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Pediatric Primary Care 4th Edition Richardson
Testbank/StudyGuide
Chapter 1 Obtaining an Initial History
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.
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.
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.
2. Which is considered a block to effective communication?
a. Using silence
b. Using clichs
c. Directing the focus
d. Defining the problem
ANS: B
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
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?
a. Presence of the childs parent
b. Childs physical condition
c. Childs developmental level
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d. Childs #vfnonverbal
#vfbehaviors #vfANS: #vfC
The #vfnurse #vfmust #vfbe #vfaware #vfof #vfthe #vfchilds #vfdevelopmental #vfstage #vfto #vfengage #vfin #vfeffective
communication. #vfThe #vfuse #vfof #vfboth #vfverbal #vfand #vfnonverbal #vfcommunication #vfshould #vfbe
#vfappropriate #vfto #vfthe #vfdevelopmental #vflevel. #vfNonverbal #vfbehaviors #vfvary #vfin #vfimportance
#vfbased #vfon #vfthe #vfchilds #vfdevelopmental #vflevel #vfand #vfphysical #vfcondition. #vfAlthough #vfthe #vfchilds
#vfphysical #vfcondition #vfis #vfa #vfconsideration, #vfdevelopmental #vflevel #vfis #vfmuch #vfmore #vfimportant.
#vfThe #vfpresence #vfof #vfparents #vfis #vfimportant #vfwhen #vfcommunicating #vfwith #vfyoung #vfchildren #vfbut
#vfmay #vfbe #vfdetrimental #vfwhen #vfspeaking #vfwith #vfadolescents.
4. Because #vfchildren #vfyounger #vfthan #vf5 #vfyears #vfare #vfegocentric, #vfthe #vfnurse #vfshould #vfdo
#vfwhich #vfwhen #vfcommunicating #vfwith #vfthem?
a. Focus #vfcommunication #vfon #vfthe #vfchild.
b. Use #vfeasy #vfanalogies #vfwhen #vfpossible.
c. Explain #vfexperiences #vfof #vfothers #vfto #vfthe #vfchild.
d. Assure #vfthe #vfchild #vfthat #vfcommunication #vfis
#vfprivate. #vfANS: #vfA
Because #vfchildren #vfof #vfthis #vfage #vfare #vfable #vfto #vfsee #vfthings #vfonly #vfin #vfterms #vfof #vfthemselves, #vfthe #vfbest
#vfapproach
is #vfto #vffocus #vfcommunication #vfdirectly #vfon #vfthem. #vfChildren #vfshould #vfbe #vfprovided #vfwith
#vfinformation #vfabout #vfwhat #vfthey #vfcan #vfdo #vfand #vfhow #vfthey #vfwill #vffeel. #vfWith #vfchildren #vfwho
#vfare #vfegocentric, #vfanalogies, #vfexperiences, #vfand #vfassurances #vfthat #vfcommunication #vfis #vfprivate
#vfwill #vfnot #vfbe #vfeffective #vfbecause #vfthe #vfchild #vfis #vfnot #vfcapable #vfof #vfunderstanding.
5. The #vfnurses #vfapproach #vfwhen #vfintroducing #vfhospital #vfequipment #vfto #vfa #vfpreschooler #vfwho
#vfseems #vfafraid #vfshould #vfbe #vfbased #vfon #vfwhich #vfprinciple?
a. The #vfchild #vfmay #vfthink #vfthe #vfequipment #vfis #vfalive.
b. Explaining #vfthe #vfequipment #vfwill #vfonly #vfincrease #vfthe #vfchilds #vffear.
c. One #vfbrief #vfexplanation #vfwill #vfbe #vfenough #vfto #vfreduce #vfthe #vfchilds #vffear.
d. The #vfchild #vfis #vftoo #vfyoung #vfto #vfunderstand #vfwhat #vfthe
#vfequipment #vfdoes. #vfANS: #vfA
Young #vfchildren #vfattribute #vfhuman #vfcharacteristics #vfto #vfinanimate #vfobjects. #vfThey #vfoften #vffear #vfthat #vfthe
objects #vfmay #vfjump, #vfbite, #vfcut, #vfor #vfpinch #vfall #vfby #vfthemselves #vfwithout #vfhuman #vfdirection.
