https://www.stuvia.com/
Stuvia.comm-
https://www.stuvia.com/ mThemMarketplacemto mBuy mand mSell myour mStudy mMaterial
Stuvia.comm- mThemMarketplacemto mBuy mand mSell myour mStudy mMaterial
PEDIATRIC PRIMARY CARE: PRA m m m
CTICE GUIDELINES FOR NURSES
m m m
: PRACTICE GUIDELINES FOR NU
m m m m
RSES 5TH EDITION m m
BY BETH RICHARDSON m m
Downloadedmby:mSuperAm|
m
Distribution mofmthis mdocumentmis millegal
,https://www.stuvia.com/
Stuvia.comm-
mThemMarketplacemto mBuy mand mSell myour mStudy mMaterial
Chapterm1mObtainingmanmInitialmHistory
MULTIPLEmCHOICE
1. Themnursemismseeingmanmadolescent mand mthemparentsminmthemclinicmformthemfirst mtime.mWhichmsho
uld mthemnursemdomfirst?
a. Introducemhim-mormherself.
b. Makemthemfamilymcomfortable.
c. Givemassurancemof mprivacy.
d. Explainmthempurposemof mtheminterview
.mANS:mA
Themfirst mthingmthat mnursesmmust mdomismtomintroducemthemselvesmtomthempatient mand mfamily.mParents
and mothermadultsmshould mbemaddressed mwithmappropriatemtitlesmunlessmtheymspecifymampreferred mna
me.mClarificationmof mthempurposemof mtheminterview mand mthemnursesmrolemismthemsecond mthingmthat msh
ould mbemdone.mDuringmtheminitialmpart mof mtheminterview,mthemnursemshould mincludemgeneralmconvers
ationmtomhelpmmakemthemfamilymfeelmat mease.mTheminterview malsomshould mtakemplacemin manmenviron
ment masmfreemof mdistractionmasmpossible.mInmaddition,mthemnursemshould mclarifymwhichminformationm
willmbemshared mwithmothermmembersmof mthemhealthmcaremteammand manymlimitsmtomthemconfidentiality
.
2. Whichmismconsidered mamblockmtomeffectivemcommunication?
a. Usingmsilence
b. Usingmclichs
c. Directingmthemfocus
d. Definingmthemproblem
mANS:mB
Usingmstereotyped mcommentsmormclichsmcanmblockmeffectivemcommunication.mAftermthemnursemuses
suchmtritemphrases,mparentsmoftenmdomnot mrespond.mSilencemcanmbemanmeffectiveminterviewingmtoo
l.mSilencempermitsmthemintervieweemtomsort mout mthoughtsmand mfeelingsmand msearchmformresponsesm
tomquestions.mTombemeffective,mthemnursemmust mbemablemtomdirect mthemfocusmof mtheminterview mwhi
lemallowingmmaximummfreedommof mexpression.mBymusingmopen-
ended mquestionsmand mguidingmquestions,mthemnursemcanmobtainmthemnecessaryminformationmand m
maintainmamrelationshipmwithmthemfamily.mThemnursemand mparent mmust mcollaboratemand mdefinemth
emproblemmthat mwillmbemthemfocusmof mthemnursingmintervention.
3. Whichmismthemsinglemmost mimportant mfactormtomconsidermwhenmcommunicatingmwithmchildren?
a. Presencemof mthemchildsmparent
b. Childsmphysicalmcondition
c. Childsmdevelopmentalmlevel
WWW.TESTBANKTANK.COM
Downloadedmby:mSuperAm|
m
Distribution mofmthis mdocumentmis millegal
,https://www.stuvia.com/
Stuvia.comm-
mThemMarketplacemto mBuy mand mSell myour mStudy mMaterial
d. Childsmnonverbalmbehavior
smANS:mC
Themnursemmust mbemawaremof mthemchildsmdevelopmentalmstagemtomengageminmeffective
communication.mThemusemof mbothmverbalmand mnonverbalmcommunicationmshould mbemappropriatemto
mthemdevelopmentalmlevel.mNonverbalmbehaviorsmvaryminm importancembased monmthemchildsmdevelop
mentalmlevelmand mphysicalmcondition.mAlthoughmthemchildsmphysicalmconditionmismamconsideration,m
developmentalmlevelmismmuchmmoremimportant.mThempresencem of mparentsmismimportant mwhenmcomm
unicatingmwithmyoungmchildrenmbut mmaymbemdetrimentalmwhenmspeakingmwithmadolescents.
