Nursing Care of Children Principles and Practice 4th Edition By James-Test Bank

Test Bank For Principles and Practice of Child Nursing Care 4th Edition By James

ISBN-10: 9781455703661, ISBN-13: 978-1455703661

Chapter 01: Test Bank Introduction to Nursing Care for Children

MULTIPLE CHOICE

1. A healthcare provider is assessing changes in healthcare services and funding for pediatric groups. What present trend is likely to be observed in the pediatric sector?

Rise in ambulatory care

Decrease in uninsured children

Increased hospitalization of children

Decline in managed care usage

ANS: A

The surge in ambulatory care is a notable trend in the pediatric sector as a consequence of managed care. As a result, healthcare services have shifted from inpatient to outpatient settings, reducing hospital bed occupancy. The quantity of uninsured children in the U.S. is on the rise. A significant transformation in healthcare has been the expansion of managed care.

DIF: Cognitive Level: Comprehension REF: p. 3

OBJ: Planning Nursing Process Step: Safe and Effective Care Environment

A provider is recommending a program for supplementary food support to a low-income family with three children below 5 years old. Which program should be suggested by the provider?

Medicare

Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program under Medicaid

Medicaid

Women, Infants, and Children (WIC) program

ANS: D

The WIC program disburses supplementary food supplies to low-income pregnant or breastfeeding women and their children up to age 5. Medicaid and the EPSDT program under Medicaid cater to child healthcare examinations and medical problem treatment. Although children in the WIC program may be referred for immunizations, it is not its primary focus. Public Law 99-457 incentivizes states to establish comprehensive early intervention services for infants and toddlers with or at risk of developmental disabilities.

Medicare is designed for seniors.

DIF: Cognitive Level: Application REF: p. 7

OBJ: Implementation Nursing Process Step: Health Promotion and Maintenance

3. In most states, non-emancipated adolescents must obtain parental consent before:

receiving treatment for drug addiction.

receiving treatment for sexually transmitted infections (STIs).

acquiring birth control.

undergoing surgery.

ANS: D

An emancipated minor is legally competent as an adult. Legal guidance may be sought to verify their consent eligibility. Most states allow minors to seek treatment for substance abuse, STIs, and access birth control without parental consent.

DIF: Cognitive Level: Application REF: p. 12

OBJ: Planning Nursing Process Step: Safe and Effective Care Environment

4. When creating a clinical pathway for a hospitalized child with pneumonia, what is a correct attribute of a clinical pathway?

Developed and deployed by nurses

Includes specific timelines for sequencing interventions

Mainly used in pediatrics

One stage in the nursing process

ANS: B

Clinical pathways assess client care outcomes and are formulated by various healthcare practitioners. Each pathway defines precise timelines for intervention sequences and showcases interdisciplinary actions. Clinical pathways are used across diverse settings and age groups. The nursing process entails assessment, diagnosis, planning, implementation, and evaluation.

DIF: Cognitive Level: Comprehension REF: p. 6

OBJ: Planning Nursing Process Step: Safe and Effective Care Environment

5. In a parenting education class, the instructor should highlight that the primary cause of death in 1 to 4-year-old children in the U.S. is:

Premature birth.

Congenital abnormalities.

Accidental deaths.

Respiratory tract disorders.

ANS: C

Accidents are the top cause of death among children aged 1 to 19. Short gestation disorders and unspecified low birth weight are prevalent among neonatal fatalities. Major causes of infant mortality post the first month include congenital anomalies. Respiratory tract illnesses pose a significant health risk for children.

DIF: Cognitive Level: Application REF: p. 9

OBJ: Implementation Nursing Process Step: Safe and Effective Care Environment

6. Which statement regarding the incident or quality assurance report is accurate?

Verifies legal department compliance

Added to the client’s chart

Nurse notes should mention: “Incident report filed and chart copy kept.”

Records an event for potential legal issues

ANS: D

The incident report serves as a caution to the legal department about potential legal repercussions and is not part of the client’s record or nursing documentation. DIF: Cognitive Level: Knowledge REF: p. 14

OBJ: Implementation Nursing Process Step: Safe and Effective Care Environment

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