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 ambu...
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 mnurse mis mcompleting ma mclinical mpathway mfor ma mchild madmitted mto mthe mhospital mwith
pneumonia. mWhich mcharacteristic mof ma mclinical mpathway mis mcorrect?
m
a. Developed mand mimplemented mby mnurses
b. Used mprimarily min mthe mpediatric msetting
c. Specific mtime mlines mfor msequencing minterventions
d. One mof mthe msteps min mthe mnursing mprocess
ANS: mC
Clinical mpathways mmeasure moutcomes mof mclient mcare mand mare mdeveloped mby mmultiple mhealthcare
m professionals. mEach mpathway moutlines mspecific mtime mlines mfor msequencing minterventions mand
reflects minterdisciplinary minterventions. mClinical mpathways mare mused min mmultiple msettings mand
m
m for mclients mthroughout mthe mlife mspan. mThe msteps mof mthe mnursing mprocess mare massessment,
m diagnosis, mplanning, mimplementation, mand mevaluation.
5. When mplanning ma mparenting mclass, mthe mnurse mshould mexplain mthat mthe mleading mcause mof
death min mchildren m1 mto m4 myears mof mage min mthe mUnited mStates mis:
m
a. premature mbirth.
b. congenital manomalies.
c. accidental mdeath.
d. respiratory mtract millness.
ANS: mC
Accidents mare mthe mleading mcause mof mdeath min mchildren mages m1 mto m19 myears. mDisorders mof mshort
m gestation mand munspecified mlow mbirth mweight mmake mup mone mof mthe mleading mcauses mof mdeath min
m neonates. mOne mof mthe mleading mcauses mof minfant mdeath mafter mthe mfirst mmonth mof mlife mis
congenital manomalies. mRespiratory mtract millnesses mare ma mmajor mcause mof mmorbidity min
m
m children.
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