CreatedkBy:kAkSolution
TEST BANK FOR PEDIATRIC PRIMARY CARE: PRACTICE
k k k k k k k
GUIDELINES FOR NURSES: PRACTICE GUIDELINES FOR
k k k k k k
NURSES 5TH EDITION BY BETH RICHARDSON A+
k k k k k k
Chapterk1kObtainingkankInitialkHistory
MULTIPLEkCHOICE
1. Theknursekiskseeingkankadolescentkandkthekparentskinkthekclinickforkthekfirstktime.kWhichks
houldktheknursekdokfirst?
a. Introducekhim-korkherself.
b. Makekthekfamilykcomfortable.
c. Givekassurancekofkprivacy.
d. Explainkthekpurposekofkthekinterview.kANS:kA
Thekfirstkthingkthatknurseskmustkdokisktokintroducekthemselvesktokthekpatientkandkfamily.kParentskand
k otherkadultskshouldkbekaddressedkwithkappropriatektitleskunlessktheykspecifykakpreferredkname.kClari
ficationkofkthekpurposekofkthekinterviewkandktheknurseskrolekisktheksecondkthingkthatkshouldkbekdone.k
Duringkthekinitialkpartkofkthekinterview,ktheknursekshouldkincludekgeneralkconversationktokhelpkmake
k thekfamilykfeelkatkease.kThekinterviewkalsokshouldktakekplacekinkankenvironmentkaskfreekofkdistractio
nkaskpossible.kInkaddition,ktheknursekshouldkclarifykwhichkinformationkwillkbeksharedkwithkotherkme
mberskofkthekhealthkcarekteamkandkanyklimitsktokthekconfidentiality.
2. Whichkiskconsideredkakblockktokeffectivekcommunication?
a. Usingksilence
b. Usingkclichs
c. Directingkthekfocus
d. DefiningkthekproblemkANS:kB
Usingkstereotypedkcommentskorkclichskcankblockkeffectivekcommunication.kAfterktheknursekusesks
uchktritekphrases,kparentskoftenkdoknotkrespond.kSilencekcankbekankeffectivekinterviewingktool.kSil
encekpermitskthekintervieweektoksortkoutkthoughtskandkfeelingskandksearchkforkresponsesktokquesti
ons.kTokbekeffective,ktheknursekmustkbekablektokdirectkthekfocuskofkthekinterviewkwhilekallowingkm
aximumkfreedomkofkexpression.kBykusingkopen-
endedkquestionskandkguidingkquestions,ktheknursekcankobtainktheknecessarykinformationkandkmain
tainkakrelationshipkwithkthe
A+ Pagek1
,CreatedkBy:kAkSolution
family.kTheknursekandkparentkmustkcollaboratekandkdefinekthekproblemkthatkwillkbekthekfocuskofkt
heknursingkintervention.
3. Whichkisktheksinglekmostkimportantkfactorktokconsiderkwhenkcommunicatingkwithkc
hildren?
a. Presencekofkthekchildskparent
b. Childskphysicalkcondition
c. Childskdevelopmentalklevel
d. ChildsknonverbalkbehaviorskANS:kC
Theknursekmustkbekawarekofkthekchildskdevelopmentalkstagektokengagekinkeffectivekcommunication.k
Thekusekofkbothkverbalkandknonverbalkcommunicationkshouldkbekappropriatektokthekdevelopmentalk
level.kNonverbalkbehaviorskvarykinkimportancekbasedkonkthekchildskdevelopmentalklevelkandkphysic
alkcondition.kAlthoughkthekchildskphysicalkconditionkiskakconsideration,kdevelopmentalklevelkiskmu
chkmorekimportant.kThekpresencekofkparentskiskimportantkwhenkcommunicatingkwithkyoungkchildren
k butkmaykbekdetrimentalkwhenkspeakingkwithkadolescents.
4. Becausekchildrenkyoungerkthank5kyearskarekegocentric,ktheknursekshouldkdokwhichkwhenkc
ommunicatingkwithkthem?
a. Focuskcommunicationkonkthekchild.
b. Usekeasykanalogieskwhenkpossible.
c. Explainkexperienceskofkothersktokthekchild.
d. Assurekthekchildkthatkcommunicationkiskprivate.kANS:kA
Becausekchildrenkofkthiskagekarekablektokseekthingskonlykinktermskofkthemselves,kthekbestkapproachkis
k tokfocuskcommunicationkdirectlykonkthem.kChildrenkshouldkbekprovidedkwithkinformationkaboutkwh
atktheykcankdokandkhowktheykwillkfeel.kWithkchildrenkwhokarekegocentric,kanalogies,kexperiences,ka
ndkassuranceskthatkcommunicationkiskprivatekwillknotkbekeffectivekbecausekthekchildkisknotkcapableko
fkunderstanding.
