Pediatric Primary Care: Practice Guidelines for Nurses, 5th Edition – Richardson (2022) | Complete Test Bank with Answers, All Chapters

Test Bank for Pediatric Primary Care: Practice Guidelines for Nurses:
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Practice Guidelines for Nurses 5th Edition All Chapters | Complete
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, TESTBANK FOR PEDIATRIC PRIMARYCARE 5TH EDITION gh gh gh gh gh




RICHARDSON
Well Elaborated Questions & Answers
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Chapter 1 Obtaining an Initial History
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1. The nurse is seeing an adolescent and the parents in the clinic for the first time.
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Which should the nurse do first?
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a. Introduce him- or herself. gh gh gh




b. Make the family comfortable. gh gh gh



c. Give assurance of privacy. gh gh gh



d. Explain the purpose of the gh gh gh gh



interview. ANS: A
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The first thing that nurses must do is to introduce themselves to the patient and family.
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Parents and other adults should be addressed with appropriate titles unless they specify a
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preferred name. Clarification of the purpose of the interview and the nurses role is the
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second thing that should be done. During the initial part of the interview, the nurse
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should include general conversation to help make the family feel at ease. The interview
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also should take place in an environment as free of distraction as possible. In addition,
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the nurse should clarify which information will be shared with other members of the
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health care team and any limits to the confidentiality.
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2. Which is considered a block to effective communication?
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a. Using silence gh




b. Using clichs gh




c. Directing the focus gh gh



d. Defining the problem gh gh



ANS: B
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Using stereotyped comments or clichs can block effective communication. After the nurse uses
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such trite phrases, parents often do not respond. Silence can be an effective interviewing
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tool. Silence permits the interviewee to sort out thoughts and feelings and search for
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responses to questions. To be effective, the nurse must be able to direct the focus of the
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interview while allowing maximum freedom of expression. By using open-ended
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questions and guiding questions, the nurse can obtain the necessary information and
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maintain a relationship with the family. The nurse and parent must collaborate and define
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the problem that will be the focus of the nursing intervention.
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3. Which is the single most important factor to consider when communicating with children?
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a. Presence of the childs parent gh gh gh gh



b. Childs physical condition gh gh




c. Childs developmental level gh gh




d. Childs nonverbal behaviorsANS: C gh gh gh


The nurse must be aware of the childs developmental stage to engage in effective
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communication. The use of both verbal and nonverbal communication should be
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appropriate to the developmental level. Nonverbal behaviors vary in importance based on
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the childs developmental level and physical condition. Although the childs physical
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condition is a consideration, developmental level is much more important. The presence
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of parents is important when communicating with young children but may be detrimental
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when speaking with adolescents.
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Med 4. Because children younger than 5 years are egocentric, the nurse should do which when
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C
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, communicating with them? gh gh



a. Focus communication on the child. gh gh gh gh



b. Use easy analogies when possible.
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c. Explain experiences of others to the child.
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d. Assure the child that communication is gh gh gh gh gh



private. ANS: A
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Because children of this age are able to see things only in terms of themselves, the best approach
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is to focus communication directly on them. Children should be provided with information
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ghabout what they can do and how they will feel. With children who are egocentric,
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ghanalogies, experiences, and assurances that communication is private will not be effective
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ghbecause the child is not capable of understanding.
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5. The nurses approach when introducing hospital equipment to a preschooler who
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ghseems afraid should be based on which principle?
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a. The child may think the equipment is alive.
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b. Explaining the equipment will only increase the childs fear.
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c. One brief explanation will be enough to reduce the childs fear.
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d. The child is too young to understand what the equipment
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does. ANS: A
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Young children attribute human characteristics to inanimate objects. They often fear that the
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objects may jump, bite, cut, or pinch all by themselves without human direction.
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Equipment should be kept out of sight until needed. Simple, concrete explanations about
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what the equipment does and how it will feel will help alleviate the childs fear.
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Preschoolers need repeated explanations as reassurance.
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6. When the nurse interviews an adolescent, which is especially important?
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a. Focus the discussion on the peer group. gh gh gh gh gh gh



b. Allow an opportunity to express feelings.
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c. Use the same type of language as the adolescent.
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d. Emphasize that confidentiality will always be gh gh gh gh gh



maintained. ANS: B
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Adolescents, like all children, need opportunities to express their feelings. Often they interject
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feelings into their words. The nurse must be alert to the words and feelings expressed. The nurse
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should maintain a professional relationship with adolescents. To avoid misunderstanding or
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misinterpretation of words and phrases used, the nurse should clarify the terms used,
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what information will be shared with other members of the health care team, and any
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limits to confidentiality. Although the peer group is important to this age group, the
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interview should focus on the adolescent.
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7. The nurse is preparing to assess a 10-month-old infant. He is sitting on his
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ghfathers lap and appears to be afraid of the nurse and of what might happen next.
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Which initial actions by the nurse should be most appropriate?
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a. Initiate a game of peek-a-boo. gh gh gh gh



b. Ask the infants father to place the infant on the examination table.
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c. Talk softly to the infant while taking him from his father.
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d. Undress the infant while he is still sitting on his gh gh gh gh gh gh gh gh gh



fathers lap. ANS: A
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Peek-a-boo is an excellent means of initiating communication with infants while maintaining a
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safe, nonthreatening distance. The child will most likely become upset if separated from
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his father. As much of the assessment as possible should be done with the child on the
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fathers lap. The nurse should have the father undress the child as needed during the
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examination.
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8. An 8-year-old girl asks the nurse how the blood pressure apparatus works. The
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most appropriate nursing action is which?
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a. Ask her why she wants to know. gh gh gh gh gh gh



b. Determine why she is so anxious. gh gh gh gh gh




c. Explain in simple terms how it works. gh gh gh gh gh gh



d. Tell her she will see how it works as it gh gh gh gh gh gh gh gh gh



is used. ANS: C
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School-age children require explanations and reasons for everything. They are interested in the
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functional aspect of all procedures, objects, and activities. It is appropriate for the nurse
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to explain how equipment works and what will happen to the child so that the child can
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then observe during the procedure. The nurse should respond positively for requests for
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information about procedures and health information. By not responding, the nurse may
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be limiting communication with the child. The child is not exhibiting anxiety in asking
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how the blood pressure apparatus works, just requesting clarification of what will occur.
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9. The nurse is having difficulty communicating with a hospitalized 6-year-old
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child. Which technique should be most helpful?
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a. Recommend that the child keep a diary. gh gh gh gh gh gh




b. Provide supplies for the child to draw a picture.
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c. Suggest that the parent read fairy tales to the child.
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d. Ask the parent if the child is always gh gh gh gh gh gh gh



uncommunicative. ANS: B
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Drawing is one of the most valuable forms of communication. Childrens drawings tell a great
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deal about them because they are projections of the childrens inner self. A diary should
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be difficult for a 6-year-old child, who is most likely learning to read. The parent
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reading fairy tales to the child is a passive activity involving the parent and child; it
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should not facilitate
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