Test bank for pediatric primary care 4th edition richardson 8

TEST BANK FOR PEDI
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ATRIC PRIMARYCAR
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E 4TH EDITION BY RIC
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HARDSON

,Chapterm1mObtainingmanmInitialmHistory

MULTIPLEmCHOICE
1. Themnursemismseeingmanmadolescentmandmthemparentsminmthemclinicmformthemfirstmtime.mWhichmsho
uldmthemnursemdomfirst?
a. Introducemhim-mormherself.
b. Makemthemfamilymcomfortable.
c. Givemassurancemofmprivacy.
d. Explainmthempurposemofmthemintervie
w.mANS:mA
Themfirstmthingmthatmnursesmmustmdomismtomintroducemthemselvesmtomthempatientmandmfamily.mParent
smandmothermadultsmshouldmbemaddressedmwithmappropriatemtitlesmunlessmtheymspecifymampreferredmn
ame.mClarificationmofmthempurposemofmtheminterviewmandmthemnursesmrolemismthemsecondmthingmthatms
houldmbemdone.mDuringmtheminitialmpartmofmtheminterview,mthemnursemshouldmincludemgeneralmconver
sationmtomhelpmmakemthemfamilymfeelmatmease.mTheminterviewmalsomshouldmtakemplaceminmanmenviron
mentmasmfreemofmdistractionmasmpossible.mInmaddition,mthemnursemshouldmclarifymwhichminformationm
willmbemsharedmwithmothermmembersmofmthemhealthmcaremteammandmanymlimitsmtomthemconfidentiality
.
2. Whichmismconsideredmamblockmtomeffectivemcommunication?
a. Usingmsilence
b. Usingmclichs
c. Directingmthemfocus
d. Definingmthemproble
mmANS:mB
Usingmstereotypedmcommentsmormclichsmcanmblockmeffectivemcommunication.mAftermthemnursemuses
suchmtritemphrases,mparentsmoftenmdomnotmrespond.mSilencemcanmbemanmeffectiveminterviewingmto
ol.mSilencempermitsmthemintervieweemtomsortmoutmthoughtsmandmfeelingsmandmsearchmformresponse
smtomquestions.mTombemeffective,mthemnursemmustmbemablemtomdirectmthemfocusmofmtheminterviewm
whilemallowingmmaximummfreedommofmexpression.mBymusingmopen-
endedmquestionsmandmguidingmquestions,mthemnursemcanmobtainmthemnecessaryminformationmandm
maintainmamrelationshipmwithmthemfamily.mThemnursemandmparentmmustmcollaboratemandmdefinemth
emproblemmthatmwillmbemthemfocusmofmthemnursingmintervention.
3. Whichmismthemsinglemmostmimportantmfactormtomconsidermwhenmcommunicatingmwithmchildren?
a. Presencemofmthemchildsmparent



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,b. Childsmphysicalmcondition
c. Childsmdevelopmentalmlevel




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d. Childsmnonverbalmbehavior
smANS:mC
Themnursemmustmbemawaremofmthemchildsmdevelopmentalmstagemtomengageminmeffectivemcommunicat
ion.mThemusemofmbothmverbalmandmnonverbalmcommunicationmshouldmbemappropriatemtomthemdevelo
pmentalmlevel.mNonverbalmbehaviorsmvaryminmimportancembasedmonmthemchildsmdevelopmentalmlev
elmandmphysicalmcondition.mAlthoughmthemchildsmphysicalmconditionmismamconsideration,mdevelopm
entalmlevelmismmuchmmoremimportant.mThempresencemofmparentsmismimportantmwhenmcommunicatingm
withmyoungmchildrenmbutmmaymbemdetrimentalmwhenmspeakingmwithmadolescents.
4. Becausemchildrenmyoungermthanm5myearsmaremegocentric,mthemnursemshouldmdomwhichmwh
enmcommunicatingmwithmthem?
a. Focusmcommunicationmonmthemchild.
b. Usemeasymanalogiesmwhenmpossible.
c. Explainmexperiencesmofmothersmtomthemchild.
d. Assuremthemchildmthatmcommunicationmismprivat
e.mANS:mA
Becausemchildrenmofmthismagemaremablemtomseemthingsmonlyminmtermsmofmthemselves,mthembestmapproach
ismtomfocusmcommunicationmdirectlymonmthem.mChildrenmshouldmbemprovidedmwithminformationmabo
utmwhatmtheymcanmdomandmhowmtheymwillmfeel.mWithmchildrenmwhomaremegocentric,manalogies,mexper
iences,mandmassurancesmthatmcommunicationmismprivatemwillmnotmbemeffectivembecausemthemchildmismn
otmcapablemofmunderstanding.
5. Themnursesmapproachmwhenmintroducingmhospitalmequipmentmtomampreschoolermwhomseemsmafr
aidmshouldmbembasedmonmwhichmprinciple?
a. Themchildmmaymthinkmthemequipmentmismalive.
b. Explainingmthemequipmentmwillmonlymincreasemthemchildsmfear.
c. Onembriefmexplanationmwillmbemenoughmtomreducemthemchildsmfear.
d. Themchildmismtoomyoungmtomunderstandmwhatmthemequipmentmdo
es.mANS:mA
Youngmchildrenmattributemhumanmcharacteristicsmtominanimatemobjects.mTheymoftenmfearmthatmthe
objectsmmaymjump,mbite,mcut,mormpinchmallmbymthemselvesmwithoutmhumanmdirection.mEquipmentms
houldmbemkeptmoutmofmsightmuntilmneeded.mSimple,mconcretemexplanationsmaboutmwhatmthemequipme
ntmdoesmandmhowmitmwillmfeelmwillmhelpmalleviatemthemchildsmfear.mPreschoolersmneedmrepeatedmexpl
anationsmasmreassurance.
6. Whenmthemnurseminterviewsmanmadolescent,mwhichmismespeciallymimportant?
a. Focusmthemdiscussionmonmthempeermgroup.
b. Allowmanmopportunitymtomexpressmfeelings.
c. Usemthemsamemtypemofmlanguagemasmthemadolescent.
d. Emphasizemthatmconfidentialitymwillmalwaysmbemmaintaine
d.mANS:mB
Adolescents,mlikemallmchildren,mneedmopportunitiesmtomexpressmtheirmfeelings.mOftenmtheyminterject
feelingsmintomtheirmwords.mThemnursemmustmbemalertmtomthemwordsmandmfeelingsmexpressed.mThemnurse




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