#vfEquipment #vfshould #vfbe #vfkept #vfout #vfof #vfsight #vfuntil #vfneeded. #vfSimple, #vfconcrete #vfexplanations
#vfabout #vfwhat #vfthe #vfequipment #vfdoes #vfand #vfhow #vfit #vfwill #vffeel #vfwill #vfhelp #vfalleviate #vfthe #vfchilds
#vffear. #vfPreschoolers #vfneed #vfrepeated #vfexplanations #vfas #vfreassurance.
6. When #vfthe #vfnurse #vfinterviews #vfan #vfadolescent, #vfwhich #vfis #vfespecially #vfimportant?
a. Focus #vfthe #vfdiscussion #vfon #vfthe #vfpeer #vfgroup.
b. Allow #vfan #vfopportunity #vfto #vfexpress #vffeelings.
c. Use #vfthe #vfsame #vftype #vfof #vflanguage #vfas #vfthe #vfadolescent.
d. Emphasize #vfthat #vfconfidentiality #vfwill #vfalways #vfbe
#vfmaintained. #vfANS: #vfB
Adolescents, #vflike #vfall #vfchildren, #vfneed #vfopportunities #vfto #vfexpress #vftheir #vffeelings. #vfOften #vfthey #vfinterject
feelings #vfinto #vftheir #vfwords. #vfThe #vfnurse #vfmust #vfbe #vfalert #vfto #vfthe #vfwords #vfand #vffeelings #vfexpressed. #vfThe
#vfnurse
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, Stuvia.com - The Marketplace to Buy and Sell your Study Material
Pediatric Primary Care 4th Edition Richardson
Testbank/StudyGuide
Chapter 1 Obtaining an Initial History
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.
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.
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.
2. Which is considered a block to effective communication?
a. Using silence
b. Using clichs
c. Directing the focus
d. Defining the problem
ANS: B
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
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?
a. Presence of the childs parent
b. Childs physical condition
c. Childs developmental level
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, Stuvia.com #vf- #vfThe #vfMarketplace #vfto #vfBuy #vfand #vfSell #vfyour
#vfStudy #vf Material
d. Childs #vfnonverbal
#vfbehaviors #vfANS: #vfC
The #vfnurse #vfmust #vfbe #vfaware #vfof #vfthe #vfchilds #vfdevelopmental #vfstage #vfto #vfengage #vfin #vfeffective
communication. #vfThe #vfuse #vfof #vfboth #vfverbal #vfand #vfnonverbal #vfcommunication #vfshould #vfbe
#vfappropriate #vfto #vfthe #vfdevelopmental #vflevel. #vfNonverbal #vfbehaviors #vfvary #vfin #vfimportance
#vfbased #vfon #vfthe #vfchilds #vfdevelopmental #vflevel #vfand #vfphysical #vfcondition. #vfAlthough #vfthe #vfchilds
#vfphysical #vfcondition #vfis #vfa #vfconsideration, #vfdevelopmental #vflevel #vfis #vfmuch #vfmore #vfimportant.
#vfThe #vfpresence #vfof #vfparents #vfis #vfimportant #vfwhen #vfcommunicating #vfwith #vfyoung #vfchildren #vfbut
#vfmay #vfbe #vfdetrimental #vfwhen #vfspeaking #vfwith #vfadolescents.