5. Theknurseskapproachkwhenkintroducingkhospitalkequipmentktokakpreschoolerkwhokseemska
fraidkshouldkbekbasedkonkwhichkprinciple?
a. Thekchildkmaykthinkkthekequipmentkiskalive.
b. Explainingkthekequipmentkwillkonlykincreasekthekchildskfear.
A+ Pagek2
,CreatedkBy:kAkSolution
c. Onekbriefkexplanationkwillkbekenoughktokreducekthekchildskfear.
d. Thekchildkisktookyoungktokunderstandkwhatkthekequipmentkdoes.kANS:kA
Youngkchildrenkattributekhumankcharacteristicsktokinanimatekobjects.kTheykoftenkfearkthatkthekobjec
tskmaykjump,kbite,kcut,korkpinchkallkbykthemselveskwithoutkhumankdirection.kEquipmentkshouldkbekk
eptkoutkofksightkuntilkneeded.kSimple,kconcretekexplanationskaboutkwhatkthekequipmentkdoeskandkho
wkitkwillkfeelkwillkhelpkalleviatekthekchildskfear.kPreschoolerskneedkrepeatedkexplanationskaskreassur
ance.
6. Whenktheknursekinterviewskankadolescent,kwhichkiskespeciallykimportant?
a. Focuskthekdiscussionkonkthekpeerkgroup.
b. Allowkankopportunityktokexpresskfeelings.
c. Usektheksamektypekofklanguagekaskthekadolescent.
d. Emphasizekthatkconfidentialitykwillkalwayskbekmaintained.kANS:kB
Adolescents,klikekallkchildren,kneedkopportunitiesktokexpressktheirkfeelings.kOftenktheykinterjectkfee
lingskintoktheirkwords.kTheknursekmustkbekalertktokthekwordskandkfeelingskexpressed.kTheknursekshou
ldkmaintainkakprofessionalkrelationshipkwithkadolescents.kTokavoidkmisunderstandingkorkmisinterp
retationkofkwordskandkphraseskused,ktheknursekshouldkclarifykthektermskused,kwhatkinformationkwillk
beksharedkwithkotherkmemberskofkthekhealthkcarekteam,kandkanyklimitsktokconfidentiality.kAlthoughk
thekpeerkgroupkiskimportantktokthiskagekgroup,kthekinterviewkshouldkfocuskonkthekadolescent.
7. Theknursekiskpreparingktokassesskak10-month-
oldkinfant.kHekisksittingkonkhiskfathersklapkandkappearsktokbekafraidkofktheknursekandkofkwhatkmightkha
ppenknext.kWhichkinitialkactionskbyktheknursekshouldkbekmostkappropriate?
a. Initiatekakgamekofkpeek-a-boo.
b. Askkthekinfantskfatherktokplacekthekinfantkonkthekexaminationktable.
c. Talkksoftlyktokthekinfantkwhilektakingkhimkfromkhiskfather.
d. Undresskthekinfantkwhilekhekiskstillksittingkonkhiskfathersklap.kANS:kA
Peek-a-
bookiskankexcellentkmeanskofkinitiatingkcommunicationkwithkinfantskwhilekmaintainingkaksafe,knon
threateningkdistance.kThekchildkwillkmostklikelykbecomekupsetkifkseparatedkfromkhiskfather.kAskm
uchkofkthekassessmentkaskpossiblekshouldkbekdonekwithkthekchildkonkthekfathersklap.kTheknurseksho
uldkhavekthekfatherkundresskthekchildkaskneededkduringkthekexamination.
