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TEST BANK FOR PEDIATRIC PRIMARY CARE: PRACTICE G
m m m m m m m
UIDELINES FOR NURSES: PRACTICE GUIDELINES FOR NUR
m m m m m m
SES 5TH EDITION BY BETH RICHARDSON A+
m m m m m m
Chapterm1mObtainingmanmInitialmHistory
MULTIPLEmCHOICE
1. Themnursemismseeingmanmadolescent mand mthemparentsminmthemclinicmformthemfirst mtime.mWh
ichmshould mthemnursemdomfirst?
a. Introducemhim-mormherself.
b. Makemthemfamilymcomfortable.
c. Givemassurancemof mprivacy.
d. Explainmthempurposemof mtheminterview.mANS:mA
Themfirst mthingmthat mnursesmmust mdomismtomintroducemthemselvesmtomthempatient mand mfamily.mParent
smand mothermadultsmshould mbemaddressed mwithmappropriatemtitlesmunlessmtheymspecifymampreferred mn
ame.mClarificationmof mthempurposemof mtheminterview mand mthemnursesmrolemismthemsecond mthingmthat ms
hould mbemdone.mDuringmtheminitialmpart mof mtheminterview,mthemnursemshould mincludemgeneralmconver
sationmtomhelpmmakemthemfamilymfeelmat mease.mTheminterview malsom should mtakemplacem inmanmenviron
ment masmfreemof mdistractionmasmpossible.mInmaddition,mthemnursemshould mclarifymwhichminformationm
willmbemshared mwithmothermmembersmof mthemhealthmcaremteammand manymlimitsmtomthemconfidentiality
.
2. Whichmismconsidered mamblockmtomeffectivemcommunication?
a. Usingmsilence
b. Usingmclichs
c. Directingmthemfocus
d. DefiningmthemproblemmANS:mB
Usingmstereotyped mcommentsmormclichsmcanmblockmeffectivemcommunication.mAftermthemnursemuse
smsuchmtritemphrases,mparentsmoftenmdomnot mrespond.mSilencemcanmbemanmeffectiveminterviewingmto
ol.mSilencempermitsmthemintervieweemtomsort mout mthoughtsmand mfeelingsmand msearchmformresponsesm
tomquestions.mTombemeffective,mthemnursemmust mbemablemtomdirect mthemfocusmof mtheminterview mwhile
m allowingmmaximummfreedommof mexpression.mBymusingmopen-
ended mquestionsmand mguidingmquestions,mthemnursemcanmobtainmthemnecessaryminformationmand mm
aintainmamrelationshipmwithmthe
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family.mThemnursemand mparent mmust mcollaboratemand mdefinemthemproblemmthat mwillmbemthemfocusmo
f mthemnursingmintervention.
3. Whichmismthemsinglemmost mimportant mfactormtomconsidermwhenmcommunicatingmwi
thmchildren?
a. Presencemof mthemchildsmparent
b. Childsmphysicalmcondition
c. Childsmdevelopmentalmlevel
d. ChildsmnonverbalmbehaviorsmANS:mC
Themnursemmust mbemawaremof mthemchildsmdevelopmentalmstagemtomengageminmeffectivemcommunicat
ion.mThemusemof mbothmverbalmand mnonverbalmcommunicationmshould mbemappropriatemtomthemdevelo
pmentalmlevel.mNonverbalmbehaviorsmvaryminm importancembased monmthemchildsmdevelopmentalm lev
elmand mphysicalmcondition.mAlthoughmthemchildsmphysicalmconditionmismamconsideration,mdevelopm
entalmlevelmismmuchmmoremimportant.mThempresencemof mparentsmismimportant mwhenmcommunicating
withmyoungmchildrenmbut mmaymbemdetrimentalmwhenmspeakingmwithmadolescents.
m
4. Becausemchildrenmyoungermthanm5myearsmaremegocentric,mthemnursemshould mdomwhichmwh
enmcommunicatingmwithmthem?
a. Focusmcommunicationmonmthemchild.
b. Usemeasymanalogiesmwhenmpossible.
c. Explainmexperiencesmof mothersmtomthemchild.
d. Assuremthemchild mthat mcommunicationmismprivate.mANS:mA
Becausemchildrenmof mthismagemaremablemtomseemthingsmonlyminmtermsmof mthemselves,mthembest mapproa
chmismtomfocusmcommunicationmdirectlymonmthem.mChildrenmshould mbemprovided mwithminformationm
about mwhat mtheymcanmdomand mhow mtheymwillmfeel.mWithmchildrenmwhomaremegocentric,manalogies,me
xperiences,mand massurancesmthat mcommunicationmismprivatemwillmnot mbemeffectivembecausemthemchil
d mismnot mcapablemof munderstanding.