4. Becausemchildrenmyoungermthanm5myearsmaremegocentric,mthemnursemshould mdomwhichmwh
enmcommunicatingmwithmthem?
a. Focusmcommunicationmonmthemchild.
b. Usemeasymanalogiesmwhenmpossible.
c. Explainmexperiencesmof mothersmtomthemchild.
d. Assuremthemchild mthat mcommunicationmismprivat
e.mANS:mA
Becausemchildrenmof mthismagemaremablemtomseemthingsmonlyminmtermsmof mthemselves,mthembest mapproach
ismtomfocusmcommunicationmdirectlymonmthem.mChildrenmshould mbemprovided mwithminformationmabo
ut mwhat mtheymcanmdomand mhowmtheymwillmfeel.mWithmchildrenmwhomaremegocentric,manalogies,mexpe
riences,mand massurancesmthat mcommunicationmismprivatemwillmnot mbemeffectivembecausemthemchild mism
not mcapablemof munderstanding.
5. Themnursesmapproachmwhenmintroducingmhospitalmequipment mtomampreschoolermwhomseemsmafra
id mshould mbembased monmwhichmprinciple?
a. Themchild mmaymthinkmthemequipment mismalive.
b. Explainingmthemequipment mwillmonlymincreasemthemchildsmfear.
c. Onembrief mexplanationmwillmbemenoughmtomreducemthemchildsmfear.
d. Themchild mismtoomyoungmtomunderstand mwhat mthemequipment mdoe
s.mANS:mA
Youngmchildrenmattributemhumanmcharacteristicsmtominanimatemobjects.m They moftenmfearmthat mthe
objectsmmaymjump,mbite,mcut,mormpinchmallmbymthemselvesmwithout mhumanmdirection.mEquipment msh
ould mbemkept mout mof msight muntilmneeded.mSimple,mconcretemexplanationsmabout mwhat mthemequipment
mdoesmand mhow mit mwillmfeelmwillmhelpmalleviatemthemchildsmfear.mPreschoolers mneed mrepeated mexplan
ationsmasmreassurance.
6. Whenmthemnurseminterviewsmanmadolescent,mwhichmismespeciallymimportant?
a. Focusmthemdiscussionmonmthempeermgroup.
b. Allow manmopportunitymtomexpressmfeelings.
c. Usemthemsamemtypemof mlanguagemasmthemadolescent.
d. Emphasizemthat mconfidentialitymwillmalwaysmbemmaintaine
d.mANS:mB
Adolescents,mlikemallmchildren,mneed mopportunitiesmtomexpressmtheirmfeelings.mOftenmtheyminterject
feelingsmintomtheirmwords.mThemnursemmust mbemalert mtomthemwordsmand mfeelingsmexpressed.mThemnurse
WWW.TESTBANKTANK.COM
Downloadedmby:mSuperAm|
m
Distribution mofmthis mdocumentmis millegal
,https://www.stuvia.com/
Stuvia.comm-
mThemMarketplacemto mBuy mand mSell myour mStudy mMaterial
should mmaintainmamprofessionalmrelationshipmwithmadolescents.mTomavoid mmisunderstandingmorm
misinterpretationmof mwordsmand mphrasesmused,mthemnursemshould mclarifymthemtermsmused,mwhat mi
nformationmwillmbemshared mwithmothermmembersmof mthemhealthmcaremteam,mand manymlimitsmtomcon
fidentiality.mAlthoughmthempeermgroupmismimportant mtomthismagemgroup,mtheminterview mshould mfoc
usmonmthemadolescent.
7. Themnursemismpreparingmtomassessmam10-month-
old minfant.mHemismsittingmonmhismfathersmlap mand mappearsmtombemafraid mof mthemnursemand mof mwh
at mmight mhappenmnext.mWhichminitialmactionsmbymthemnursemshould mbemmost mappropriate?
a. Initiatemamgamemof mpeek-a-boo.
b. Askmtheminfantsmfathermtomplacemtheminfant monmthemexaminationmtable.
c. Talkmsoftlymtomtheminfant mwhilemtakingmhimmfrommhismfather.
d. Undressmtheminfant mwhilemhemismstillmsittingmonmhismfathersmla
p.mANS:mA
Peek-a-boomismanmexcellent mmeansmof minitiatingmcommunicationmwithminfantsmwhilemmaintainingma
safe,mnonthreateningmdistance.mThemchild mwillmmost mlikelymbecomemupset m if mseparated mfrommhismfa
ther.mAsmmuchmof mthemassessment masmpossiblemshould mbemdonemwithmthemchild monmthemfathersmlap.mT
hemnursemshould mhavemthemfathermundressmthemchild masmneeded mduringmthemexamination.
