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Test bank for
Pediatric Primary Care: Practical
Guidelines for Nurses - 4th edition
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Pediatric Primary Care 4th Edition Richardson Testban
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k/StudyGuide
Chapteryl1ylObtainingylanylInitialylHistory
MULTIPLEylCHOICE
1. Theylnurseylisylseeingylanyladolescentylandyltheylparentsylinyltheylclinicylforyltheylfirstyltime.ylWh
ichylshouldyltheylnurseyldoylfirst?
a. Introduceylhim-ylorylherself.
b. Makeyltheylfamilyylcomfortable.
c. Giveylassuranceylofylprivacy.
d. Explainyltheylpurposeylofyltheylintervi
ew.ylANS:ylA
Theylfirstylthingylthatylnursesylmustyldoylisyltoylintroduceylthemselvesyltoyltheylpatientylandylfamily.ylParents
andylotheryladultsylshouldylbeyladdressedylwithylappropriateyltitlesylunlessyltheyylspecifyylaylpreferr
edylname.ylClarificationylofyltheylpurposeylofyltheylinterviewylandyltheylnursesylroleylisyltheylsecondyl
thingylthatylshouldylbeyldone.ylDuringyltheylinitialylpartylofyltheylinterview,yltheylnurseylshouldylincl
udeylgeneralylconversationyltoylhelpylmakeyltheylfamilyylfeelylatylease.ylTheylinterviewylalsoylshoul
dyltakeylplaceylinylanylenvironmentylasylfreeylofyldistractionylasylpossible.ylInyladdition,yltheylnurseyl
shouldylclarifyylwhichylinformationylwillylbeylsharedylwithylotherylmembersylofyltheylhealthylcareylt
eamylandylanyyllimitsyltoyltheylconfidentiality.
2. Whichylisylconsideredylaylblockyltoyleffectiveylcommunication?
a. Usingylsilence
b. Usingylclichs
c. Directingyltheylfocus
d. Definingyltheylproble
mylANS:ylB
Usingylstereotypedylcommentsylorylclichsylcanylblockyleffectiveylcommunication.ylAfteryltheylnurseyluses
suchyltriteylphrases,ylparentsyloftenyldoylnotylrespond.ylSilenceylcanylbeylanyleffectiveylinterviewin
gyltool.ylSilenceylpermitsyltheylintervieweeyltoylsortyloutylthoughtsylandylfeelingsylandylsearchylfor
ylresponsesyltoylquestions.ylToylbeyleffective,yltheylnurseylmustylbeylableyltoyldirectyltheylfocusylofy
ltheylinterviewylwhileylallowingylmaximumylfreedomylofylexpression.ylByylusingylopen-
endedylquestionsylandylguidingylquestions,yltheylnurseylcanylobtainyltheylnecessaryylinformationyla
ndylmaintainylaylrelationshipylwithyltheylfamily.ylTheylnurseylandylparentylmustylcollaborateylandyl
defineyltheylproblemylthatylwillylbeyltheylfocusylofyltheylnursingylintervention.
3. Whichylisyltheylsingleylmostylimportantylfactoryltoylconsiderylwhenylcommunicatingylwithylchildren?
a. Presenceylofyltheylchildsylparent
b. Childsylphysicalylcondition
c. Childsyldevelopmentalyllevel
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d. Childsylnonverbalylbehavior
sylANS:ylC
Theylnurseylmustylbeylawareylofyltheylchildsyldevelopmentalylstageyltoylengageylinyleffective
communication.ylTheyluseylofylbothylverbalylandylnonverbalylcommunicationylshouldylbeylappropri
ateyltoyltheyldevelopmentalyllevel.ylNonverbalylbehaviorsylvaryylinylimportanceylbasedylonyltheylchi
ldsyldevelopmentalyllevelylandylphysicalylcondition.ylAlthoughyltheylchildsylphysicalylconditionylis
ylaylconsideration,yldevelopmentalyllevelylisylmuchylmoreylimportant.ylTheylpresenceylofylparentsylis
ylimportantylwhenylcommunicatingylwithylyoungylchildrenylbutylmayylbeyldetrimentalylwhenylspea
kingylwithyladolescents.