5. Themnursesmapproachmwhenmintroducingmhospitalmequipment mtomampreschoolermwhomsee
msmafraid mshould mbembased monmwhichmprinciple?
a. Themchild mmaymthinkmthemequipment mismalive.
b. Explainingmthemequipment mwillmonlymincreasemthemchildsmfear.
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c. Onembrief mexplanationmwillmbemenoughmtomreducemthemchildsmfear.
d. Themchild mismtoomyoungmtomunderstand mwhat mthemequipment mdoes.mANS:mA
Youngmchildrenmattributemhumanmcharacteristicsmtominanimatemobjects.mTheymoftenmfearmthat mthemo
bjectsmmaymjump,mbite,mcut,mormpinchmallmbymthemselvesmwithout mhumanmdirection.mEquipment msho
uld mbemkept mout mof msight muntilmneeded.mSimple,mconcretemexplanationsmabout mwhat mthemequipment m
doesmand mhow mit mwillmfeelmwillmhelpmalleviatemthemchildsmfear.mPreschoolersmneed mrepeated mexplan
ationsmasmreassurance.
6. Whenmthemnurseminterviewsmanmadolescent,mwhichmismespeciallymimportant?
a. Focusmthemdiscussionmonmthempeermgroup.
b. Allow manmopportunitymtomexpressmfeelings.
c. Usemthemsamemtypemof mlanguagemasmthemadolescent.
d. Emphasizemthat mconfidentialitymwillmalwaysmbemmaintained.mANS:mB
Adolescents,mlikemallmchildren,mneed mopportunitiesmtomexpressmtheirmfeelings.mOftenmtheyminterject
feelingsmintomtheirmwords.mThemnursemmust mbemalert mtomthemwordsmand mfeelingsmexpressed.mThemn
m
ursemshould mmaintainmamprofessionalmrelationshipmwithmadolescents.m Tomavoid mmisunderstandingm
ormmisinterpretationmof mwordsmand mphrasesmused,mthemnursemshould mclarifymthemtermsmused,mwhat m
informationmwillmbemshared mwithmothermmembersmof mthemhealthmcaremteam,mand manymlimitsmtomcon
fidentiality.mAlthoughmthempeermgroupmismimportant mtomthismagemgroup,mtheminterview mshould mfocu
smonmthemadolescent.
7. Themnursemismpreparingmtomassessmam10-month-
old minfant.mHemismsittingmonmhismfathersmlapmand mappearsmtombemafraid mof mthemnursemand mof mwhat mmi
ght mhappenmnext.mWhichminitialmactionsmbymthemnursemshould mbemmost mappropriate?
a. Initiatemamgamemof mpeek-a-boo.
b. Askmtheminfantsmfathermtomplacemtheminfant monmthemexaminationmtable.
c. Talkmsoftlymtomtheminfant mwhilemtakingmhimmfrommhismfather.
d. Undressmtheminfant mwhilemhemismstillmsittingmonmhismfathersmlap.mANS:mA
Peek-a-
boomismanmexcellent mmeansmof minitiatingmcommunicationmwithminfantsmwhilemmaintainingmamsafe,mn
onthreateningmdistance.mThemchild mwillmmost mlikelymbecomemupset m if mseparated mfrommhismfather.mA
smmuchmof mthemassessment masmpossiblemshould mbemdonemwithmthemchild monmthemfathersmlap.mThemnur
semshould mhavemthemfathermundressmthemchild masmneeded mduringmthemexamination.