A+ Pagek3
, CreatedkBy:kAkSolution
8. Ank8-year-
oldkgirlkasksktheknursekhowkthekbloodkpressurekapparatuskworks.kThekmostkappropriateknursing
k actionkiskwhich?
a. Askkherkwhykshekwantsktokknow.
b. Determinekwhykshekisksokanxious.
c. Explainkinksimplektermskhowkitkworks.
d. Tellkherkshekwillkseekhowkitkworkskaskitkiskused.kANS:kC
School-
agekchildrenkrequirekexplanationskandkreasonskforkeverything.kTheykarekinterestedkinkthekfunction
alkaspectkofkallkprocedures,kobjects,kandkactivities.kItkiskappropriatekforktheknursektokexplainkhowke
quipmentkworkskandkwhatkwillkhappenktokthekchildksokthatkthekchildkcankthenkobservekduringkthekp
rocedure.kTheknursekshouldkrespondkpositivelykforkrequestskforkinformationkaboutkprocedureskand
k healthkinformation.kByknotkresponding,ktheknursekmaykbeklimitingkcommunicationkwithkthekchild
.kThekchildkisknotkexhibitingkanxietykinkaskingkhowkthekbloodkpressurekapparatuskworks,kjustkrequ
estingkclarificationkofkwhatkwillkoccur.
9. Theknursekiskhavingkdifficultykcommunicatingkwithkakhospitalizedk6-year-
oldkchild.kWhichktechniquekshouldkbekmostkhelpful?
a. Recommendkthatkthekchildkkeepkakdiary.
b. Provideksupplieskforkthekchildktokdrawkakpicture.
c. Suggestkthatkthekparentkreadkfairyktalesktokthekchild.
d. Askkthekparentkifkthekchildkiskalwayskuncommunicative.kANS:kB
Drawingkiskonekofkthekmostkvaluablekformskofkcommunication.kChildrenskdrawingsktellkakgreatkdeal
k aboutkthemkbecausektheykarekprojectionskofkthekchildrenskinnerkself.kAkdiarykshouldkbekdifficultkfork
ak6-year-
oldkchild,kwhokiskmostklikelyklearningktokread.kThekparentkreadingkfairyktalesktokthekchildkiskakpassive
k activitykinvolvingkthekparentkandkchild;kitkshouldknotkfacilitatekcommunicationkwithktheknurse.kThek
childkiskinkakstressfulksituationkandkiskprobablykuncomfortablekwithkstrangers,knotkalwayskuncommu
nicative.
10. Whichkdatakshouldkbekincludedkinkakhealthkhistory?
a. Reviewkofksystems
b. Physicalkassessment
c. Growthkmeasurements
A+ Pagek4
TEST BANK FOR PEDIATRIC PRIMARY CARE: PRACTICE
k k k k k k k
GUIDELINES FOR NURSES: PRACTICE GUIDELINES FOR
k k k k k k
NURSES 5TH EDITION BY BETH RICHARDSON A+
k k k k k k
Chapterk1kObtainingkankInitialkHistory
MULTIPLEkCHOICE
1. Theknursekiskseeingkankadolescentkandkthekparentskinkthekclinickforkthekfirstktime.kWhichks
houldktheknursekdokfirst?
a. Introducekhim-korkherself.
b. Makekthekfamilykcomfortable.
c. Givekassurancekofkprivacy.
d. Explainkthekpurposekofkthekinterview.kANS:kA
Thekfirstkthingkthatknurseskmustkdokisktokintroducekthemselvesktokthekpatientkandkfamily.kParentskand
k otherkadultskshouldkbekaddressedkwithkappropriatektitleskunlessktheykspecifykakpreferredkname.kClari
ficationkofkthekpurposekofkthekinterviewkandktheknurseskrolekisktheksecondkthingkthatkshouldkbekdone.k
Duringkthekinitialkpartkofkthekinterview,ktheknursekshouldkincludekgeneralkconversationktokhelpkmake
k thekfamilykfeelkatkease.kThekinterviewkalsokshouldktakekplacekinkankenvironmentkaskfreekofkdistractio
nkaskpossible.kInkaddition,ktheknursekshouldkclarifykwhichkinformationkwillkbeksharedkwithkotherkme
mberskofkthekhealthkcarekteamkandkanyklimitsktokthekconfidentiality.
