TEST BANK
Pediatric Primary Care: Practice Guidelines for
Nurses, 5th Edition
by Beth Richardson (Author)
5TH EDITION
wiseprof
,TEST BANK FOR PEDIATRIC PRIMARY CARE 5th EDITION
RICHARDSON
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
d. Childs nonverbal behaviorsANS: C
The nurse must be aware of the childs developmental stage to engage in effective
communication. The use of both verbal and nonverbal communication should be
appropriate to the developmental level. Nonverbal behaviors vary in importance based
on the childs developmental level and physical condition. Although the childs physical
condition is a consideration, developmental level is much more important. The presence
of parents is important when communicating with young children but may be
detrimental when speaking with adolescents.
4. Because children younger than 5 years are egocentric, the nurse should do which when
,wiseprof
, communicating with them?
a. Focus communication on the child.
b. Use easy analogies when possible.
c. Explain experiences of others to the child.
d. Assure the child that communication is
private. ANS: A
Because children of this age are able to see things only in terms of themselves, the best approach
is to focus communication directly on them. Children should be provided with
information about what they can do and how they will feel. With children who are
egocentric, analogies, experiences, and assurances that communication is private will
not be effective because the child is not capable of understanding.
5. The nurses approach when introducing hospital equipment to a preschooler who
seems afraid should be based on which principle?
a. The child may think the equipment is alive.
b. Explaining the equipment will only increase the childs fear.
c. One brief explanation will be enough to reduce the childs fear.
d. The child is too young to understand what the
equipment does. ANS: A
Young children attribute human characteristics to inanimate objects. They often fear that the
objects may jump, bite, cut, or pinch all by themselves without human direction.
Equipment should be kept out of sight until needed. Simple, concrete explanations
about what the equipment does and how it will feel will help alleviate the childs fear.
Preschoolers need repeated explanations as reassurance.
6. When the nurse interviews an adolescent, which is especially important?
a. Focus the discussion on the peer group.
b. Allow an opportunity to express feelings.
c. Use the same type of language as the adolescent.
d. Emphasize that confidentiality will always be
maintained. ANS: B
Adolescents, like all children, need opportunities to express their feelings. Often they interject
feelings into their words. The nurse must be alert to the words and feelings expressed. The nurse
wiseprof
Pediatric Primary Care: Practice Guidelines for
Nurses, 5th Edition
by Beth Richardson (Author)
5TH EDITION
wiseprof
,TEST BANK FOR PEDIATRIC PRIMARY CARE 5th EDITION
RICHARDSON
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
d. Childs nonverbal behaviorsANS: C
The nurse must be aware of the childs developmental stage to engage in effective
communication. The use of both verbal and nonverbal communication should be
appropriate to the developmental level. Nonverbal behaviors vary in importance based
on the childs developmental level and physical condition. Although the childs physical
condition is a consideration, developmental level is much more important. The presence
of parents is important when communicating with young children but may be
detrimental when speaking with adolescents.
4. Because children younger than 5 years are egocentric, the nurse should do which when
,wiseprof
, communicating with them?
a. Focus communication on the child.
b. Use easy analogies when possible.
c. Explain experiences of others to the child.
d. Assure the child that communication is
private. ANS: A
Because children of this age are able to see things only in terms of themselves, the best approach
is to focus communication directly on them. Children should be provided with
information about what they can do and how they will feel. With children who are
egocentric, analogies, experiences, and assurances that communication is private will
not be effective because the child is not capable of understanding.
5. The nurses approach when introducing hospital equipment to a preschooler who
seems afraid should be based on which principle?
a. The child may think the equipment is alive.
b. Explaining the equipment will only increase the childs fear.
c. One brief explanation will be enough to reduce the childs fear.
d. The child is too young to understand what the
equipment does. ANS: A
Young children attribute human characteristics to inanimate objects. They often fear that the
objects may jump, bite, cut, or pinch all by themselves without human direction.
Equipment should be kept out of sight until needed. Simple, concrete explanations
about what the equipment does and how it will feel will help alleviate the childs fear.
Preschoolers need repeated explanations as reassurance.
6. When the nurse interviews an adolescent, which is especially important?
a. Focus the discussion on the peer group.
b. Allow an opportunity to express feelings.
c. Use the same type of language as the adolescent.
d. Emphasize that confidentiality will always be
maintained. ANS: B
Adolescents, like all children, need opportunities to express their feelings. Often they interject
feelings into their words. The nurse must be alert to the words and feelings expressed. The nurse
wiseprof