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8. Anm8-year-
old mgirlmasksmthemnursemhowmthemblood mpressuremapparatusmworks.mThemmost mappropriatemnur
singmactionmismwhich?
a. Askmhermwhymshemwantsmtomknow.
b. Determinemwhymshemismsomanxious.
c. Explainminmsimplemtermsmhowmit mworks.
d. Tellmhermshemwillmseemhowmit mworksmasm it mismused.mANS:mC
School-
agemchildrenmrequiremexplanationsmand mreasonsmformeverything.mTheymareminterested minmthemfunctio
nalmaspect mof mallmprocedures,mobjects,mand mactivities.mIt mismappropriatemformthemnursemtomexplainmho
wmequipment mworksmand mwhat mwillmhappenmtomthemchild msomthat mthemchild mcanmthenmobservemdurin
gmthemprocedure.mThemnursemshould mrespond mpositivelymformrequestsmforminformationmabout mproced
uresmand mhealthminformation.mBymnot mresponding,mthemnursemmaymbemlimitingmcommunicationmwit
hmthemchild.mThemchild mismnot mexhibitingmanxietyminmaskingmhow mthemblood mpressure mapparatusmwo
rks,mjust mrequestingmclarificationmof mwhat mwillmoccur.
9. Themnursemismhavingmdifficultymcommunicatingmwithmamhospitalized m6-year-
old mchild.mWhichmtechniquemshould mbemmost mhelpful?
a. Recommend mthat mthemchild mkeepmamdiary.
b. Providemsuppliesmformthemchild mtomdraw mampicture.
c. Suggest mthat mthemparent mread mfairymtalesmtomthemchild.
d. Askmthemparent mif mthemchild mismalwaysmuncommunicative.mANS:mB
Drawingmismonemof mthemmost mvaluablemformsmof mcommunication.mChildrensmdrawingsmtellmamgreat m
dealmabout mthemmbecausemtheymaremprojectionsmof mthemchildrensminnermself.mAmdiarymshould mbemdif
ficult mformam6-year-
old mchild,mwhomismmost mlikelymlearningmtomread.mThemparent mreadingmfairymtalesmtomthemchild misma mp
assivemactivityminvolvingmthemparent mand mchild;mit mshould mnot mfacilitatemcommunicationmwithmthem
nurse.mThemchild misminmamstressfulmsituationmand mismprobablymuncomfortablemwithmstrangers,mnot mal
waysmuncommunicative.
10. Whichmdatamshould mbemincluded minmamhealthmhistory?
a. Review mof msystems
b. Physicalmassessment
c. Growthmmeasurements
A+ Pagem4
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TEST BANK FOR PEDIATRIC PRIMARY CARE: PRACTICE G
m m m m m m m
UIDELINES FOR NURSES: PRACTICE GUIDELINES FOR NUR
m m m m m m
SES 5TH EDITION BY BETH RICHARDSON A+
m m m m m m
Chapterm1mObtainingmanmInitialmHistory
MULTIPLEmCHOICE
1. Themnursemismseeingmanmadolescent mand mthemparentsminmthemclinicmformthemfirst mtime.mWh
ichmshould mthemnursemdomfirst?
a. Introducemhim-mormherself.
b. Makemthemfamilymcomfortable.
c. Givemassurancemof mprivacy.
d. Explainmthempurposemof mtheminterview.mANS:mA
Themfirst mthingmthat mnursesmmust mdomismtomintroducemthemselvesmtomthempatient mand mfamily.mParent
smand mothermadultsmshould mbemaddressed mwithmappropriatemtitlesmunlessmtheymspecifymampreferred mn
ame.mClarificationmof mthempurposemof mtheminterview mand mthemnursesmrolemismthemsecond mthingmthat ms
hould mbemdone.mDuringmtheminitialmpart mof mtheminterview,mthemnursemshould mincludemgeneralmconver
sationmtomhelpmmakemthemfamilymfeelmat mease.mTheminterview malsom should mtakemplacem inmanmenviron
ment masmfreemof mdistractionmasmpossible.mInmaddition,mthemnursemshould mclarifymwhichminformationm
willmbemshared mwithmothermmembersmof mthemhealthmcaremteammand manymlimitsmtomthemconfidentiality
.