4. Becauseylchildrenylyoungerylthanyl5ylyearsylareylegocentric,yltheylnurseylshouldyldoylwhic
hylwhenylcommunicatingylwithylthem?
a. Focusylcommunicationylonyltheylchild.
b. Useyleasyylanalogiesylwhenylpossible.
c. Explainylexperiencesylofylothersyltoyltheylchild.
d. Assureyltheylchildylthatylcommunicationylisylpriv
ate.ylANS:ylA
Becauseylchildrenylofylthisylageylareylableyltoylseeylthingsylonlyylinyltermsylofylthemselves,yltheylbestylapproach
isyltoylfocusylcommunicationyldirectlyylonylthem.ylChildrenylshouldylbeylprovidedylwithylinformatio
nylaboutylwhatyltheyylcanyldoylandylhowyltheyylwillylfeel.ylWithylchildrenylwhoylareylegocentric,ylan
alogies,ylexperiences,ylandylassurancesylthatylcommunicationylisylprivateylwillylnotylbeyleffectiveylb
ecauseyltheylchildylisylnotylcapableylofylunderstanding.
5. Theylnursesylapproachylwhenylintroducingylhospitalylequipmentyltoylaylpreschoolerylwhoylseem
sylafraidylshouldylbeylbasedylonylwhichylprinciple?
a. Theylchildylmayylthinkyltheylequipmentylisylalive.
b. Explainingyltheylequipmentylwillylonlyylincreaseyltheylchildsylfear.
c. Oneylbriefylexplanationylwillylbeylenoughyltoylreduceyltheylchildsylfear.
d. Theylchildylisyltooylyoungyltoylunderstandylwhatyltheylequipment
yldoes.ylANS:ylA
Youngylchildrenylattributeylhumanylcharacteristicsyltoylinanimateylobjects.ylTheyyloftenylfearylthatylthe
objectsylmayyljump,ylbite,ylcut,ylorylpinchylallylbyylthemselvesylwithoutylhumanyldirection.ylEquip
mentylshouldylbeylkeptyloutylofylsightyluntilylneeded.ylSimple,ylconcreteylexplanationsylaboutylwhatyl
theylequipmentyldoesylandylhowylitylwillylfeelylwillylhelpylalleviateyltheylchildsylfear.ylPreschoolersy
lneedylrepeatedylexplanationsylasylreassurance.
6. Whenyltheylnurseylinterviewsylanyladolescent,ylwhichylisylespeciallyylimportant?
a. Focusyltheyldiscussionylonyltheylpeerylgroup.
b. Allowylanylopportunityyltoylexpressylfeelings.
c. Useyltheylsameyltypeylofyllanguageylasyltheyladolescent.
d. Emphasizeylthatylconfidentialityylwillylalwaysylbeylmaintai
ned.ylANS:ylB
Adolescents,yllikeylallylchildren,ylneedylopportunitiesyltoylexpressyltheirylfeelings.ylOftenyltheyylinterject
feelingsylintoyltheirylwords.ylTheylnurseylmustylbeylalertyltoyltheylwordsylandylfeelingsylexpressed.ylTheylnurse
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shouldylmaintainylaylprofessionalylrelationshipylwithyladolescents.ylToylavoidylmisunderstandingyl
orylmisinterpretationylofylwordsylandylphrasesylused,yltheylnurseylshouldylclarifyyltheyltermsylused,
ylwhatylinformationylwillylbeylsharedylwithylotherylmembersylofyltheylhealthylcareylteam,ylandylany
yllimitsyltoylconfidentiality.ylAlthoughyltheylpeerylgroupylisylimportantyltoylthisylageylgroup,yltheylin
terviewylshouldylfocusylonyltheyladolescent.