8. Anm8-year-
old mgirlmasksmthemnursemhowmthemblood mpressuremapparatusmworks.mThemmost mappropriat
emnursingmactionmismwhich?
a. Askmhermwhymshemwantsmtomknow.
b. Determinemwhymshemismsomanxious.
c. Explainminmsimplemtermsmhow mit mworks.
d. Tellmhermshemwillmseemhow mit mworksmasmit mismuse
d.mANS:mC
School-agemchildrenmrequiremexplanationsmand mreasonsmformeverything.mTheymareminterested minmthe
functionalmaspect mof mallmprocedures,mobjects,mand mactivities.mIt mismappropriatemformthemnursemtome
xplainmhow mequipment mworksmand mwhat mwillmhappenmtomthemchild msomthat mthemchild mcanmthenmob
servemduringmthemprocedure.mThemnursemshould mrespond mpositivelymformrequestsmforminformation
mabout mproceduresmand mhealthminformation.mBymnot mresponding,mthemnursemmaymbemlimitingmco
mmunicationmwithmthemchild.mThemchild mismnot mexhibitingmanxietyminmaskingmhowmthemblood mpre
ssuremapparatusmworks,mjust mrequestingmclarificationmof mwhat mwillmoccur.
9. Themnursemismhavingmdifficultymcommunicatingmwithmamhospitalized m6-year-
old mchild.mWhichmtechniquemshould mbemmost mhelpful?
a. Recommend mthat mthemchild mkeepmamdiary.
b. Providemsuppliesmformthemchild mtomdraw mampicture.
c. Suggest mthat mthemparent mread mfairymtalesmtomthemchild.
d. Askmthemparent mif mthemchild mismalwaysmuncommunicativ
e.mANS:mB
Drawingmismonemof mthemmost mvaluablemformsmof mcommunication.mChildrensmdrawingsmtellmamgreat
dealmabout mthemmbecausemtheymaremprojectionsmof mthemchildrensminnermself.mA mdiarymshould mbemdiff
icult mformam6-year-
old mchild,mwhomismmost mlikelymlearningmtomread.mThemparent mreadingmfairymtalesmtomthemchild mismamp
assivemactivityminvolvingmthemparent mand mchild;mit mshould mnot mfacilitate
WWW.TESTBANKTANK.COM
Downloadedmby:mSuperAm|
m
Distribution mofmthis mdocumentmis millegal
Stuvia.comm-
https://www.stuvia.com/ mThemMarketplacemto mBuy mand mSell myour mStudy mMaterial
Stuvia.comm- mThemMarketplacemto mBuy mand mSell myour mStudy mMaterial
PEDIATRIC PRIMARY CARE: PRA m m m
CTICE GUIDELINES FOR NURSES
m m m
: PRACTICE GUIDELINES FOR NU
m m m m
RSES 5TH EDITION m m
BY BETH RICHARDSON m m
Downloadedmby:mSuperAm|
m
Distribution mofmthis mdocumentmis millegal
,https://www.stuvia.com/
Stuvia.comm-
mThemMarketplacemto mBuy mand mSell myour mStudy mMaterial
Chapterm1mObtainingmanmInitialmHistory
MULTIPLEmCHOICE
1. Themnursemismseeingmanmadolescent mand mthemparentsminmthemclinicmformthemfirst mtime.mWhichmsho
uld mthemnursemdomfirst?
a. Introducemhim-mormherself.
b. Makemthemfamilymcomfortable.
c. Givemassurancemof mprivacy.
d. Explainmthempurposemof mtheminterview
.mANS:mA
Themfirst mthingmthat mnursesmmust mdomismtomintroducemthemselvesmtomthempatient mand mfamily.mParents
and mothermadultsmshould mbemaddressed mwithmappropriatemtitlesmunlessmtheymspecifymampreferred mna
me.mClarificationmof mthempurposemof mtheminterview mand mthemnursesmrolemismthemsecond mthingmthat msh
ould mbemdone.mDuringmtheminitialmpart mof mtheminterview,mthemnursemshould mincludemgeneralmconvers
ationmtomhelpmmakemthemfamilymfeelmat mease.mTheminterview malsomshould mtakemplacemin manmenviron
ment masmfreemof mdistractionmasmpossible.mInmaddition,mthemnursemshould mclarifymwhichminformationm
willmbemshared mwithmothermmembersmof mthemhealthmcaremteammand manymlimitsmtomthemconfidentiality
.