2. Whichkiskconsideredkakblockktokeffectivekcommunication?
a. Usingksilence
b. Usingkclichs
c. Directingkthekfocus
d. DefiningkthekproblemkANS:kB
Usingkstereotypedkcommentskorkclichskcankblockkeffectivekcommunication.kAfterktheknursekusesks
uchktritekphrases,kparentskoftenkdoknotkrespond.kSilencekcankbekankeffectivekinterviewingktool.kSil
encekpermitskthekintervieweektoksortkoutkthoughtskandkfeelingskandksearchkforkresponsesktokquesti
ons.kTokbekeffective,ktheknursekmustkbekablektokdirectkthekfocuskofkthekinterviewkwhilekallowingkm
aximumkfreedomkofkexpression.kBykusingkopen-
endedkquestionskandkguidingkquestions,ktheknursekcankobtainktheknecessarykinformationkandkmain
tainkakrelationshipkwithkthe
A+ Pagek1
,CreatedkBy:kAkSolution
family.kTheknursekandkparentkmustkcollaboratekandkdefinekthekproblemkthatkwillkbekthekfocuskofkt
heknursingkintervention.
3. Whichkisktheksinglekmostkimportantkfactorktokconsiderkwhenkcommunicatingkwithkc
hildren?
a. Presencekofkthekchildskparent
b. Childskphysicalkcondition
c. Childskdevelopmentalklevel
d. ChildsknonverbalkbehaviorskANS:kC
Theknursekmustkbekawarekofkthekchildskdevelopmentalkstagektokengagekinkeffectivekcommunication.k
Thekusekofkbothkverbalkandknonverbalkcommunicationkshouldkbekappropriatektokthekdevelopmentalk
level.kNonverbalkbehaviorskvarykinkimportancekbasedkonkthekchildskdevelopmentalklevelkandkphysic
alkcondition.kAlthoughkthekchildskphysicalkconditionkiskakconsideration,kdevelopmentalklevelkiskmu
chkmorekimportant.kThekpresencekofkparentskiskimportantkwhenkcommunicatingkwithkyoungkchildren
k butkmaykbekdetrimentalkwhenkspeakingkwithkadolescents.
4. Becausekchildrenkyoungerkthank5kyearskarekegocentric,ktheknursekshouldkdokwhichkwhenkc
ommunicatingkwithkthem?
a. Focuskcommunicationkonkthekchild.
b. Usekeasykanalogieskwhenkpossible.
c. Explainkexperienceskofkothersktokthekchild.
d. Assurekthekchildkthatkcommunicationkiskprivate.kANS:kA
Becausekchildrenkofkthiskagekarekablektokseekthingskonlykinktermskofkthemselves,kthekbestkapproachkis
k tokfocuskcommunicationkdirectlykonkthem.kChildrenkshouldkbekprovidedkwithkinformationkaboutkwh
atktheykcankdokandkhowktheykwillkfeel.kWithkchildrenkwhokarekegocentric,kanalogies,kexperiences,ka
ndkassuranceskthatkcommunicationkiskprivatekwillknotkbekeffectivekbecausekthekchildkisknotkcapableko
fkunderstanding.
5. Theknurseskapproachkwhenkintroducingkhospitalkequipmentktokakpreschoolerkwhokseemska
fraidkshouldkbekbasedkonkwhichkprinciple?
a. Thekchildkmaykthinkkthekequipmentkiskalive.
b. Explainingkthekequipmentkwillkonlykincreasekthekchildskfear.
A+ Pagek2
,CreatedkBy:kAkSolution
c. Onekbriefkexplanationkwillkbekenoughktokreducekthekchildskfear.
d. Thekchildkisktookyoungktokunderstandkwhatkthekequipmentkdoes.kANS:kA
Youngkchildrenkattributekhumankcharacteristicsktokinanimatekobjects.kTheykoftenkfearkthatkthekobjec
tskmaykjump,kbite,kcut,korkpinchkallkbykthemselveskwithoutkhumankdirection.kEquipmentkshouldkbekk
eptkoutkofksightkuntilkneeded.kSimple,kconcretekexplanationskaboutkwhatkthekequipmentkdoeskandkho
wkitkwillkfeelkwillkhelpkalleviatekthekchildskfear.kPreschoolerskneedkrepeatedkexplanationskaskreassur
ance.
6. Whenktheknursekinterviewskankadolescent,kwhichkiskespeciallykimportant?
a. Focuskthekdiscussionkonkthekpeerkgroup.
b. Allowkankopportunityktokexpresskfeelings.
c. Usektheksamektypekofklanguagekaskthekadolescent.
d. Emphasizekthatkconfidentialitykwillkalwayskbekmaintained.kANS:kB
Adolescents,klikekallkchildren,kneedkopportunitiesktokexpressktheirkfeelings.kOftenktheykinterjectkfee
lingskintoktheirkwords.kTheknursekmustkbekalertktokthekwordskandkfeelingskexpressed.kTheknursekshou
ldkmaintainkakprofessionalkrelationshipkwithkadolescents.kTokavoidkmisunderstandingkorkmisinterp
retationkofkwordskandkphraseskused,ktheknursekshouldkclarifykthektermskused,kwhatkinformationkwillk
beksharedkwithkotherkmemberskofkthekhealthkcarekteam,kandkanyklimitsktokconfidentiality.kAlthoughk
thekpeerkgroupkiskimportantktokthiskagekgroup,kthekinterviewkshouldkfocuskonkthekadolescent.
