TEST BANK FOR PEDI
s s s
ATRICPRIMARY CAR
s s
E 4TH EDITION BY RIC
s s s s
HARDSON
,Chapters1sObtainingsansInitialsHistory
MULTIPLEsCHOICE
1. Thesnursesissseeingsansadolescentsandsthesparentssinsthesclinicsforsthesfirststime.sWhichsshouldsthes
nursesdosfirst?
a. Introduceshim-sorsherself.
b. Makesthesfamilyscomfortable.
c. Givesassurancesofsprivacy.
d. Explainsthespurposesofsthesinterview.s
ANS:sA
Thesfirststhingsthatsnursessmustsdosisstosintroducesthemselvesstosthespatientsandsfamily.sParentssandso
thersadultssshouldsbesaddressedswithsappropriatestitlessunlessstheysspecifysaspreferredsname.sClarific
ationsofsthespurposesofsthesinterviewsandsthesnursessrolesissthessecondsthingsthatsshouldsbesdone.sDuri
ngsthesinitialspartsofsthesinterview,sthesnursesshouldsincludesgeneralsconversationstoshelpsmakesthesfa
milysfeelsatsease.sThesinterviewsalsosshouldstakesplacesinsansenvironmentsassfreesofsdistractionsasspos
sible.sInsaddition,sthesnursesshouldsclarifyswhichsinformationswillsbessharedswithsothersmemberssofst
heshealthscaresteamsandsanyslimitsstosthesconfidentiality.
2. Whichsissconsideredsasblockstoseffectivescommunication?
a. Usingssilence
b. Usingsclichs
c. Directingsthesfocus
d. Definingsthesproblems
ANS:sB
Usingsstereotypedscommentssorsclichsscansblockseffectivescommunication.sAftersthesnursesuses
suchstritesphrases,sparentssoftensdosnotsrespond.sSilencescansbesanseffectivesinterviewingstool.sSile
ncespermitssthesintervieweestossortsoutsthoughtssandsfeelingssandssearchsforsresponsesstosquestion
s.sTosbeseffective,sthesnursesmustsbesablestosdirectsthesfocussofsthesinterviewswhilesallowingsmaxi
mumsfreedomsofsexpression.sBysusingsopen-
endedsquestionssandsguidingsquestions,sthesnursescansobtainsthesnecessarysinformationsandsmaint
ainsasrelationshipswithsthesfamily.sThesnursesandsparentsmustscollaboratesandsdefinesthesproblemst
hatswillsbesthesfocussofsthesnursingsintervention.
3. Whichsissthessinglesmostsimportantsfactorstosconsiderswhenscommunicatingswithschildren?
a. Presencesofstheschildssparent
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,b. Childssphysicalscondition
c. Childssdevelopmentalslevel
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sThesMarketplacestosBuysandsSellsyoursStudysMaterial
d. Childssnonverbalsbehaviorss
ANS:sC
Thesnursesmustsbesawaresofstheschildssdevelopmentalsstagestosengagesinseffectivescommunication.sT
hesusesofsbothsverbalsandsnonverbalscommunicationsshouldsbesappropriatestosthesdevelopmentalslev
el.sNonverbalsbehaviorssvarysinsimportancesbasedsonstheschildssdevelopmentalslevelsandsphysicalsco
ndition.sAlthoughstheschildssphysicalsconditionsissasconsideration,sdevelopmentalslevelsissmuchsmor
esimportant.sThespresencesofsparentssissimportantswhenscommunicatingswithsyoungschildrensbutsma
ysbesdetrimentalswhensspeakingswithsadolescents.
4. Becauseschildrensyoungersthans5syearssaresegocentric,sthesnursesshouldsdoswhichswhensco
mmunicatingswithsthem?
a. Focusscommunicationsonstheschild.
b. Useseasysanalogiesswhenspossible.
c. Explainsexperiencessofsothersstostheschild.
d. Assurestheschildsthatscommunicationsissprivate.s
ANS:sA
Becauseschildrensofsthissagesaresablestosseesthingssonlysinstermssofsthemselves,sthesbestsapproach
isstosfocusscommunicationsdirectlysonsthem.sChildrensshouldsbesprovidedswithsinformationsaboutswh
atstheyscansdosandshowstheyswillsfeel.sWithschildrenswhosaresegocentric,sanalogies,sexperiences,sands
assurancessthatscommunicationsissprivateswillsnotsbeseffectivesbecausestheschildsissnotscapablesofsund
erstanding.
