TEST BANK FOR PEDIATRIC
PRIMARY CARE 4TH EDITION
RICHARDSON
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TEST BANK FOR
PEDIATRIC PRIMARY
CARE 4TH EDITION
RICHARDSON
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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
shouldthe 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 bedone. 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
problemANS: 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 the𝑓amily. The nurse and parent must collaborate and de𝑓ine the problem
that will be the 𝑓ocus o𝑓the 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 nonverbal behaviors
ANS: 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
importantwhen 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
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
aboutwhat 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
childis not capable o𝑓 understanding.
5. The nurses approach when introducing hospital equipment to a preschooler who seems
a𝑓raidshould 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
equipmentdoes 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
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PRIMARY CARE 4TH EDITION
RICHARDSON
written by
SuperA
www.stuvia.com
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Distribution o𝑓 this document is illegal
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TEST BANK FOR
PEDIATRIC PRIMARY
CARE 4TH EDITION
RICHARDSON
Downloaded by: SuperA |
Distribution o𝑓 this document is illegal
, 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
shouldthe 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 bedone. 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
problemANS: 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 the𝑓amily. The nurse and parent must collaborate and de𝑓ine the problem
that will be the 𝑓ocus o𝑓the 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 nonverbal behaviors
ANS: 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
importantwhen 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
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
aboutwhat 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
childis not capable o𝑓 understanding.
5. The nurses approach when introducing hospital equipment to a preschooler who seems
a𝑓raidshould 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
equipmentdoes 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
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