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TEST BANK FOR PEDIATRIC PRIMARY CARE 4TH EDITION RICHARDSON

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2021/2022 Written for academic year
Institution Chamberlain College Of Nursing
Course NURSING HEALTH ASS
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Chapter 1 Obtaining an Initial History MULTIPLECHOICE 1.Thenurseisseeinganadolescentandtheparentsintheclinicforthefirsttime.Whichshouldthenursedofirst? a.Introducehim-orherself. b.Makethefamilycomfortable. c.Giveassuranceofprivacy. d.Explainthepurposeoftheinterview. ANS:AThefirstthingthatnursesmustdoistointroducethemselvestothepatientandfamily.Parentsandotheradultsshouldbeaddressedwithappropriatetitlesunlesstheyspecifyapreferredname.Clarificationofthepurposeoftheinterviewandthenursesroleisthesecondthingthatshouldbedone.Duringtheinitialpartoftheinterview,thenurseshouldincludegeneralconversationtohelpmakethefamilyfeelatease.Theinterviewalsoshouldtakeplaceinanenvironmentasfreeofdistractionaspossible.Inaddition,thenurseshouldclarifywhichinformationwillbesharedwithothermembersofthehealthcareteamandanylimitstotheconfidentiality. 2.Whichisconsideredablocktoeffectivecommunication? a.Using silence b. Using clichs c. Directing the focus d. Defining the problem ANS:BUsingstereotypedcommentsorclichscanblockeffectivecommunication.Afterthenurseusessuchtritephrases,parentsoftendonotrespond.Silencecanbeaneffectiveinterviewingtool.Silencepermitstheintervieweetosortoutthoughtsandfeelingsandsearchforresponsestoquestions.Tobeeffective,thenursemustbeabletodirectthefocusoftheinterviewwhileallowingmaximumfreedomofexpression.Byusingopen-endedquestionsandguidingquestions,thenursecanobtainthenecessaryinformationandmaintainarelationshipwiththefamily.Thenurseandparentmustcollaborateanddefinetheproblemthatwillbethefocusofthenursingintervention. 3.Whichisthesinglemostimportantfactortoconsiderwhencommunicatingwithchildren?a.Presenceofthechildsparent b. Childs physical condition c. Childs development al level d. Childs nonverbal behaviors ANS:CThenursemustbeawareofthechildsdevelopmentalstagetoengageineffectivecommunication.Theuseofbothverbalandnonverbalcommunicationshouldbeappropriatetothedevelopmentallevel.Nonverbalbehaviorsvaryinimportancebasedonthechildsdevelopmentallevelandphysicalcondition.Althoughthechildsphysicalconditionisaconsideration,developmentallevelismuchmoreimportant.Thepresenceofparentsisimportantwhencommunicatingwithyoungchildrenbutmaybedetrimentalwhenspeakingwithadolescents.

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