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Health Assessment of child MCQ
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Health Assessment of child MCQ
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ANS: A, C, ESmall children all share the same basic fears relative to hospitalization, which are
separation from family, pain, and body intrusion or mutilation.
DIF: Cognitive Level: Comprehension REF: 465 OBJ: 2
TOP: Basic Fear KEY: Nursing Process Step: Assessment
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
3. The nurse taking a developmental history will include information relative to:
Select all that apply.
a Previous experience with hospitalization
.
b Cultural needs
.
c
.
History of illness
h a
d
.
e
Allergies
Childs nickname
Ta
b
.
ANS: A, B, E
e e
The developmental history has information about the child and the childs developmental
and cultural needs and personal preferences. The information relative to history of illness
a b
or allergies would be covered in the medical history.
DIF: Cognitive Level: Application REF: 475 OBJ: 4
TOP: Developmental History KEY: Nursing Process Step: Assessment
H
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
COMPLETION
1. When the preschooler who is hospitalized for surgery to correct a poorly healed
fracture says, My doctor is going to unscrew my bent arm and screw on a new one, the
nurse should ____________________ this misconception.
ANS: correct
CHAPTER 10 Health Assessment of Children
MULTIPLE CHOICE
1. The nurse is seeing an adolescent boy and his parents in the clinic for the first time.
What should the nurse do first?
a. Introduce self.
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, b. Make family comfortable.
c. Explain purpose of interview.
d. Give assurance of privacy.
ANS: A
The first thing that nurses should do is to introduce themselves to the patient and family.
Parents and other adults should be addressed with appropriate titles unless they specify a
preferred name. During the initial part of the interview, the nurse should include general
conversation to help make the family feel at ease. Clarification of the purpose of the
interview and the nurses role is the next thing that should be done. The interview should
take place in an environment as free of distraction as possible. In addition, the nurse
should clarify which information will be shared with other members of the health care
team and any limits to the confidentiality.
PTS: 1 DIF: Cognitive Level: Apply REF: 87
TOP:Integrated Process: Communication and Documentation
MSC: Area of Client Needs: Psychosocial Integrity
h a
2. Which is most likely to encourage parents to talk about their feelings related to their
a
childs illness?
a. Be sympathetic.
b. Use direct questions.
T
c.
d.
eb
Use open-ended questions.
Avoid periods of silence.
ANS: C
b e
Closed-ended questions should be avoided when attempting to elicit parents feelings.
Open-ended questions require the parent to respond with more than a brief answer.
Ha
Sympathy is having feelings or emotions in common with another person rather than
understanding those feelings (empathy). Sympathy is not therapeutic in helping the
relationship. Direct questions may obtain limited information. In addition, the parent may
consider them threatening. Silence can be an effective interviewing tool. It allows sharing
of feelings in which two or more people absorb the emotion in depth. Silence permits the
interviewee to sort out thoughts and feelings and search for responses to questions.
PTS: 1 DIF: Cognitive Level: Apply REF: 88
TOP:Integrated Process: Communication and Documentation
MSC: Area of Client Needs: Psychosocial Integrity
3. Which communication technique should the nurse avoid when interviewing children
and their families?
a. Using silence
b. Using clichs
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, c. Directing the focus
d. Defining the problem
ANS: B
Using stereotyped comments or clichs can block effective communication, and this
technique should be avoided. After use of such trite phrases, parents will often not
respond. Silence can be an effective interviewing tool. Silence permits the interviewee to
sort out thoughts and feelings and search for responses to questions. To be effective, the
nurse must be able to direct the focus of the interview while allowing maximal freedom
of expression. By using open-ended questions, along with guiding questions, the nurse
can obtain the necessary information and maintain the relationship with the family. The
nurse and parent must collaborate and define the problem that will be the focus of the
nursing intervention.
PTS: 1 DIF: Cognitive Level: Understand REF: 90
TOP:Integrated Process: Communication and Documentation
MSC: Area of Client Needs: Psychosocial Integrity
h a
4. What is the single most important factor to consider when communicating with
children?
a.
b.
The childs physical condition
Presence or absence of the childs parent
Ta
b
c. The childs developmental level
d.
ANS: C
e e
The childs nonverbal behaviors
The nurse must be aware of the childs developmental stage to engage in effective
a b
communication. The use of both verbal and nonverbal communication should be
appropriate to the developmental level. Although the childs physical condition is a
consideration, developmental level is much more important. The parents presence is
important when communicating with young children but may be detrimental when
H
speaking with adolescents. Nonverbal behaviors will vary in importance, based on the
childs developmental level.
PTS: 1 DIF: Cognitive Level: Understand REF: 91
TOP:Integrated Process: Communication and Documentation
MSC: Area of Client Needs: Psychosocial Integrity
5. Which approach would be best to use to ensure a positive response from a toddler?
a Assume an eye-level position and talk quietly.
.
b Call the toddlers name while picking him or her up.
.
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