CreatedgBy:gAgSolution
TESTgBANKgFORgPEDIATRICgPRIMARYgCARE:gPRACTICEgG
UIDELINESgFORgNURSES:gPRACTICEgGUIDELINESgFORgNUR
SESg5THgEDITIONgBYgBETHgRICHARDSONgA+
Chapterg1gObtaininggangInitialgHistory
MULTIPLEgCHOICE
1. Thegnursegisgseeinggangadolescentgandgthegparentsgingthegclinicgforgthegfirstgtime.gWhic
hgshouldgthegnursegdogfirst?
a. Introduceghim-gorgherself.
b. Makegthegfamilygcomfortable.
c. Givegassurancegofgprivacy.
d. Explaingthegpurposegofgtheginterview.gANS:gA
Thegfirstgthinggthatgnursesgmustgdogisgtogintroducegthemselvesgtogthegpatientgandgfamily.gParentsg
andgothergadultsgshouldgbegaddressedgwithgappropriategtitlesgunlessgtheygspecifygagpreferredgnam
e.gClarificationgofgthegpurposegofgtheginterviewgandgthegnursesgrolegisgthegsecondgthinggthatgshoul
dgbegdone.gDuringgtheginitialgpartgofgtheginterview,gthegnursegshouldgincludeggeneralgconversatio
ngtoghelpgmakegthegfamilygfeelgatgease.gTheginterviewgalsogshouldgtakegplacegingangenvironmentg
asgfreegofgdistractiongasgpossible.gIngaddition,gthegnursegshouldgclarifygwhichginformationgwillgbe
sharedgwithgothergmembersgofgtheghealthgcaregteamgandganyglimitsgtogthegconfidentiality.
g
2. Whichgisgconsideredgagblockgtogeffectivegcommunication?
a. Usinggsilence
b. Usinggclichs
c. Directinggthegfocus
d. DefininggthegproblemgANS:gB
Usinggstereotypedgcommentsgorgclichsgcangblockgeffectivegcommunication.gAftergthegnurseguses
suchgtritegphrases,gparentsgoftengdognotgrespond.gSilencegcangbegangeffectiveginterviewinggtool.
g
Silencegpermitsgthegintervieweegtogsortgoutgthoughtsgandgfeelingsgandgsearchgforgresponsesgtogq
g
uestions.gTogbegeffective,gthegnursegmustgbegablegtogdirectgthegfocusgofgtheginterviewgwhilegallo
winggmaximumgfreedomgofgexpression.gBygusinggopen-
endedgquestionsgandgguidinggquestions,gthegnursegcangobtaingthegnecessaryginformationgandgmai
ntaingagrelationshipgwithgthe
A+ Pageg1
,CreatedgBy:gAgSolution
family.gThegnursegandgparentgmustgcollaborategandgdefinegthegproblemgthatgwillgbegthegfocusgofg
thegnursinggintervention.
3. Whichgisgthegsinglegmostgimportantgfactorgtogconsidergwhengcommunicatinggwit
hgchildren?
a. Presencegofgthegchildsgparent
b. Childsgphysicalgcondition
c. Childsgdevelopmentalglevel
d. ChildsgnonverbalgbehaviorsgANS:gC
Thegnursegmustgbegawaregofgthegchildsgdevelopmentalgstagegtogengagegingeffectivegcommunicati
on.gThegusegofgbothgverbalgandgnonverbalgcommunicationgshouldgbegappropriategtogthegdevelop
mentalglevel.gNonverbalgbehaviorsgvarygingimportancegbasedgongthegchildsgdevelopmentalglevelg
andgphysicalgcondition.gAlthoughgthegchildsgphysicalgconditiongisgagconsideration,gdevelopmenta
lglevelgisgmuchgmoregimportant.gThegpresencegofgparentsgisgimportantgwhengcommunicatinggwith
g younggchildrengbutgmaygbegdetrimentalgwhengspeakinggwithgadolescents.
4. Becausegchildrengyoungergthang5gyearsgaregegocentric,gthegnursegshouldgdogwhichgwhe
ngcommunicatinggwithgthem?
a. Focusgcommunicationgongthegchild.
b. Usegeasyganalogiesgwhengpossible.
c. Explaingexperiencesgofgothersgtogthegchild.
d. Assuregthegchildgthatgcommunicationgisgprivate.gANS:gA
Becausegchildrengofgthisgagegaregablegtogseegthingsgonlygingtermsgofgthemselves,gthegbestgapproac
hgisgtogfocusgcommunicationgdirectlygongthem.gChildrengshouldgbegprovidedgwithginformationgab
outgwhatgtheygcangdogandghowgtheygwillgfeel.gWithgchildrengwhogaregegocentric,ganalogies,gexpe
riences,gandgassurancesgthatgcommunicationgisgprivategwillgnotgbegeffectivegbecausegthegchildgisg
notgcapablegofgunderstanding.