5. Thesnursessapproachswhensintroducingshospitalsequipmentstosaspreschoolerswhosseemssafraidssh
ouldsbesbasedsonswhichsprinciple?
a. Theschildsmaysthinksthesequipmentsissalive.
b. Explainingsthesequipmentswillsonlysincreasestheschildssfear.
c. Onesbriefsexplanationswillsbesenoughstosreducestheschildssfear.
d. Theschildsisstoosyoungstosunderstandswhatsthesequipmentsdoes.sA
NS:sA
Youngschildrensattributeshumanscharacteristicsstosinanimatesobjects.sTheysoftensfearsthatsthe
objectssmaysjump,sbite,scut,sorspinchsallsbysthemselvesswithoutshumansdirection.sEquipmentsshoulds
beskeptsoutsofssightsuntilsneeded.sSimple,sconcretesexplanationssaboutswhatsthesequipmentsdoessandsh
owsitswillsfeelswillshelpsalleviatestheschildssfear.sPreschoolerssneedsrepeatedsexplanationssassreassur
ance.
6. Whensthesnursesinterviewssansadolescent,swhichsissespeciallysimportant?
a. Focussthesdiscussionsonsthespeersgroup.
b. Allowsansopportunitystosexpresssfeelings.
c. Usesthessamestypesofslanguagesassthesadolescent.
d. Emphasizesthatsconfidentialityswillsalwayssbesmaintained.s
ANS:sB
Adolescents,slikesallschildren,sneedsopportunitiesstosexpressstheirsfeelings.sOftenstheysinterject
feelingssintostheirswords.sThesnursesmustsbesalertstostheswordssandsfeelingssexpressed.sThesnurse
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Distributionsofsthissdocumentsissillegal
s s s
ATRICPRIMARY CAR
s s
E 4TH EDITION BY RIC
s s s s
HARDSON
,Chapters1sObtainingsansInitialsHistory
MULTIPLEsCHOICE
1. Thesnursesissseeingsansadolescentsandsthesparentssinsthesclinicsforsthesfirststime.sWhichsshouldsthes
nursesdosfirst?
a. Introduceshim-sorsherself.
b. Makesthesfamilyscomfortable.
c. Givesassurancesofsprivacy.
d. Explainsthespurposesofsthesinterview.s
ANS:sA
Thesfirststhingsthatsnursessmustsdosisstosintroducesthemselvesstosthespatientsandsfamily.sParentssandso
thersadultssshouldsbesaddressedswithsappropriatestitlessunlessstheysspecifysaspreferredsname.sClarific
ationsofsthespurposesofsthesinterviewsandsthesnursessrolesissthessecondsthingsthatsshouldsbesdone.sDuri
ngsthesinitialspartsofsthesinterview,sthesnursesshouldsincludesgeneralsconversationstoshelpsmakesthesfa
milysfeelsatsease.sThesinterviewsalsosshouldstakesplacesinsansenvironmentsassfreesofsdistractionsasspos
sible.sInsaddition,sthesnursesshouldsclarifyswhichsinformationswillsbessharedswithsothersmemberssofst
heshealthscaresteamsandsanyslimitsstosthesconfidentiality.
2. Whichsissconsideredsasblockstoseffectivescommunication?
a. Usingssilence
b. Usingsclichs
c. Directingsthesfocus
d. Definingsthesproblems
ANS:sB
Usingsstereotypedscommentssorsclichsscansblockseffectivescommunication.sAftersthesnursesuses
suchstritesphrases,sparentssoftensdosnotsrespond.sSilencescansbesanseffectivesinterviewingstool.sSile
ncespermitssthesintervieweestossortsoutsthoughtssandsfeelingssandssearchsforsresponsesstosquestion
s.sTosbeseffective,sthesnursesmustsbesablestosdirectsthesfocussofsthesinterviewswhilesallowingsmaxi
mumsfreedomsofsexpression.sBysusingsopen-
endedsquestionssandsguidingsquestions,sthesnursescansobtainsthesnecessarysinformationsandsmaint
ainsasrelationshipswithsthesfamily.sThesnursesandsparentsmustscollaboratesandsdefinesthesproblemst
hatswillsbesthesfocussofsthesnursingsintervention.
3. Whichsissthessinglesmostsimportantsfactorstosconsiderswhenscommunicatingswithschildren?
a. Presencesofstheschildssparent
Downloadedsby:sYongsams|
Distributionsofsthissdocumentsissillegal
,b. Childssphysicalscondition
c. Childssdevelopmentalslevel
Downloadedsby:sYongsams|
Distributionsofsthissdocumentsissillegal
, Stuvia.coms-
sThesMarketplacestosBuysandsSellsyoursStudysMaterial
d. Childssnonverbalsbehaviorss
ANS:sC
Thesnursesmustsbesawaresofstheschildssdevelopmentalsstagestosengagesinseffectivescommunication.sT
hesusesofsbothsverbalsandsnonverbalscommunicationsshouldsbesappropriatestosthesdevelopmentalslev
el.sNonverbalsbehaviorssvarysinsimportancesbasedsonstheschildssdevelopmentalslevelsandsphysicalsco
ndition.sAlthoughstheschildssphysicalsconditionsissasconsideration,sdevelopmentalslevelsissmuchsmor
esimportant.sThespresencesofsparentssissimportantswhenscommunicatingswithsyoungschildrensbutsma
ysbesdetrimentalswhensspeakingswithsadolescents.
4. Becauseschildrensyoungersthans5syearssaresegocentric,sthesnursesshouldsdoswhichswhensco
mmunicatingswithsthem?
a. Focusscommunicationsonstheschild.
b. Useseasysanalogiesswhenspossible.
c. Explainsexperiencessofsothersstostheschild.
d. Assurestheschildsthatscommunicationsissprivate.s
ANS:sA
Becauseschildrensofsthissagesaresablestosseesthingssonlysinstermssofsthemselves,sthesbestsapproach
isstosfocusscommunicationsdirectlysonsthem.sChildrensshouldsbesprovidedswithsinformationsaboutswh
atstheyscansdosandshowstheyswillsfeel.sWithschildrenswhosaresegocentric,sanalogies,sexperiences,sands
assurancessthatscommunicationsissprivateswillsnotsbeseffectivesbecausestheschildsissnotscapablesofsund
erstanding.
5. Thesnursessapproachswhensintroducingshospitalsequipmentstosaspreschoolerswhosseemssafraidssh
ouldsbesbasedsonswhichsprinciple?
a. Theschildsmaysthinksthesequipmentsissalive.
b. Explainingsthesequipmentswillsonlysincreasestheschildssfear.
c. Onesbriefsexplanationswillsbesenoughstosreducestheschildssfear.
d. Theschildsisstoosyoungstosunderstandswhatsthesequipmentsdoes.sA
NS:sA
Youngschildrensattributeshumanscharacteristicsstosinanimatesobjects.sTheysoftensfearsthatsthe
objectssmaysjump,sbite,scut,sorspinchsallsbysthemselvesswithoutshumansdirection.sEquipmentsshoulds
beskeptsoutsofssightsuntilsneeded.sSimple,sconcretesexplanationssaboutswhatsthesequipmentsdoessandsh
owsitswillsfeelswillshelpsalleviatestheschildssfear.sPreschoolerssneedsrepeatedsexplanationssassreassur
ance.
6. Whensthesnursesinterviewssansadolescent,swhichsissespeciallysimportant?
a. Focussthesdiscussionsonsthespeersgroup.
b. Allowsansopportunitystosexpresssfeelings.
c. Usesthessamestypesofslanguagesassthesadolescent.
d. Emphasizesthatsconfidentialityswillsalwayssbesmaintained.s
ANS:sB
Adolescents,slikesallschildren,sneedsopportunitiesstosexpressstheirsfeelings.sOftenstheysinterject
feelingssintostheirswords.sThesnursesmustsbesalertstostheswordssandsfeelingssexpressed.sThesnurse
Downloadedsby:sYongsams|
Distributionsofsthissdocumentsissillegal