2. Whichmismconsidered mamblockmtomeffectivemcommunication?
a. Usingmsilence
b. Usingmclichs
c. Directingmthemfocus
d. Definingmthemproblem
mANS:mB
Usingmstereotyped mcommentsmormclichsmcanmblockmeffectivemcommunication.mAftermthemnursemuses
suchmtritemphrases,mparentsmoftenmdomnot mrespond.mSilencemcanmbemanmeffectiveminterviewingmtoo
l.mSilencempermitsmthemintervieweemtomsort mout mthoughtsmand mfeelingsmand msearchmformresponsesm
tomquestions.mTombemeffective,mthemnursemmust mbemablemtomdirect mthemfocusmof mtheminterview mwhi
lemallowingmmaximummfreedommof mexpression.mBymusingmopen-
ended mquestionsmand mguidingmquestions,mthemnursemcanmobtainmthemnecessaryminformationmand m
maintainmamrelationshipmwithmthemfamily.mThemnursemand mparent mmust mcollaboratemand mdefinemth
emproblemmthat mwillmbemthemfocusmof mthemnursingmintervention.
3. Whichmismthemsinglemmost mimportant mfactormtomconsidermwhenmcommunicatingmwithmchildren?
a. Presencemof mthemchildsmparent
b. Childsmphysicalmcondition
c. Childsmdevelopmentalmlevel
WWW.TESTBANKTANK.COM
Downloadedmby:mSuperAm|
m
Distribution mofmthis mdocumentmis millegal
,https://www.stuvia.com/
Stuvia.comm-
mThemMarketplacemto mBuy mand mSell myour mStudy mMaterial
d. Childsmnonverbalmbehavior
smANS:mC
Themnursemmust mbemawaremof mthemchildsmdevelopmentalmstagemtomengageminmeffective
communication.mThemusemof mbothmverbalmand mnonverbalmcommunicationmshould mbemappropriatemto
mthemdevelopmentalmlevel.mNonverbalmbehaviorsmvaryminm importancembased monmthemchildsmdevelop
mentalmlevelmand mphysicalmcondition.mAlthoughmthemchildsmphysicalmconditionmismamconsideration,m
developmentalmlevelmismmuchmmoremimportant.mThempresencem of mparentsmismimportant mwhenmcomm
unicatingmwithmyoungmchildrenmbut mmaymbemdetrimentalmwhenmspeakingmwithmadolescents.
4. Becausemchildrenmyoungermthanm5myearsmaremegocentric,mthemnursemshould mdomwhichmwh
enmcommunicatingmwithmthem?
a. Focusmcommunicationmonmthemchild.
b. Usemeasymanalogiesmwhenmpossible.
c. Explainmexperiencesmof mothersmtomthemchild.
d. Assuremthemchild mthat mcommunicationmismprivat
e.mANS:mA
Becausemchildrenmof mthismagemaremablemtomseemthingsmonlyminmtermsmof mthemselves,mthembest mapproach
ismtomfocusmcommunicationmdirectlymonmthem.mChildrenmshould mbemprovided mwithminformationmabo
ut mwhat mtheymcanmdomand mhowmtheymwillmfeel.mWithmchildrenmwhomaremegocentric,manalogies,mexpe
riences,mand massurancesmthat mcommunicationmismprivatemwillmnot mbemeffectivembecausemthemchild mism
not mcapablemof munderstanding.
5. Themnursesmapproachmwhenmintroducingmhospitalmequipment mtomampreschoolermwhomseemsmafra
id mshould mbembased monmwhichmprinciple?
a. Themchild mmaymthinkmthemequipment mismalive.
b. Explainingmthemequipment mwillmonlymincreasemthemchildsmfear.
c. Onembrief mexplanationmwillmbemenoughmtomreducemthemchildsmfear.
d. Themchild mismtoomyoungmtomunderstand mwhat mthemequipment mdoe
s.mANS:mA
Youngmchildrenmattributemhumanmcharacteristicsmtominanimatemobjects.m They moftenmfearmthat mthe
objectsmmaymjump,mbite,mcut,mormpinchmallmbymthemselvesmwithout mhumanmdirection.mEquipment msh
ould mbemkept mout mof msight muntilmneeded.mSimple,mconcretemexplanationsmabout mwhat mthemequipment
mdoesmand mhow mit mwillmfeelmwillmhelpmalleviatemthemchildsmfear.mPreschoolers mneed mrepeated mexplan
ationsmasmreassurance.