7. Theknursekiskpreparingktokassesskak10-month-
oldkinfant.kHekisksittingkonkhiskfathersklapkandkappearsktokbekafraidkofktheknursekandkofkwhatkmightkha
ppenknext.kWhichkinitialkactionskbyktheknursekshouldkbekmostkappropriate?
a. Initiatekakgamekofkpeek-a-boo.
b. Askkthekinfantskfatherktokplacekthekinfantkonkthekexaminationktable.
c. Talkksoftlyktokthekinfantkwhilektakingkhimkfromkhiskfather.
d. Undresskthekinfantkwhilekhekiskstillksittingkonkhiskfathersklap.kANS:kA
Peek-a-
bookiskankexcellentkmeanskofkinitiatingkcommunicationkwithkinfantskwhilekmaintainingkaksafe,knon
threateningkdistance.kThekchildkwillkmostklikelykbecomekupsetkifkseparatedkfromkhiskfather.kAskm
uchkofkthekassessmentkaskpossiblekshouldkbekdonekwithkthekchildkonkthekfathersklap.kTheknurseksho
uldkhavekthekfatherkundresskthekchildkaskneededkduringkthekexamination.
A+ Pagek3
, CreatedkBy:kAkSolution
8. Ank8-year-
oldkgirlkasksktheknursekhowkthekbloodkpressurekapparatuskworks.kThekmostkappropriateknursing
k actionkiskwhich?
a. Askkherkwhykshekwantsktokknow.
b. Determinekwhykshekisksokanxious.
c. Explainkinksimplektermskhowkitkworks.
d. Tellkherkshekwillkseekhowkitkworkskaskitkiskused.kANS:kC
School-
agekchildrenkrequirekexplanationskandkreasonskforkeverything.kTheykarekinterestedkinkthekfunction
alkaspectkofkallkprocedures,kobjects,kandkactivities.kItkiskappropriatekforktheknursektokexplainkhowke
quipmentkworkskandkwhatkwillkhappenktokthekchildksokthatkthekchildkcankthenkobservekduringkthekp
rocedure.kTheknursekshouldkrespondkpositivelykforkrequestskforkinformationkaboutkprocedureskand
k healthkinformation.kByknotkresponding,ktheknursekmaykbeklimitingkcommunicationkwithkthekchild
.kThekchildkisknotkexhibitingkanxietykinkaskingkhowkthekbloodkpressurekapparatuskworks,kjustkrequ
estingkclarificationkofkwhatkwillkoccur.
9. Theknursekiskhavingkdifficultykcommunicatingkwithkakhospitalizedk6-year-
oldkchild.kWhichktechniquekshouldkbekmostkhelpful?
a. Recommendkthatkthekchildkkeepkakdiary.
b. Provideksupplieskforkthekchildktokdrawkakpicture.
c. Suggestkthatkthekparentkreadkfairyktalesktokthekchild.
d. Askkthekparentkifkthekchildkiskalwayskuncommunicative.kANS:kB
Drawingkiskonekofkthekmostkvaluablekformskofkcommunication.kChildrenskdrawingsktellkakgreatkdeal
k aboutkthemkbecausektheykarekprojectionskofkthekchildrenskinnerkself.kAkdiarykshouldkbekdifficultkfork
ak6-year-
oldkchild,kwhokiskmostklikelyklearningktokread.kThekparentkreadingkfairyktalesktokthekchildkiskakpassive
k activitykinvolvingkthekparentkandkchild;kitkshouldknotkfacilitatekcommunicationkwithktheknurse.kThek
childkiskinkakstressfulksituationkandkiskprobablykuncomfortablekwithkstrangers,knotkalwayskuncommu
nicative.
10. Whichkdatakshouldkbekincludedkinkakhealthkhistory?
a. Reviewkofksystems
b. Physicalkassessment
c. Growthkmeasurements
A+ Pagek4
