,TEST BANK FOR PEDIATRIC PRIMARY CARE 4TH
EDITION RICHARDSON Well Elaborated Questions &
Answers
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
, 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
EDITION RICHARDSON Well Elaborated Questions &
Answers
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
, 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
