TEST BANK FOR PEDI
v v v
ATRICPRIMARY CAR
v v
E 4TH EDITION BY RIC
v v v v
HARDSON
,Chapterv 1v Obtainingv anv Initialv History
MULTIPLEv CHOICE
1. Thev nursev isv seeingv anv adolescent v andvthevparentsvinv thev clinicv forv thevfirst v time.v Whichv should v t
hev nursev dov first?
a. Introducev him-v orv herself.
b. Makev thev familyv comfortable.
c. Givev assurancev of v privacy.
d. Explainvthevpurposevof vthevinterview.v
ANS:v A
Thev first v thingv that v nursesv must v dovisv tov introducev themselvesv tov thev patient v andvfamily.v Parentsv and
v otherv adultsv shouldvbev addressed vwithvappropriatev titlesv unlessv theyv specifyvavpreferred vname.v Clari
ficationv of v thevpurposev ofvthevinterview vandvthevnursesv rolev isv thevsecond vthingv that vshould vbevdone.v
Duringv thev initialv part v of v thevinterview,v thev nursev shouldv includevgeneralv conversationv tov helpvmake
v thev familyv feelv at vease.v Thev interview v alsov should vtakevplacev inv anv environment v asv freev ofv distractio
nv asv possible.v Inv addition,v thevnursev should vclarifyv whichv informationv willv bev shared v withv otherv me
mbersv of v thev healthv carev teamv and v anyv limitsv tov thev confidentiality.
2. Whichv isv considered v av blockv tov effectivev communication?
a. Usingv silence
b. Usingv clichs
c. Directingv thev focus
d. Definingvthevproblemv
ANS:v B
Usingv stereotyped v commentsv orv clichsv canv blockv effectivev communication.v Afterv thev nursev uses
suchv tritev phrases,v parentsv oftenvdov notvrespond.vSilencev canv bev anveffectivev interviewingv tool.v Si
lencev permitsv thev intervieweev tov sort v out vthoughtsv andvfeelingsv andv searchv forv responsesv tov quest
ions.v Tov bev effective,v thev nursev must vbev ablev tovdirect v thev focusv of v thev interview v whilev allowingv
maximumv freedomv of v expression.v Byv usingv open-
ended v questionsv andv guidingv questions,v thevnursev canv obtainv thev necessaryv informationv andvmain
tainv av relationshipv withv thev family.v Thev nursev and v parent v must v collaboratev and v definev thev proble
mv that v willv bev thev focusv of v thev nursingv intervention.
3. Whichv isv thev singlev most v important v factorv tov considerv whenv communicatingv withv children?
a. Presencev of v thev childsv parent
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,b. Childsv physicalv condition
c. Childsvdevelopmentalv level
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d. Childsvnonverbalvbehaviors
v ANS:v C
Thev nursev must v bev awarev of v thevchildsv developmentalv stagev tovengagev inv effectivev communication.v
Thev usev of v bothv verbalv and vnonverbalv communicationv should v bev appropriatev tovthev developmentalv
level.v Nonverbalv behaviorsv varyv inv importancev based v onv thev childsv developmentalv levelv and v physic
alv condition.v Althoughv thevchildsv physicalv conditionvisv av consideration,vdevelopmentalv levelv isv muc
hv morev important.v Thev presencev of vparentsvisv important vwhenvcommunicatingv withv youngv childrenv
but v mayv bev detrimentalv whenv speakingv withv adolescents.
4. Becausev childrenv youngerv thanv 5vyearsv arevegocentric,v thevnursev should vdovwhichv whenvc
ommunicatingv withv them?
a. Focusv communicationv onv thev child.
b. Usev easyv analogiesv whenv possible.
c. Explainv experiencesv of v othersv tov thev child.
d. Assurevthevchild vthat vcommunicationvisv private.v
ANS:v A
Becausev childrenv of v thisv agev arev ablev tov seev thingsv onlyv inv termsv of v themselves,v thev best v approach
isv tov focusv communicationv directlyvonvthem.vChildrenv should v bev provided v withv informationv about v
what v theyv canv dovandv howv theyvwillv feel.v Withvchildrenv whov arev egocentric,v analogies,v experiences
,v and v assurancesv that vcommunicationv isv privatev willv not vbeveffectivev becausev thev child v isv not v capabl
ev of v understanding.