5. Thegnursesgapproachgwhengintroducingghospitalgequipmentgtogagpreschoolergwhogseem
sgafraidgshouldgbegbasedgongwhichgprinciple?
a. Thegchildgmaygthinkgthegequipmentgisgalive.
b. Explaininggthegequipmentgwillgonlygincreasegthegchildsgfear.
A+ Pageg2
,CreatedgBy:gAgSolution
c. Onegbriefgexplanationgwillgbegenoughgtogreducegthegchildsgfear.
d. Thegchildgisgtoogyounggtogunderstandgwhatgthegequipmentgdoes.gANS:gA
Younggchildrengattributeghumangcharacteristicsgtoginanimategobjects.gTheygoftengfeargthatgthegob
jectsgmaygjump,gbite,gcut,gorgpinchgallgbygthemselvesgwithoutghumangdirection.gEquipmentgshoul
dgbegkeptgoutgofgsightguntilgneeded.gSimple,gconcretegexplanationsgaboutgwhatgthegequipmentgdoe
sgandghowgitgwillgfeelgwillghelpgalleviategthegchildsgfear.gPreschoolersgneedgrepeatedgexplanation
sgasgreassurance.
6. Whengthegnurseginterviewsgangadolescent,gwhichgisgespeciallygimportant?
a. Focusgthegdiscussiongongthegpeerggroup.
b. Allowgangopportunitygtogexpressgfeelings.
c. Usegthegsamegtypegofglanguagegasgthegadolescent.
d. Emphasizegthatgconfidentialitygwillgalwaysgbegmaintained.gANS:gB
Adolescents,glikegallgchildren,gneedgopportunitiesgtogexpressgtheirgfeelings.gOftengtheyginterjectg
feelingsgintogtheirgwords.gThegnursegmustgbegalertgtogthegwordsgandgfeelingsgexpressed.gThegnur
segshouldgmaintaingagprofessionalgrelationshipgwithgadolescents.gTogavoidgmisunderstandinggorg
misinterpretationgofgwordsgandgphrasesgused,gthegnursegshouldgclarifygthegtermsgused,gwhatginfo
rmationgwillgbegsharedgwithgothergmembersgofgtheghealthgcaregteam,gandganyglimitsgtogconfident
iality.gAlthoughgthegpeerggroupgisgimportantgtogthisgageggroup,gtheginterviewgshouldgfocusgongth
egadolescent.
7. Thegnursegisgpreparinggtogassessgag10-month-
oldginfant.gHegisgsittinggonghisgfathersglapgandgappearsgtogbegafraidgofgthegnursegandgofgwhatgmig
htghappengnext.gWhichginitialgactionsgbygthegnursegshouldgbegmostgappropriate?
a. Initiategaggamegofgpeek-a-boo.
b. Askgtheginfantsgfathergtogplacegtheginfantgongthegexaminationgtable.
c. Talkgsoftlygtogtheginfantgwhilegtakingghimgfromghisgfather.
d. Undressgtheginfantgwhileghegisgstillgsittinggonghisgfathersglap.gANS:gA
Peek-a-
boogisgangexcellentgmeansgofginitiatinggcommunicationgwithginfantsgwhilegmaintaininggagsafe,gno
nthreateninggdistance.gThegchildgwillgmostglikelygbecomegupsetgifgseparatedgfromghisgfather.gAsg
muchgofgthegassessmentgasgpossiblegshouldgbegdonegwithgthegchildgongthegfathersglap.gThegnurseg
shouldghavegthegfathergundressgthegchildgasgneededgduringgthegexamination.
