TEST BANK FOR NURSING CARE OF CHILDREN PRINCIPLES AND PRACTICE BY JAMES 4TH EDITION

Chapter 01: Introduction to Nursing Care of Children
Test Bank
MULTIPLE CHOICE
1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations. Which
current trend in the pediatric setting should the nurse expect to find?
a. Increased hospitalization of children
b. Decreased number of uninsured children
c. An increase in ambulatory care
d. Decreased use of managed care
ANS: C
One effect of managed care is that pediatric healthcare delivery has shifted dramatically from the acute
care setting to the ambulatory setting. The number of hospital beds being used has decreased as more
care is provided in outpatient and home settings. The number of uninsured children in the United
States continues to grow. One of the biggest changes in healthcare has been the growth of managed
care.
DIF: Cognitive Level: Comprehension REF: p. 3
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
2. A nurse is referring a low-income family with three children under the age of 5 years to a program that
assists with supplemental food supplies. Which program should the nurse refer this family to?
a. Medicaid
b. Medicare
c. Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program
d. Women, Infants, and Children (WIC) program
ANS: D
WIC is a federal program that provides supplemental food supplies to low-income women who are
pregnant or breast-feeding and to their children until the age of 5 years. Medicaid and the Medicaid
Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program provides for well-child
examinations and related treatment of medical problems. Children in the WIC program are often
referred for immunizations, but that is not the primary focus of the program. Public Law 99-457
provides financial incentives to states to establish comprehensive early intervention services for infants
and toddlers with, or at risk for, developmental disabilities. Medicare is the program for Senior
Citizens.
DIF: Cognitive Level: Application REF: p. 7
OBJ: Nursing Process Step: Implementation
MSC: Health Promotion and Maintenance
3. In most states, adolescents who are not emancipated minors must have parental permission before:
a. treatment for drug abuse.
b. treatment for sexually transmitted diseases (STDs).
c. obtaining birth control.
d. surgery.
ANS: D
An emancipated minor is a minor child who has the legal competence of an adult. Legal counsel may
be consulted to verify the status of the emancipated minor for consent purposes. Most states allow
minors to obtain treatment for drug or alcohol abuse and STDs and allow access to birth control
without parental consent.
DIF: Cognitive Level: Application REF: p. 12
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
4. A nurse is completing a clinical pathway for a child admitted to the hospital with pneumonia. Which
characteristic of a clinical pathway is correct?
a. Developed and implemented by nurses
b. Used primarily in the pediatric setting
c. Specific time lines for sequencing interventions
d. One of the steps in the nursing process
ANS: C
Clinical pathways measure outcomes of client care and are developed by multiple healthcare
professionals. Each pathway outlines specific time lines for sequencing interventions and reflects
interdisciplinary interventions. Clinical pathways are used in multiple settings and for clients
throughout the life span. The steps of the nursing process are assessment, diagnosis, planning,
implementation, and evaluation.
DIF: Cognitive Level: Comprehension REF: p. 6
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment