communicating with children?
nw nw nw nw nw nw nw nw nw nw nw nw
a. Presence of the childs parent nw nw nw nw
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m
Distribution of this document is illegal
,b. Childs physical condition
nw nw
c. Childs developmental level
nw nw
Downloadednwby:nwYongsamnw|
m
Distribution of this document is illegal
, Stuvia.comnw-
The Marketplace to Buy and Sell your Study Material
d. Childs nonverbal behavior nw nw
s ANS: C
nw nw
The nurse must be aware of the childs developmental stage to engage in effective communi
nw nw nw nw nw nw nw nw nw nw nw nw nw nw
cation. The use of both verbal and nonverbal communication should be appropriate to the d
nw nw nw nw nw nw nw nw nw nw nw nw nw nw
evelopmental level. Nonverbal behaviors vary in importance based on the childs developme
nw nw nw nw nw nw nw nw nw nw nw
ntal level and physical condition. Although the childs physical condition is a consideration,
nw nw nw nw nw nw nw nw nw nw nw nw nw
developmental level is much more important. The presence of parents is important when co
nw nw nw nw nw nw nw nw nw nw nw nw nw
mmunicating with young children but may be detrimental when speaking with adolescents.
nw nw nw nw nw nw nw nw nw nw nw
4. Because children younger than 5 years are egocentric, the nurse should do which
nw nw nw nw nw nw nw nw nw nw nw nw nw
when communicating with them?
nw nw nw
a. Focus communication on the child. nw nw nw nw
b. Use easy analogies when possible.
nw nw nw nw
c. Explain experiences of others to the child.
nw nw nw nw nw nw
d. Assure the child that communication is privat nw nw nw nw nw nw
e. ANS: A
nw nw
Because children of this age are able to see things only in terms of themselves, the best approach
nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw
is to focus communication directly on them. Children should be provided with information a
nw nw nw nw nw nw nw nw nw nw nw nw nw
bout what they can do and how they will feel. With children who are egocentric, analogies,
nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw
experiences, and assurances that communication is private will not be effective because the
nw nw nw nw nw nw nw nw nw nw nw nw nw nw
child is not capable of understanding.
nw nw nw nw nw
5. The nurses approach when introducing hospital equipment to a preschooler who seems af
nw nw nw nw nw nw nw nw nw nw nw nw
raid should be based on which principle?
nw nw nw nw nw nw
a. The child may think the equipment is alive.
nw nw nw nw nw nw nw
b. Explaining the equipment will only increase the childs fear.
nw nw nw nw nw nw nw nw
c. One brief explanation will be enough to reduce the childs fear.
nw nw nw nw nw nw nw nw nw nw
d. The child is too young to understand what the equipment d
nw nw nw nw nw nw nw nw nw nw
oes. ANS: Anw nw
Young children attribute human characteristics to inanimate objects. They often fear that the
nw nw nw nw nw nw nw nw nw nw nw nw
objects may jump, bite, cut, or pinch all by themselves without human direction. Equipment
nw nw nw nw nw nw nw nw nw nw nw nw nw
should be kept out of sight until needed. Simple, concrete explanations about what the equi
nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw
pment does and how it will feel will help alleviate the childs fear. Preschoolers need repeat
nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw
ed explanations as reassurance.
nw nw nw
6. When the nurse interviews an adolescent, which is especially important?
nw nw nw nw nw nw nw nw nw
a. Focus the discussion on the peer group. nw nw nw nw nw nw
b. Allow an opportunity to express feelings.
nw nw nw nw nw
c. Use the same type of language as the adolescent.
nw nw nw nw nw nw nw nw
d. Emphasize that confidentiality will always be maintaine nw nw nw nw nw nw
d. ANS: B
nw nw
Adolescents, like all children, need opportunities to express their feelings. Often they interject
nw nw nw nw nw nw nw nw nw nw nw nw
feelings into their words. The nurse must be alert to the words and feelings expressed. The nurse
nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw nw
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m
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