A+ Pageg3
, CreatedgBy:gAgSolution
8. Ang8-year-
oldggirlgasksgthegnurseghowgthegbloodgpressuregapparatusgworks.gThegmostgappropriategnurs
inggactiongisgwhich?
a. Askghergwhygshegwantsgtogknow.
b. Determinegwhygshegisgsoganxious.
c. Explaingingsimplegtermsghowgitgworks.
d. Tellghergshegwillgseeghowgitgworksgasgitgisgused.gANS:gC
School-
agegchildrengrequiregexplanationsgandgreasonsgforgeverything.gTheygareginterestedgingthegfunction
algaspectgofgallgprocedures,gobjects,gandgactivities.gItgisgappropriategforgthegnursegtogexplainghowg
equipmentgworksgandgwhatgwillghappengtogthegchildgsogthatgthegchildgcangthengobservegduringgth
egprocedure.gThegnursegshouldgrespondgpositivelygforgrequestsgforginformationgaboutgproceduresg
andghealthginformation.gBygnotgresponding,gthegnursegmaygbeglimitinggcommunicationgwithgtheg
child.gThegchildgisgnotgexhibitingganxietygingaskingghowgthegbloodgpressuregapparatusgworks,gjus
tgrequestinggclarificationgofgwhatgwillgoccur.
9. Thegnursegisghavinggdifficultygcommunicatinggwithgaghospitalizedg6-year-
oldgchild.gWhichgtechniquegshouldgbegmostghelpful?
a. Recommendgthatgthegchildgkeepgagdiary.
b. Providegsuppliesgforgthegchildgtogdrawgagpicture.
c. Suggestgthatgthegparentgreadgfairygtalesgtogthegchild.
d. Askgthegparentgifgthegchildgisgalwaysguncommunicative.gANS:gB
Drawinggisgonegofgthegmostgvaluablegformsgofgcommunication.gChildrensgdrawingsgtellgaggreatgd
ealgaboutgthemgbecausegtheygaregprojectionsgofgthegchildrensginnergself.gAgdiarygshouldgbegdiffic
ultgforgag6-year-
oldgchild,gwhogisgmostglikelyglearninggtogread.gThegparentgreadinggfairygtalesgtogthegchildgisgagpas
sivegactivityginvolvinggthegparentgandgchild;gitgshouldgnotgfacilitategcommunicationgwithgthegnurs
e.gThegchildgisgingagstressfulgsituationgandgisgprobablyguncomfortablegwithgstrangers,gnotgalwaysg
uncommunicative.
10. Whichgdatagshouldgbegincludedgingaghealthghistory?
a. Reviewgofgsystems
b. Physicalgassessment
c. Growthgmeasurements
A+ Pageg4
TESTgBANKgFORgPEDIATRICgPRIMARYgCARE:gPRACTICEgG
UIDELINESgFORgNURSES:gPRACTICEgGUIDELINESgFORgNUR
SESg5THgEDITIONgBYgBETHgRICHARDSONgA+
Chapterg1gObtaininggangInitialgHistory
MULTIPLEgCHOICE
1. Thegnursegisgseeinggangadolescentgandgthegparentsgingthegclinicgforgthegfirstgtime.gWhic
hgshouldgthegnursegdogfirst?
a. Introduceghim-gorgherself.
b. Makegthegfamilygcomfortable.
c. Givegassurancegofgprivacy.
d. Explaingthegpurposegofgtheginterview.gANS:gA
Thegfirstgthinggthatgnursesgmustgdogisgtogintroducegthemselvesgtogthegpatientgandgfamily.gParentsg
andgothergadultsgshouldgbegaddressedgwithgappropriategtitlesgunlessgtheygspecifygagpreferredgnam
e.gClarificationgofgthegpurposegofgtheginterviewgandgthegnursesgrolegisgthegsecondgthinggthatgshoul
dgbegdone.gDuringgtheginitialgpartgofgtheginterview,gthegnursegshouldgincludeggeneralgconversatio
ngtoghelpgmakegthegfamilygfeelgatgease.gTheginterviewgalsogshouldgtakegplacegingangenvironmentg
asgfreegofgdistractiongasgpossible.gIngaddition,gthegnursegshouldgclarifygwhichginformationgwillgbe
sharedgwithgothergmembersgofgtheghealthgcaregteamgandganyglimitsgtogthegconfidentiality.
g
2. Whichgisgconsideredgagblockgtogeffectivegcommunication?
a. Usinggsilence
b. Usinggclichs
c. Directinggthegfocus
d. DefininggthegproblemgANS:gB
Usinggstereotypedgcommentsgorgclichsgcangblockgeffectivegcommunication.gAftergthegnurseguses
suchgtritegphrases,gparentsgoftengdognotgrespond.gSilencegcangbegangeffectiveginterviewinggtool.
g
Silencegpermitsgthegintervieweegtogsortgoutgthoughtsgandgfeelingsgandgsearchgforgresponsesgtogq
g
uestions.gTogbegeffective,gthegnursegmustgbegablegtogdirectgthegfocusgofgtheginterviewgwhilegallo
winggmaximumgfreedomgofgexpression.gBygusinggopen-
endedgquestionsgandgguidinggquestions,gthegnursegcangobtaingthegnecessaryginformationgandgmai
ntaingagrelationshipgwithgthe
A+ Pageg1
,CreatedgBy:gAgSolution
family.gThegnursegandgparentgmustgcollaborategandgdefinegthegproblemgthatgwillgbegthegfocusgofg
thegnursinggintervention.
