Deck 1: Well Child Examination- Overview

Question 1

To communicate effectively, the school nurse should sit down, face the parents and child, and touch the child.

Answer 1

True

Question 2

Children may be intimidated by playful scrub attire, badges, or stickers.

Answer 2

False

Question 3

Always greet the parent before greeting the adolescent.

Answer 3

False

Question 4

Confrontation is used to clarify inconsistent statements.

Question 5

For an episodic problem, do a brief history and a complete examination.

Question 6

Match each item to the statement or sentence listed below.

-Pause for seconds to minutes.

A)Reflection
B)Confrontation
C)Silence
D)Clarification

Question 7

Match each item to the statement or sentence listed below.

-Repeat what was said and ask for more detail.

A)Reflection
B)Confrontation
C)Silence
D)Clarification

Question 8

Match each item to the statement or sentence listed below.

-"Can you describe Tristin's flu symptoms?"

A)Reflection
B)Confrontation
C)Silence
D)Clarification

Question 9

Match each item to the statement or sentence listed below.

-Restate the child or parent's wording.

A)Reflection
B)Confrontation
C)Silence
D)Clarification

Question 10

Match each item to the statement or sentence listed below.

-Used to enable the child or parent to understand that you are aware of her feelings and facts related to the situation.

A)Reflection
B)Confrontation
C)Silence
D)Clarification

Question 11

Match each item to the statement or sentence listed below.

-Used to clarify inconsistent statements.

A)Reflection
B)Confrontation
C)Silence
D)Clarification

Question 12

Match each item to the statement or sentence listed below.

-Extremely helpful when approaching sensitive issues, such as sexuality and abuse.

A)Reflection
B)Confrontation
C)Silence
D)Clarification

Question 13

Match each item to the statement or sentence listed below.

-Temperature estimation

A)Palm
B)Ulnar surface
C)Dorsal surface

Question 14

Match each item to the statement or sentence listed below.

-Vibration

A)Palm
B)Ulnar surface
C)Dorsal surface

Question 15

Match each item to the statement or sentence listed below.

-Masses

A)Palm
B)Ulnar surface
C)Dorsal surface

Question 16

Match each item to the statement or sentence listed below.

-Crepitus

A)Palm
B)Ulnar surface
C)Dorsal surface

Question 17

The adolescent is very sensitive and needs to be treated with respect, not like a child. Which of the following is not an appropriate way to communicate with an adolescent?

A)It is best to greet the adolescent before greeting the parent.
B)Gear the conversation to the appropriate level for the teen.
C)Dorsal surface
D)Ask for specifics rather than how things are going in general.

Question 18

What action by the school nurse can make the child feel unimportant and may block any further communication?

A)Fidgeting positions
B)Smile
C)Unhurried attitude
D)Listening when the child talks

Question 19

Try not to invade his or her space during the interview. Personal space in Japanese culture is much closer than in Western culture. It is:

A)3 feet.
B)5 feet.
C)2 feet.
D)6 feet.

Question 20

A good example of an open-ended question is:

A)"How old is Tristin?"
B)"Mrs. Bailey, what brings you into the clinic today?"
C)"Has Maleck had exposure to anyone who has had a cough?"
D)"Where is your pain?"

Question 21

The use of reflection communication technique aids the school nurse to:

A)Receive a clearer picture of the event.
B)Understand a problem that needs to be evaluated.
C)Clarify inconsistent statements.
D)Approach sensitive issues.

Question 22

Whenever a child presents with a head injury of any type, an evaluation for concussion should be performed. An early symptom is:

A)Confusion.
B)Amnesia several minutes after the injury.
C)Headache.
D)Numbness.

Question 23

Tanner staging is used to evaluate a child's sexual maturation. What occurs first in boys?

A)The penis elongates and then widens.
B)The testes enlarge and descend.
C)Pubic hair appears.
D)The scrotum and penis change from pale to red and then to dark red.

Question 24

In girls, 2 years after breast buds occur:

A)Pubic hair starts to grow.
B)Axillary hair starts to grow.
C)Menarche starts.
D)Lactation begins.

Question 25

To perform the Mantoux TB skin test:

A)Palpate the vein.
B)Read only the area of raised hardness (induration).
C)Inject 1 mL of purified protein derivative tuberculin intradermally into the forearm.
D)Read 24-36 hours after administration.

Question 26

Piaget's stages of cognitive development for the school-aged child are:

A)Postoperational.
B)Formal operations.
C)Concrete operations.
D)Logic development.

Question 27

A new student assessment includes the establishment of a trusting relationship, the history and physical, an assessment of the student's cognitive development, the ___________ physical examination, appropriate screening tests, the immunization status, anticipatory guidance, and referrals.

Question 28

The past medical history (PMH)goes beyond the history of present illness to explain the child's overall health status before the present problem began and should include all medical experiences, psychiatric disabilities, medications, immunizations, and ___________.

Question 29

Ask about allergies to ________, medications, and the environment.

Question 30

The _______________________ is subjective information about problems or changes in the specific body systems since the last visit or over the last year.

Question 31

The term __________________________refers to the practice of providing information to children and their parents about child development and behavior.

Question 32

There are __________bipolar stages of ego development a child must work through.