5. Thev nursesv approachv whenv introducingv hospitalv equipment vtovavpreschoolerv whovseemsv afraid vs
hould v bev based v onv whichv principle?
a. Thev child v mayv thinkv thev equipment v isv alive.
b. Explainingv thev equipment v willv onlyv increasev thev childsv fear.
c. Onev brief v explanationv willv bev enoughv tov reducev thev childsv fear.
d. Thev child v isv toov youngvtovunderstand vwhat vthev equipment v does.v
ANS:v A
Youngv childrenv attributev humanv characteristicsv tov inanimatev objects.v Theyv oftenv fearv that v the
objectsv mayv jump,v bite,v cut,v orv pinchv allv byv themselvesv without vhumanv direction.v Equipment v shoul
d v bev kept voutvof vsight vuntilv needed.vSimple,v concretev explanationsv aboutv what vthevequipment v doesv a
nd v how v it vwillv feelv willv helpv alleviatev thev childsvfear.vPreschoolersv need v repeatedv explanationsv asv re
assurance.
6. Whenv thev nursev interviewsv anv adolescent,v whichv isv especiallyv important?
a. Focusv thev discussionv onv thev peerv group.
b. Allow v anv opportunityv tov expressv feelings.
c. Usev thev samev typev of v languagev asv thev adolescent.
d. Emphasizevthat vconfidentialityvwillv alwaysvbevmaintained.v
ANS:v B
Adolescents,vlikev allv children,v need v opportunitiesv tov expressv theirv feelings.v Oftenv theyv interject
feelingsv intov theirv words.v Thev nursev must v bev alert v tov thev wordsv and v feelingsv expressed.v Thev nurse
Downloadedv by:vYongsamv |v
Distribution v ofv this v documentv is v illegal
v v v
ATRICPRIMARY CAR
v v
E 4TH EDITION BY RIC
v v v v
HARDSON
,Chapterv 1v Obtainingv anv Initialv History
MULTIPLEv CHOICE
1. Thev nursev isv seeingv anv adolescent v andvthevparentsvinv thev clinicv forv thevfirst v time.v Whichv should v t
hev nursev dov first?
a. Introducev him-v orv herself.
b. Makev thev familyv comfortable.
c. Givev assurancev of v privacy.
d. Explainvthevpurposevof vthevinterview.v
ANS:v A
Thev first v thingv that v nursesv must v dovisv tov introducev themselvesv tov thev patient v andvfamily.v Parentsv and
v otherv adultsv shouldvbev addressed vwithvappropriatev titlesv unlessv theyv specifyvavpreferred vname.v Clari
ficationv of v thevpurposev ofvthevinterview vandvthevnursesv rolev isv thevsecond vthingv that vshould vbevdone.v
Duringv thev initialv part v of v thevinterview,v thev nursev shouldv includevgeneralv conversationv tov helpvmake
v thev familyv feelv at vease.v Thev interview v alsov should vtakevplacev inv anv environment v asv freev ofv distractio
nv asv possible.v Inv addition,v thevnursev should vclarifyv whichv informationv willv bev shared v withv otherv me
mbersv of v thev healthv carev teamv and v anyv limitsv tov thev confidentiality.
2. Whichv isv considered v av blockv tov effectivev communication?
a. Usingv silence
b. Usingv clichs
c. Directingv thev focus
d. Definingvthevproblemv
ANS:v B
Usingv stereotyped v commentsv orv clichsv canv blockv effectivev communication.v Afterv thev nursev uses
suchv tritev phrases,v parentsv oftenvdov notvrespond.vSilencev canv bev anveffectivev interviewingv tool.v Si
lencev permitsv thev intervieweev tov sort v out vthoughtsv andvfeelingsv andv searchv forv responsesv tov quest
ions.v Tov bev effective,v thev nursev must vbev ablev tovdirect v thev focusv of v thev interview v whilev allowingv
maximumv freedomv of v expression.v Byv usingv open-
ended v questionsv andv guidingv questions,v thevnursev canv obtainv thev necessaryv informationv andvmain
tainv av relationshipv withv thev family.v Thev nursev and v parent v must v collaboratev and v definev thev proble
mv that v willv bev thev focusv of v thev nursingv intervention.