7. Theylnurseylisylpreparingyltoylassessylayl10-month-
oldylinfant.ylHeylisylsittingylonylhisylfathersyllapylandylappearsyltoylbeylafraidylofyltheylnurseylan
dylofylwhatylmightylhappenylnext.ylWhichylinitialylactionsylbyyltheylnurseylshouldylbeylmostylap
propriate?
a. Initiateylaylgameylofylpeek-a-boo.
b. Askyltheylinfantsylfatheryltoylplaceyltheylinfantylonyltheylexaminationyltable.
c. Talkylsoftlyyltoyltheylinfantylwhileyltakingylhimylfromylhisylfather.
d. Undressyltheylinfantylwhileylheylisylstillylsittingylonylhisylfathe
rsyllap.ylANS:ylA
Peek-a-booylisylanylexcellentylmeansylofylinitiatingylcommunicationylwithylinfantsylwhileylmaintainingyla
safe,ylnonthreateningyldistance.ylTheylchildylwillylmostyllikelyylbecomeylupsetylifylseparatedylfromy
lhisylfather.ylAsylmuchylofyltheylassessmentylasylpossibleylshouldylbeyldoneylwithyltheylchildylonylthey
lfathersyllap.ylTheylnurseylshouldylhaveyltheylfatherylundressyltheylchildylasylneededylduringyltheylex
amination.
8. Anyl8-year-
oldylgirlylasksyltheylnurseylhowyltheylbloodylpressureylapparatusylworks.ylTheylmostylappr
opriateylnursingylactionylisylwhich?
a. Askylherylwhyylsheylwantsyltoylknow.
b. Determineylwhyylsheylisylsoylanxious.
c. Explainylinylsimpleyltermsylhowylitylworks.
d. Tellylherylsheylwillylseeylhowylitylworksylasylityli
sylused.ylANS:ylC
School-ageylchildrenylrequireylexplanationsylandylreasonsylforyleverything.ylTheyylareylinterestedylinylthe
functionalylaspectylofylallylprocedures,ylobjects,ylandylactivities.ylItylisylappropriateylforyltheylnurs
eyltoylexplainylhowylequipmentylworksylandylwhatylwillylhappenyltoyltheylchildylsoylthatyltheylchild
ylcanylthenylobserveylduringyltheylprocedure.ylTheylnurseylshouldylrespondylpositivelyylforylrequest
sylforylinformationylaboutylproceduresylandylhealthylinformation.ylByylnotylresponding,yltheylnurs
eylmayylbeyllimitingylcommunicationylwithyltheylchild.ylTheylchildylisylnotylexhibitingylanxietyylin
ylaskingylhowyltheylbloodylpressureylapparatusylworks,yljustylrequestingylclarificationylofylwhatylw
illyloccur.
9. Theylnurseylisylhavingyldifficultyylcommunicatingylwithylaylhospitalizedyl6-year-
oldylchild.ylWhichyltechniqueylshouldylbeylmostylhelpful?
a. Recommendylthatyltheylchildylkeepylayldiary.
b. Provideylsuppliesylforyltheylchildyltoyldrawylaylpicture.
c. Suggestylthatyltheylparentylreadylfairyyltalesyltoyltheylchild.
d. Askyltheylparentylifyltheylchildylisylalwaysyluncommunic
ative.ylANS:ylB
Drawingylisyloneylofyltheylmostylvaluableylformsylofylcommunication.ylChildrensyldrawingsyltellylaylgreat
dealylaboutylthemylbecauseyltheyylareylprojectionsylofyltheylchildrensylinnerylself.ylAyldiaryylshouldy
lbeyldifficultylforylayl6-year-
oldylchild,ylwhoylisylmostyllikelyyllearningyltoylread.ylTheylparentylreadingylfairyyltalesyltoyltheylchild
ylisylaylpassiveylactivityylinvolvingyltheylparentylandylchild;ylitylshouldylnotylfacilitate
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