4. Because #vfchildren #vfyounger #vfthan #vf5 #vfyears #vfare #vfegocentric, #vfthe #vfnurse #vfshould #vfdo
#vfwhich #vfwhen #vfcommunicating #vfwith #vfthem?
a. Focus #vfcommunication #vfon #vfthe #vfchild.
b. Use #vfeasy #vfanalogies #vfwhen #vfpossible.
c. Explain #vfexperiences #vfof #vfothers #vfto #vfthe #vfchild.
d. Assure #vfthe #vfchild #vfthat #vfcommunication #vfis
#vfprivate. #vfANS: #vfA
Because #vfchildren #vfof #vfthis #vfage #vfare #vfable #vfto #vfsee #vfthings #vfonly #vfin #vfterms #vfof #vfthemselves, #vfthe #vfbest
#vfapproach
is #vfto #vffocus #vfcommunication #vfdirectly #vfon #vfthem. #vfChildren #vfshould #vfbe #vfprovided #vfwith
#vfinformation #vfabout #vfwhat #vfthey #vfcan #vfdo #vfand #vfhow #vfthey #vfwill #vffeel. #vfWith #vfchildren #vfwho
#vfare #vfegocentric, #vfanalogies, #vfexperiences, #vfand #vfassurances #vfthat #vfcommunication #vfis #vfprivate
#vfwill #vfnot #vfbe #vfeffective #vfbecause #vfthe #vfchild #vfis #vfnot #vfcapable #vfof #vfunderstanding.
5. The #vfnurses #vfapproach #vfwhen #vfintroducing #vfhospital #vfequipment #vfto #vfa #vfpreschooler #vfwho
#vfseems #vfafraid #vfshould #vfbe #vfbased #vfon #vfwhich #vfprinciple?
a. The #vfchild #vfmay #vfthink #vfthe #vfequipment #vfis #vfalive.
b. Explaining #vfthe #vfequipment #vfwill #vfonly #vfincrease #vfthe #vfchilds #vffear.
c. One #vfbrief #vfexplanation #vfwill #vfbe #vfenough #vfto #vfreduce #vfthe #vfchilds #vffear.
d. The #vfchild #vfis #vftoo #vfyoung #vfto #vfunderstand #vfwhat #vfthe
#vfequipment #vfdoes. #vfANS: #vfA
Young #vfchildren #vfattribute #vfhuman #vfcharacteristics #vfto #vfinanimate #vfobjects. #vfThey #vfoften #vffear #vfthat #vfthe
objects #vfmay #vfjump, #vfbite, #vfcut, #vfor #vfpinch #vfall #vfby #vfthemselves #vfwithout #vfhuman #vfdirection.
#vfEquipment #vfshould #vfbe #vfkept #vfout #vfof #vfsight #vfuntil #vfneeded. #vfSimple, #vfconcrete #vfexplanations
#vfabout #vfwhat #vfthe #vfequipment #vfdoes #vfand #vfhow #vfit #vfwill #vffeel #vfwill #vfhelp #vfalleviate #vfthe #vfchilds
#vffear. #vfPreschoolers #vfneed #vfrepeated #vfexplanations #vfas #vfreassurance.
6. When #vfthe #vfnurse #vfinterviews #vfan #vfadolescent, #vfwhich #vfis #vfespecially #vfimportant?
a. Focus #vfthe #vfdiscussion #vfon #vfthe #vfpeer #vfgroup.
b. Allow #vfan #vfopportunity #vfto #vfexpress #vffeelings.
c. Use #vfthe #vfsame #vftype #vfof #vflanguage #vfas #vfthe #vfadolescent.
d. Emphasize #vfthat #vfconfidentiality #vfwill #vfalways #vfbe
#vfmaintained. #vfANS: #vfB
Adolescents, #vflike #vfall #vfchildren, #vfneed #vfopportunities #vfto #vfexpress #vftheir #vffeelings. #vfOften #vfthey #vfinterject
feelings #vfinto #vftheir #vfwords. #vfThe #vfnurse #vfmust #vfbe #vfalert #vfto #vfthe #vfwords #vfand #vffeelings #vfexpressed. #vfThe
#vfnurse
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