3. Whichv isv thev singlev most v important v factorv tov considerv whenv communicatingv withv children?
a. Presencev of v thev childsv parent
Downloadedv by:vYongsamv |v
Distribution v ofv this v documentv is v illegal
,b. Childsv physicalv condition
c. Childsvdevelopmentalv level
Downloadedv by:vYongsamv |v
Distribution v ofv this v documentv is v illegal
, Stuvia.comv -
v Thev Marketplacev to v Buy v and v Sell v your v Study v Material
d. Childsvnonverbalvbehaviors
v ANS:v C
Thev nursev must v bev awarev of v thevchildsv developmentalv stagev tovengagev inv effectivev communication.v
Thev usev of v bothv verbalv and vnonverbalv communicationv should v bev appropriatev tovthev developmentalv
level.v Nonverbalv behaviorsv varyv inv importancev based v onv thev childsv developmentalv levelv and v physic
alv condition.v Althoughv thevchildsv physicalv conditionvisv av consideration,vdevelopmentalv levelv isv muc
hv morev important.v Thev presencev of vparentsvisv important vwhenvcommunicatingv withv youngv childrenv
but v mayv bev detrimentalv whenv speakingv withv adolescents.
4. Becausev childrenv youngerv thanv 5vyearsv arevegocentric,v thevnursev should vdovwhichv whenvc
ommunicatingv withv them?
a. Focusv communicationv onv thev child.
b. Usev easyv analogiesv whenv possible.
c. Explainv experiencesv of v othersv tov thev child.
d. Assurevthevchild vthat vcommunicationvisv private.v
ANS:v A
Becausev childrenv of v thisv agev arev ablev tov seev thingsv onlyv inv termsv of v themselves,v thev best v approach
isv tov focusv communicationv directlyvonvthem.vChildrenv should v bev provided v withv informationv about v
what v theyv canv dovandv howv theyvwillv feel.v Withvchildrenv whov arev egocentric,v analogies,v experiences
,v and v assurancesv that vcommunicationv isv privatev willv not vbeveffectivev becausev thev child v isv not v capabl
ev of v understanding.
5. Thev nursesv approachv whenv introducingv hospitalv equipment vtovavpreschoolerv whovseemsv afraid vs
hould v bev based v onv whichv principle?
a. Thev child v mayv thinkv thev equipment v isv alive.
b. Explainingv thev equipment v willv onlyv increasev thev childsv fear.
c. Onev brief v explanationv willv bev enoughv tov reducev thev childsv fear.
d. Thev child v isv toov youngvtovunderstand vwhat vthev equipment v does.v
ANS:v A
Youngv childrenv attributev humanv characteristicsv tov inanimatev objects.v Theyv oftenv fearv that v the
objectsv mayv jump,v bite,v cut,v orv pinchv allv byv themselvesv without vhumanv direction.v Equipment v shoul
d v bev kept voutvof vsight vuntilv needed.vSimple,v concretev explanationsv aboutv what vthevequipment v doesv a
nd v how v it vwillv feelv willv helpv alleviatev thev childsvfear.vPreschoolersv need v repeatedv explanationsv asv re
assurance.
6. Whenv thev nursev interviewsv anv adolescent,v whichv isv especiallyv important?
a. Focusv thev discussionv onv thev peerv group.
b. Allow v anv opportunityv tov expressv feelings.
c. Usev thev samev typev of v languagev asv thev adolescent.
d. Emphasizevthat vconfidentialityvwillv alwaysvbevmaintained.v
ANS:v B
Adolescents,vlikev allv children,v need v opportunitiesv tov expressv theirv feelings.v Oftenv theyv interject
feelingsv intov theirv words.v Thev nursev must v bev alert v tov thev wordsv and v feelingsv expressed.v Thev nurse
Downloadedv by:vYongsamv |v
Distribution v ofv this v documentv is v illegal
