Test Bank for Pediatric Primary Care: Practice Guidelines for Nurses 4th Edition by Beth Richardson All 1-36 Chapters Covered ,Latest Edition. BEST COPY

,Chapter 1 Obtaining an Initial History
qy qy qy qy qy




MULTIPLE CHOICE qy


1. The nurse is seeing an adolescent and the parents in the clinic for the first time. Which sho
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy


uld the nurse do first?
qy qy qy qy



a. Introduce him- or herself. qy qy qy



b. Make the family comfortable. qy qy qy



c. Give assurance of privacy. qy qy qy



d. Explain the purpose of the interview qy qy qy qy qy



. ANS: A
qy qy


The first thing that nurses must do is to introduce themselves to the patient and family. Parent
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy


s and other adults should be addressed with appropriate titles unless they specify a preferred n
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy


ame. Clarification of the purpose of the interview and the nurses role is the second thing that s
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy


hould be done. During the initial part of the interview, the nurse should include general conve
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy


rsation to help make the family feel at ease. The interview also should take place in an enviro
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy


nment as free of distraction as possible. In addition, the nurse should clarify which informatio
qy qy qy qy qy qy qy qy qy qy qy qy qy qy


n will be shared with other members of the health care team and any limits to the confidential
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy


ity.
2. Which is considered a block to effective communication?
qy qy qy qy qy qy qy


a. Using silence qy




b. Using clichs qy



c. Directing the focus qy qy



d. Defining the problem qy qy



qyANS: B qy


Using stereotyped comments or clichs can block effective communication. After the nurse uses
qy qy qy qy qy qy qy qy qy qy qy qy


such trite phrases, parents often do not respond. Silence can be an effective interviewing too
qy qy qy qy qy qy qy qy qy qy qy qy qy qy


l. Silence permits the interviewee to sort out thoughts and feelings and search for responses
qy qy qy qy qy qy qy qy qy qy qy qy qy qy q


yto questions. To be effective, the nurse must be able to direct the focus of the interview wh
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy


ile allowing maximum freedom of expression. By using open-
qy qy qy qy qy qy qy qy


ended questions and guiding questions, the nurse can obtain the necessary information and
qy qy qy qy qy qy qy qy qy qy qy qy qy


maintain a relationship with the family. The nurse and parent must collaborate and define th
qy qy qy qy qy qy qy qy qy qy qy qy qy qy


e problem that will be the focus of the nursing intervention.
qy qy qy qy qy qy qy qy qy qy


3. Which is the single most important factor to consider when communicating with children?
qy qy qy qy qy qy qy qy qy qy qy qy



a. Presence of the childs parent qy qy qy qy




Downloadedqyby:qyYongsamqy|
m
Distribution of this document is illegal

,b. Childs physical condition
qy qy




c. Childs developmental level
qy qy




Downloadedqyby:qyYongsamqy|
m
Distribution of this document is illegal

, Stuvia.comqy-
The Marketplace to Buy and Sell your Study Material




d. Childs nonverbal behaviors qy qy



ANS: C
qy qy


The nurse must be aware of the childs developmental stage to engage in effective communicat
qy qy qy qy qy qy qy qy qy qy qy qy qy qy


ion. The use of both verbal and nonverbal communication should be appropriate to the develo
qy qy qy qy qy qy qy qy qy qy qy qy qy qy


pmental level. Nonverbal behaviors vary in importance based on the childs developmental lev
qy qy qy qy qy qy qy qy qy qy qy qy


el and physical condition. Although the childs physical condition is a consideration, developm
qy qy qy qy qy qy qy qy qy qy qy qy


ental level is much more important. The presence of parents is important when communicating
qy qy qy qy qy qy qy qy qy qy qy qy qy qy


with young children but may be detrimental when speaking with adolescents.
qy qy qy qy qy qy qy qy qy qy


4. Because children younger than 5 years are egocentric, the nurse should do which wh
qy qy qy qy qy qy qy qy qy qy qy qy qy


en communicating with them?
qy qy qy



a. Focus communication on the child. qy qy qy qy



b. Use easy analogies when possible.
qy qy qy qy



c. Explain experiences of others to the child.
qy qy qy qy qy qy



d. Assure the child that communication is private qy qy qy qy qy qy



. ANS: A
qy qy


Because children of this age are able to see things only in terms of themselves, the best approach
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy


is to focus communication directly on them. Children should be provided with information abo
qy qy qy qy qy qy qy qy qy qy qy qy qy


ut what they can do and how they will feel. With children who are egocentric, analogies, exp
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy


eriences, and assurances that communication is private will not be effective because the child i
qy qy qy qy qy qy qy qy qy qy qy qy qy qy


s not capable of understanding.
qy qy qy qy


5. The nurses approach when introducing hospital equipment to a preschooler who seems afra
qy qy qy qy qy qy qy qy qy qy qy qy


id should be based on which principle?
qy qy qy qy qy qy



a. The child may think the equipment is alive. qy qy qy qy qy qy qy



b. Explaining the equipment will only increase the childs fear.
qy qy qy qy qy qy qy qy



c. One brief explanation will be enough to reduce the childs fear.
qy qy qy qy qy qy qy qy qy qy



d. The child is too young to understand what the equipment doe
qy qy qy qy qy qy qy qy qy qy



s. ANS: A
qy qy


Young children attribute human characteristics to inanimate objects. They often fear that the
qy qy qy qy qy qy qy qy qy qy qy qy


objects may jump, bite, cut, or pinch all by themselves without human direction. Equipment s
qy qy qy qy qy qy qy qy qy qy qy qy qy qy


hould be kept out of sight until needed. Simple, concrete explanations about what the equipmen
qy qy qy qy qy qy qy qy qy qy qy qy qy qy


t does and how it will feel will help alleviate the childs fear. Preschoolers need repeated expla
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy


nations as reassurance. qy qy


6. When the nurse interviews an adolescent, which is especially important?
qy qy qy qy qy qy qy qy qy



a. Focus the discussion on the peer group. qy qy qy qy qy qy



b. Allow an opportunity to express feelings.
qy qy qy qy qy



c. Use the same type of language as the adolescent.
qy qy qy qy qy qy qy qy



d. Emphasize that confidentiality will always be maintained qy qy qy qy qy qy



. ANS: B
qy qy


Adolescents, like all children, need opportunities to express their feelings. Often they interject
qy qy qy qy qy qy qy qy qy qy qy qy


feelings into their words. The nurse must be alert to the words and feelings expressed. The nurse
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy




Downloadedqyby:qyYongsamqy|
m

Distribution of this document is illegal