3. Whichgisgthegsinglegmostgimportantgfactorgtogconsidergwhengcommunicatinggwit
hgchildren?
a. Presencegofgthegchildsgparent
b. Childsgphysicalgcondition
c. Childsgdevelopmentalglevel
d. ChildsgnonverbalgbehaviorsgANS:gC
Thegnursegmustgbegawaregofgthegchildsgdevelopmentalgstagegtogengagegingeffectivegcommunicati
on.gThegusegofgbothgverbalgandgnonverbalgcommunicationgshouldgbegappropriategtogthegdevelop
mentalglevel.gNonverbalgbehaviorsgvarygingimportancegbasedgongthegchildsgdevelopmentalglevelg
andgphysicalgcondition.gAlthoughgthegchildsgphysicalgconditiongisgagconsideration,gdevelopmenta
lglevelgisgmuchgmoregimportant.gThegpresencegofgparentsgisgimportantgwhengcommunicatinggwith
g younggchildrengbutgmaygbegdetrimentalgwhengspeakinggwithgadolescents.
4. Becausegchildrengyoungergthang5gyearsgaregegocentric,gthegnursegshouldgdogwhichgwhe
ngcommunicatinggwithgthem?
a. Focusgcommunicationgongthegchild.
b. Usegeasyganalogiesgwhengpossible.
c. Explaingexperiencesgofgothersgtogthegchild.
d. Assuregthegchildgthatgcommunicationgisgprivate.gANS:gA
Becausegchildrengofgthisgagegaregablegtogseegthingsgonlygingtermsgofgthemselves,gthegbestgapproac
hgisgtogfocusgcommunicationgdirectlygongthem.gChildrengshouldgbegprovidedgwithginformationgab
outgwhatgtheygcangdogandghowgtheygwillgfeel.gWithgchildrengwhogaregegocentric,ganalogies,gexpe
riences,gandgassurancesgthatgcommunicationgisgprivategwillgnotgbegeffectivegbecausegthegchildgisg
notgcapablegofgunderstanding.
5. Thegnursesgapproachgwhengintroducingghospitalgequipmentgtogagpreschoolergwhogseem
sgafraidgshouldgbegbasedgongwhichgprinciple?
a. Thegchildgmaygthinkgthegequipmentgisgalive.
b. Explaininggthegequipmentgwillgonlygincreasegthegchildsgfear.
A+ Pageg2
,CreatedgBy:gAgSolution
c. Onegbriefgexplanationgwillgbegenoughgtogreducegthegchildsgfear.
d. Thegchildgisgtoogyounggtogunderstandgwhatgthegequipmentgdoes.gANS:gA
Younggchildrengattributeghumangcharacteristicsgtoginanimategobjects.gTheygoftengfeargthatgthegob
jectsgmaygjump,gbite,gcut,gorgpinchgallgbygthemselvesgwithoutghumangdirection.gEquipmentgshoul
dgbegkeptgoutgofgsightguntilgneeded.gSimple,gconcretegexplanationsgaboutgwhatgthegequipmentgdoe
sgandghowgitgwillgfeelgwillghelpgalleviategthegchildsgfear.gPreschoolersgneedgrepeatedgexplanation
sgasgreassurance.
6. Whengthegnurseginterviewsgangadolescent,gwhichgisgespeciallygimportant?
a. Focusgthegdiscussiongongthegpeerggroup.
b. Allowgangopportunitygtogexpressgfeelings.
c. Usegthegsamegtypegofglanguagegasgthegadolescent.
d. Emphasizegthatgconfidentialitygwillgalwaysgbegmaintained.gANS:gB
Adolescents,glikegallgchildren,gneedgopportunitiesgtogexpressgtheirgfeelings.gOftengtheyginterjectg
feelingsgintogtheirgwords.gThegnursegmustgbegalertgtogthegwordsgandgfeelingsgexpressed.gThegnur
segshouldgmaintaingagprofessionalgrelationshipgwithgadolescents.gTogavoidgmisunderstandinggorg
misinterpretationgofgwordsgandgphrasesgused,gthegnursegshouldgclarifygthegtermsgused,gwhatginfo
rmationgwillgbegsharedgwithgothergmembersgofgtheghealthgcaregteam,gandganyglimitsgtogconfident
iality.gAlthoughgthegpeerggroupgisgimportantgtogthisgageggroup,gtheginterviewgshouldgfocusgongth
egadolescent.
