Pediatric Primary Care Practice
Guidelines for Nurses 4th Edition
ST
TEST BANK
UV
IA
_A
Beth Richardson
────────────────────────────────────────────────────
PP
Comprehensive Test Bank for Instructors
RO
and Students
© Beth Richardson.
VE
All rights reserved. Reproduction or distribution without
D
permission is prohibited
?
, Pediatric Primary Care: Practice Guidelines for Nurses – 4th Edition
(ISBN 9781284149425)
Beth Richardson
TABLE OF CONTENTS
Chapter 1. Obtaining an Initial History
ST
Chapter 2. Obtaining an Interval History
Chapter 3. Performing a Physical Examination
Chapter 4. Making Newborn Rounds
UV
Chapter 5. Guidelines for Breastfeeding
Chapter 6. Common Genetic Disorders
Chapter 7. Two-Week Visit
IA
Chapter 8. One-Month Visit
Chapter 9. Two-Month Visit
Chapter 10. Four-Month Visit
Chapter 11. Six-Month Visit
_A
Chapter 12. Nine-Month Visit
Chapter 13. Twelve-Month Visit
Chapter 14. Fifteen- to Eighteen-Month Visit
PP
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)
RO
Chapter 19. Eleven- to Thirteen-Year Visit (Preadolescent)
Chapter 20. Fourteen- to Eighteen-Year Visit (Adolescent)
Chapter 21. Dermatological Problems
Chapter 22. Eye Disorders
VE
Chapter 23. Ear Disorders
Chapter 24. Sinus, Mouth, Throat, and Neck Disorders
Chapter 25. Respiratory Disorders
D
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
ST
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IA
_A
PP
RO
VE
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, Chapter 1 Obtaining an Initial History
Test Bank: Pediatric Primary Care 4th Edition by Beth Richardson
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.
ST
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.
UV
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.
IA
2. Which is considered a block to effective communication?
a. Using silence
b. Using clichs
_A
c. Directing the focus
d. Defining the problem
ANS: B
PP
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
RO
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?
VE
a. Presence of the childs parent
b. Childs physical condition
c. Childs developmental level
d. Childs nonverbal behaviors
D?
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 children younger than 5 years are egocentric, the nurse should do which when
Guidelines for Nurses 4th Edition
ST
TEST BANK
UV
IA
_A
Beth Richardson
────────────────────────────────────────────────────
PP
Comprehensive Test Bank for Instructors
RO
and Students
© Beth Richardson.
VE
All rights reserved. Reproduction or distribution without
D
permission is prohibited
?
, Pediatric Primary Care: Practice Guidelines for Nurses – 4th Edition
(ISBN 9781284149425)
Beth Richardson
TABLE OF CONTENTS
Chapter 1. Obtaining an Initial History
ST
Chapter 2. Obtaining an Interval History
Chapter 3. Performing a Physical Examination
Chapter 4. Making Newborn Rounds
UV
Chapter 5. Guidelines for Breastfeeding
Chapter 6. Common Genetic Disorders
Chapter 7. Two-Week Visit
IA
Chapter 8. One-Month Visit
Chapter 9. Two-Month Visit
Chapter 10. Four-Month Visit
Chapter 11. Six-Month Visit
_A
Chapter 12. Nine-Month Visit
Chapter 13. Twelve-Month Visit
Chapter 14. Fifteen- to Eighteen-Month Visit
PP
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)
RO
Chapter 19. Eleven- to Thirteen-Year Visit (Preadolescent)
Chapter 20. Fourteen- to Eighteen-Year Visit (Adolescent)
Chapter 21. Dermatological Problems
Chapter 22. Eye Disorders
VE
Chapter 23. Ear Disorders
Chapter 24. Sinus, Mouth, Throat, and Neck Disorders
Chapter 25. Respiratory Disorders
D
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
ST
UV
IA
_A
PP
RO
VE
D?
, Chapter 1 Obtaining an Initial History
Test Bank: Pediatric Primary Care 4th Edition by Beth Richardson
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.
ST
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.
UV
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.
IA
2. Which is considered a block to effective communication?
a. Using silence
b. Using clichs
_A
c. Directing the focus
d. Defining the problem
ANS: B
PP
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
RO
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?
VE
a. Presence of the childs parent
b. Childs physical condition
c. Childs developmental level
d. Childs nonverbal behaviors
D?
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 children younger than 5 years are egocentric, the nurse should do which when