2. Whichmismconsidered mamblockmtomeffectivemcommunication?
a. Usingmsilence
b. Usingmclichs
c. Directingmthemfocus
d. DefiningmthemproblemmANS:mB
Usingmstereotyped mcommentsmormclichsmcanmblockmeffectivemcommunication.mAftermthemnursemuse
smsuchmtritemphrases,mparentsmoftenmdomnot mrespond.mSilencemcanmbemanmeffectiveminterviewingmto
ol.mSilencempermitsmthemintervieweemtomsort mout mthoughtsmand mfeelingsmand msearchmformresponsesm
tomquestions.mTombemeffective,mthemnursemmust mbemablemtomdirect mthemfocusmof mtheminterview mwhile
m allowingmmaximummfreedommof mexpression.mBymusingmopen-
ended mquestionsmand mguidingmquestions,mthemnursemcanmobtainmthemnecessaryminformationmand mm
aintainmamrelationshipmwithmthe
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family.mThemnursemand mparent mmust mcollaboratemand mdefinemthemproblemmthat mwillmbemthemfocusmo
f mthemnursingmintervention.
3. Whichmismthemsinglemmost mimportant mfactormtomconsidermwhenmcommunicatingmwi
thmchildren?
a. Presencemof mthemchildsmparent
b. Childsmphysicalmcondition
c. Childsmdevelopmentalmlevel
d. ChildsmnonverbalmbehaviorsmANS:mC
Themnursemmust mbemawaremof mthemchildsmdevelopmentalmstagemtomengageminmeffectivemcommunicat
ion.mThemusemof mbothmverbalmand mnonverbalmcommunicationmshould mbemappropriatemtomthemdevelo
pmentalmlevel.mNonverbalmbehaviorsmvaryminm importancembased monmthemchildsmdevelopmentalm lev
elmand mphysicalmcondition.mAlthoughmthemchildsmphysicalmconditionmismamconsideration,mdevelopm
entalmlevelmismmuchmmoremimportant.mThempresencemof mparentsmismimportant mwhenmcommunicating
withmyoungmchildrenmbut mmaymbemdetrimentalmwhenmspeakingmwithmadolescents.
m
4. Becausemchildrenmyoungermthanm5myearsmaremegocentric,mthemnursemshould mdomwhichmwh
enmcommunicatingmwithmthem?
a. Focusmcommunicationmonmthemchild.
b. Usemeasymanalogiesmwhenmpossible.
c. Explainmexperiencesmof mothersmtomthemchild.
d. Assuremthemchild mthat mcommunicationmismprivate.mANS:mA
Becausemchildrenmof mthismagemaremablemtomseemthingsmonlyminmtermsmof mthemselves,mthembest mapproa
chmismtomfocusmcommunicationmdirectlymonmthem.mChildrenmshould mbemprovided mwithminformationm
about mwhat mtheymcanmdomand mhow mtheymwillmfeel.mWithmchildrenmwhomaremegocentric,manalogies,me
xperiences,mand massurancesmthat mcommunicationmismprivatemwillmnot mbemeffectivembecausemthemchil
d mismnot mcapablemof munderstanding.
5. Themnursesmapproachmwhenmintroducingmhospitalmequipment mtomampreschoolermwhomsee
msmafraid mshould mbembased monmwhichmprinciple?
a. Themchild mmaymthinkmthemequipment mismalive.
b. Explainingmthemequipment mwillmonlymincreasemthemchildsmfear.
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c. Onembrief mexplanationmwillmbemenoughmtomreducemthemchildsmfear.
d. Themchild mismtoomyoungmtomunderstand mwhat mthemequipment mdoes.mANS:mA
Youngmchildrenmattributemhumanmcharacteristicsmtominanimatemobjects.mTheymoftenmfearmthat mthemo
bjectsmmaymjump,mbite,mcut,mormpinchmallmbymthemselvesmwithout mhumanmdirection.mEquipment msho
uld mbemkept mout mof msight muntilmneeded.mSimple,mconcretemexplanationsmabout mwhat mthemequipment m
doesmand mhow mit mwillmfeelmwillmhelpmalleviatemthemchildsmfear.mPreschoolersmneed mrepeated mexplan
ationsmasmreassurance.
6. Whenmthemnurseminterviewsmanmadolescent,mwhichmismespeciallymimportant?
a. Focusmthemdiscussionmonmthempeermgroup.
b. Allow manmopportunitymtomexpressmfeelings.
c. Usemthemsamemtypemof mlanguagemasmthemadolescent.
d. Emphasizemthat mconfidentialitymwillmalwaysmbemmaintained.mANS:mB
Adolescents,mlikemallmchildren,mneed mopportunitiesmtomexpressmtheirmfeelings.mOftenmtheyminterject
feelingsmintomtheirmwords.mThemnursemmust mbemalert mtomthemwordsmand mfeelingsmexpressed.mThemn
m
ursemshould mmaintainmamprofessionalmrelationshipmwithmadolescents.m Tomavoid mmisunderstandingm
ormmisinterpretationmof mwordsmand mphrasesmused,mthemnursemshould mclarifymthemtermsmused,mwhat m
informationmwillmbemshared mwithmothermmembersmof mthemhealthmcaremteam,mand manymlimitsmtomcon
fidentiality.mAlthoughmthempeermgroupmismimportant mtomthismagemgroup,mtheminterview mshould mfocu
smonmthemadolescent.