7. Thegnursegisgpreparinggtogassessgag10-month-
oldginfant.gHegisgsittinggonghisgfathersglapgandgappearsgtogbegafraidgofgthegnursegandgofgwhatgmig
htghappengnext.gWhichginitialgactionsgbygthegnursegshouldgbegmostgappropriate?
a. Initiategaggamegofgpeek-a-boo.
b. Askgtheginfantsgfathergtogplacegtheginfantgongthegexaminationgtable.
c. Talkgsoftlygtogtheginfantgwhilegtakingghimgfromghisgfather.
d. Undressgtheginfantgwhileghegisgstillgsittinggonghisgfathersglap.gANS:gA
Peek-a-
boogisgangexcellentgmeansgofginitiatinggcommunicationgwithginfantsgwhilegmaintaininggagsafe,gno
nthreateninggdistance.gThegchildgwillgmostglikelygbecomegupsetgifgseparatedgfromghisgfather.gAsg
muchgofgthegassessmentgasgpossiblegshouldgbegdonegwithgthegchildgongthegfathersglap.gThegnurseg
shouldghavegthegfathergundressgthegchildgasgneededgduringgthegexamination.
A+ Pageg3
, CreatedgBy:gAgSolution
8. Ang8-year-
oldggirlgasksgthegnurseghowgthegbloodgpressuregapparatusgworks.gThegmostgappropriategnurs
inggactiongisgwhich?
a. Askghergwhygshegwantsgtogknow.
b. Determinegwhygshegisgsoganxious.
c. Explaingingsimplegtermsghowgitgworks.
d. Tellghergshegwillgseeghowgitgworksgasgitgisgused.gANS:gC
School-
agegchildrengrequiregexplanationsgandgreasonsgforgeverything.gTheygareginterestedgingthegfunction
algaspectgofgallgprocedures,gobjects,gandgactivities.gItgisgappropriategforgthegnursegtogexplainghowg
equipmentgworksgandgwhatgwillghappengtogthegchildgsogthatgthegchildgcangthengobservegduringgth
egprocedure.gThegnursegshouldgrespondgpositivelygforgrequestsgforginformationgaboutgproceduresg
andghealthginformation.gBygnotgresponding,gthegnursegmaygbeglimitinggcommunicationgwithgtheg
child.gThegchildgisgnotgexhibitingganxietygingaskingghowgthegbloodgpressuregapparatusgworks,gjus
tgrequestinggclarificationgofgwhatgwillgoccur.
9. Thegnursegisghavinggdifficultygcommunicatinggwithgaghospitalizedg6-year-
oldgchild.gWhichgtechniquegshouldgbegmostghelpful?
a. Recommendgthatgthegchildgkeepgagdiary.
b. Providegsuppliesgforgthegchildgtogdrawgagpicture.
c. Suggestgthatgthegparentgreadgfairygtalesgtogthegchild.
d. Askgthegparentgifgthegchildgisgalwaysguncommunicative.gANS:gB
Drawinggisgonegofgthegmostgvaluablegformsgofgcommunication.gChildrensgdrawingsgtellgaggreatgd
ealgaboutgthemgbecausegtheygaregprojectionsgofgthegchildrensginnergself.gAgdiarygshouldgbegdiffic
ultgforgag6-year-
oldgchild,gwhogisgmostglikelyglearninggtogread.gThegparentgreadinggfairygtalesgtogthegchildgisgagpas
sivegactivityginvolvinggthegparentgandgchild;gitgshouldgnotgfacilitategcommunicationgwithgthegnurs
e.gThegchildgisgingagstressfulgsituationgandgisgprobablyguncomfortablegwithgstrangers,gnotgalwaysg
uncommunicative.
10. Whichgdatagshouldgbegincludedgingaghealthghistory?
a. Reviewgofgsystems
b. Physicalgassessment
c. Growthgmeasurements
A+ Pageg4