6. Whenmthemnurseminterviewsmanmadolescent,mwhichmismespeciallymimportant?
a. Focusmthemdiscussionmonmthempeermgroup.
b. Allow manmopportunitymtomexpressmfeelings.
c. Usemthemsamemtypemof mlanguagemasmthemadolescent.
d. Emphasizemthat mconfidentialitymwillmalwaysmbemmaintaine
d.mANS:mB
Adolescents,mlikemallmchildren,mneed mopportunitiesmtomexpressmtheirmfeelings.mOftenmtheyminterject
feelingsmintomtheirmwords.mThemnursemmust mbemalert mtomthemwordsmand mfeelingsmexpressed.mThemnurse
WWW.TESTBANKTANK.COM
Downloadedmby:mSuperAm|
m
Distribution mofmthis mdocumentmis millegal
,https://www.stuvia.com/
Stuvia.comm-
mThemMarketplacemto mBuy mand mSell myour mStudy mMaterial
should mmaintainmamprofessionalmrelationshipmwithmadolescents.mTomavoid mmisunderstandingmorm
misinterpretationmof mwordsmand mphrasesmused,mthemnursemshould mclarifymthemtermsmused,mwhat mi
nformationmwillmbemshared mwithmothermmembersmof mthemhealthmcaremteam,mand manymlimitsmtomcon
fidentiality.mAlthoughmthempeermgroupmismimportant mtomthismagemgroup,mtheminterview mshould mfoc
usmonmthemadolescent.
7. Themnursemismpreparingmtomassessmam10-month-
old minfant.mHemismsittingmonmhismfathersmlap mand mappearsmtombemafraid mof mthemnursemand mof mwh
at mmight mhappenmnext.mWhichminitialmactionsmbymthemnursemshould mbemmost mappropriate?
a. Initiatemamgamemof mpeek-a-boo.
b. Askmtheminfantsmfathermtomplacemtheminfant monmthemexaminationmtable.
c. Talkmsoftlymtomtheminfant mwhilemtakingmhimmfrommhismfather.
d. Undressmtheminfant mwhilemhemismstillmsittingmonmhismfathersmla
p.mANS:mA
Peek-a-boomismanmexcellent mmeansmof minitiatingmcommunicationmwithminfantsmwhilemmaintainingma
safe,mnonthreateningmdistance.mThemchild mwillmmost mlikelymbecomemupset m if mseparated mfrommhismfa
ther.mAsmmuchmof mthemassessment masmpossiblemshould mbemdonemwithmthemchild monmthemfathersmlap.mT
hemnursemshould mhavemthemfathermundressmthemchild masmneeded mduringmthemexamination.
8. Anm8-year-
old mgirlmasksmthemnursemhowmthemblood mpressuremapparatusmworks.mThemmost mappropriat
emnursingmactionmismwhich?
a. Askmhermwhymshemwantsmtomknow.
b. Determinemwhymshemismsomanxious.
c. Explainminmsimplemtermsmhow mit mworks.
d. Tellmhermshemwillmseemhow mit mworksmasmit mismuse
d.mANS:mC
School-agemchildrenmrequiremexplanationsmand mreasonsmformeverything.mTheymareminterested minmthe
functionalmaspect mof mallmprocedures,mobjects,mand mactivities.mIt mismappropriatemformthemnursemtome
xplainmhow mequipment mworksmand mwhat mwillmhappenmtomthemchild msomthat mthemchild mcanmthenmob
servemduringmthemprocedure.mThemnursemshould mrespond mpositivelymformrequestsmforminformation
mabout mproceduresmand mhealthminformation.mBymnot mresponding,mthemnursemmaymbemlimitingmco
mmunicationmwithmthemchild.mThemchild mismnot mexhibitingmanxietyminmaskingmhowmthemblood mpre
ssuremapparatusmworks,mjust mrequestingmclarificationmof mwhat mwillmoccur.
9. Themnursemismhavingmdifficultymcommunicatingmwithmamhospitalized m6-year-
old mchild.mWhichmtechniquemshould mbemmost mhelpful?
a. Recommend mthat mthemchild mkeepmamdiary.
b. Providemsuppliesmformthemchild mtomdraw mampicture.
c. Suggest mthat mthemparent mread mfairymtalesmtomthemchild.
d. Askmthemparent mif mthemchild mismalwaysmuncommunicativ
e.mANS:mB
Drawingmismonemof mthemmost mvaluablemformsmof mcommunication.mChildrensmdrawingsmtellmamgreat
dealmabout mthemmbecausemtheymaremprojectionsmof mthemchildrensminnermself.mA mdiarymshould mbemdiff
icult mformam6-year-
old mchild,mwhomismmost mlikelymlearningmtomread.mThemparent mreadingmfairymtalesmtomthemchild mismamp
assivemactivityminvolvingmthemparent mand mchild;mit mshould mnot mfacilitate
WWW.TESTBANKTANK.COM
Downloadedmby:mSuperAm|
m
Distribution mofmthis mdocumentmis millegal