7. Themnursemismpreparingmtomassessmam10-month-
old minfant.mHemismsittingmonmhismfathersmlapmand mappearsmtombemafraid mof mthemnursemand mof mwhat mmi
ght mhappenmnext.mWhichminitialmactionsmbymthemnursemshould mbemmost mappropriate?
a. Initiatemamgamemof mpeek-a-boo.
b. Askmtheminfantsmfathermtomplacemtheminfant monmthemexaminationmtable.
c. Talkmsoftlymtomtheminfant mwhilemtakingmhimmfrommhismfather.
d. Undressmtheminfant mwhilemhemismstillmsittingmonmhismfathersmlap.mANS:mA
Peek-a-
boomismanmexcellent mmeansmof minitiatingmcommunicationmwithminfantsmwhilemmaintainingmamsafe,mn
onthreateningmdistance.mThemchild mwillmmost mlikelymbecomemupset m if mseparated mfrommhismfather.mA
smmuchmof mthemassessment masmpossiblemshould mbemdonemwithmthemchild monmthemfathersmlap.mThemnur
semshould mhavemthemfathermundressmthemchild masmneeded mduringmthemexamination.
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8. Anm8-year-
old mgirlmasksmthemnursemhowmthemblood mpressuremapparatusmworks.mThemmost mappropriatemnur
singmactionmismwhich?
a. Askmhermwhymshemwantsmtomknow.
b. Determinemwhymshemismsomanxious.
c. Explainminmsimplemtermsmhowmit mworks.
d. Tellmhermshemwillmseemhowmit mworksmasm it mismused.mANS:mC
School-
agemchildrenmrequiremexplanationsmand mreasonsmformeverything.mTheymareminterested minmthemfunctio
nalmaspect mof mallmprocedures,mobjects,mand mactivities.mIt mismappropriatemformthemnursemtomexplainmho
wmequipment mworksmand mwhat mwillmhappenmtomthemchild msomthat mthemchild mcanmthenmobservemdurin
gmthemprocedure.mThemnursemshould mrespond mpositivelymformrequestsmforminformationmabout mproced
uresmand mhealthminformation.mBymnot mresponding,mthemnursemmaymbemlimitingmcommunicationmwit
hmthemchild.mThemchild mismnot mexhibitingmanxietyminmaskingmhow mthemblood mpressure mapparatusmwo
rks,mjust mrequestingmclarificationmof mwhat mwillmoccur.
9. Themnursemismhavingmdifficultymcommunicatingmwithmamhospitalized m6-year-
old mchild.mWhichmtechniquemshould mbemmost mhelpful?
a. Recommend mthat mthemchild mkeepmamdiary.
b. Providemsuppliesmformthemchild mtomdraw mampicture.
c. Suggest mthat mthemparent mread mfairymtalesmtomthemchild.
d. Askmthemparent mif mthemchild mismalwaysmuncommunicative.mANS:mB
Drawingmismonemof mthemmost mvaluablemformsmof mcommunication.mChildrensmdrawingsmtellmamgreat m
dealmabout mthemmbecausemtheymaremprojectionsmof mthemchildrensminnermself.mAmdiarymshould mbemdif
ficult mformam6-year-
old mchild,mwhomismmost mlikelymlearningmtomread.mThemparent mreadingmfairymtalesmtomthemchild misma mp
assivemactivityminvolvingmthemparent mand mchild;mit mshould mnot mfacilitatemcommunicationmwithmthem
nurse.mThemchild misminmamstressfulmsituationmand mismprobablymuncomfortablemwithmstrangers,mnot mal
waysmuncommunicative.
10. Whichmdatamshould mbemincluded minmamhealthmhistory?
a. Review mof msystems
b. Physicalmassessment
c. Growthmmeasurements
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