, Price: Pediatric Nursing, 10th Edition
Test Bank
Chapter 1: Child Health Evolution
MULTIPLE CHOICE
1. In the Middle Ages:
a. Adolescence emerged as a separate phase of life
b. A child was considered an adult by age 7
c. Childhood became a separate phase of life
d. The average life span was about 40 years
ANS: B
A child was considered an adult by age 7. The average life span was only 30 years. Childhood
became a separate phase of life after the work of Erickson and Piaget. Adolescence did not
emerge as a separate phase of life until child labor laws were passed.
DIF: Cognitive Level: Knowledge REF: Page 1 OBJ: 2
TOP: Evolution of Child Health KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance
2. Mothers were taught the importance of pure milk and its preparation by:
a. Abraham Jacobi
b. Lillian Wald
c. Jean Piaget
d. Florence Kelley
ANS: A
Abraham Jacobi is considered the “father of pediatrics.” He established milk stations where
mothers could bring their children for treatment. The mothers were also taught the importance of
pure milk and its preparation.
DIF: Cognitive Level: Knowledge REF: Page 1 OBJ: 2
TOP: Evolution of Child Health KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
3. The establishment of the Medicare system of payment for hospital stays:
a. Had no impact on children’s health
b. Led to shorter hospital stays for acutely ill children
c. Decreased the need for discharge teaching
d. Eliminated the need for home health care
ANS: B
Copyright © 2008 by Saunders, an imprint of Elsevier, Inc.
, Test Bank 1-2
The Medicare system of payment had an enormous impact on the rest of the insurance industry.
Other insurance companies developed prospective payments plans of their own. The need for
discharge teaching and home health care increased as a result of shorter hospital stays.
DIF: Cognitive Level: Comprehension REF: Page 4 OBJ: 4
TOP: Healthcare Today KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
4. Mrs. Lee, a Chinese American woman, brought her 5-year-old daughter to the clinic following a
minor injury to the child’s leg. She talked freely with the female nurse while the nurse completed
the health history and assessed vital signs. The nurse left the room to care for other patients. The
physician, a male, examined the child with the mother present. He noticed that Mrs. Lee was
uncommunicative and would not maintain eye contact. The nurse understands that Mrs. Lee’s
response to the physician was related to the fact that:
a. Mrs. Lee did not understand the physician
b. Mrs. Lee injured her child and is afraid she will be reported to the authorities
c. Mrs. Lee is uncomfortable with male health care workers because of her culture
d. Mrs. Lee plans to see a traditional healer after consulting with the physician
ANS: C
Mrs. Lee talked freely with the nurse during the assessment. There is insufficient information to
suspect abuse. Chinese American clients may consider eye contact impolite. Chinese American
women may be very uncomfortable about being examined by a male health care worker.
Traditional Chinese healers are usually sought before seeking Western medicine.
DIF: Cognitive Level: Analysis REF: Page 7 OBJ: 7
TOP: Cultural Considerations KEY: Nursing Process Step: Assessment
MSC: NCLEX: Psychosocial Integrity
5. Your pediatric patient is about to be discharged home. The child will be taking prescription
medications on a regular basis. The parent uses herbal supplements and wishes to administer
these to the child. You explain to the parent that herbal supplements:
a. Do not provide any benefit to the patient and are harmless
b. Can cause serious interactions with some prescription medications
c. Can be administered in excess of the recommended dosage
d. Are ineffective and are only used by the uninformed
ANS: B
Herbal supplements can provide benefit but should never be considered harmless. Herbals have
been documented to cause significant and harmful side effects with prescription drugs.
Exceeding dosage is not recommended. Herbal supplements have been proven effective for some
ailments and may be used in cultural rituals that are meaningful to the client.
DIF: Cognitive Level: Application REF: Pages 8-9 OBJ: 7
TOP: Complementary and Alternative Medicine
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
Copyright © 2008 by Saunders, an imprint of Elsevier, Inc.
, Test Bank 1-3
6. Complementary medicine is:
a. Only used when all other measures have been exhausted
b. Reimbursed by most insurance companies
c. Used in place of traditional medicine
d. Advocated by many cultural beliefs
ANS: D
Complementary medicine is used with traditional or conventional therapy. It is not considered a
last resort. It is not reimbursed by most insurance companies. Many cultural beliefs promote the
use of complementary therapy.
DIF: Cognitive Level: Comprehension REF: Page 8 OBJ: 7
TOP: Complementary and Alternative Medicine
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
7. A mother inquires about health insurance while visiting your clinic. She states that her income is
too high for her to be eligible for Medicare, but too low to afford health insurance. You explain
that she may be eligible to receive assistance from the:
a. The Division of Maternal and Child Health
b. The Health Insurance Portability and Accountability Act
c. WIC
d. The State Children’s Health Insurance Program
ANS: D
The State Children’s Health Insurance Program has expanded coverage to many uninsured
children ineligible for Medicaid. The division of Maternal and Child Health does not provide
insurance. HIPAA protects privacy; WIC is a supplemental food program.
DIF: Cognitive Level: Application REF: Page 2 OBJ: 2
TOP: Government Programs KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
8. The prevalence of chronic health conditions in children is:
a. Decreasing as a result of advances in health care and treatment
b. Increasing as a result of advances in health care and treatment
c. Increasing as a result of the improved survival of premature infants
d. Decreasing as a result of decreased incidence of childhood injury
ANS: B
The prevalence of chronic health conditions in children is increasing as a result of advanced care
and treatment. The increased number of surviving premature infants has increased the number of
children with chronic conditions. The number of children who survive childhood injury has
increased, leading to increased numbers of disabled children.
DIF: Cognitive Level: Comprehension REF: Page 3 OBJ: 3
TOP: Changes in Mortality and Morbidity
Copyright © 2008 by Saunders, an imprint of Elsevier, Inc.
Test Bank
Chapter 1: Child Health Evolution
MULTIPLE CHOICE
1. In the Middle Ages:
a. Adolescence emerged as a separate phase of life
b. A child was considered an adult by age 7
c. Childhood became a separate phase of life
d. The average life span was about 40 years
ANS: B
A child was considered an adult by age 7. The average life span was only 30 years. Childhood
became a separate phase of life after the work of Erickson and Piaget. Adolescence did not
emerge as a separate phase of life until child labor laws were passed.
DIF: Cognitive Level: Knowledge REF: Page 1 OBJ: 2
TOP: Evolution of Child Health KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance
2. Mothers were taught the importance of pure milk and its preparation by:
a. Abraham Jacobi
b. Lillian Wald
c. Jean Piaget
d. Florence Kelley
ANS: A
Abraham Jacobi is considered the “father of pediatrics.” He established milk stations where
mothers could bring their children for treatment. The mothers were also taught the importance of
pure milk and its preparation.
DIF: Cognitive Level: Knowledge REF: Page 1 OBJ: 2
TOP: Evolution of Child Health KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
3. The establishment of the Medicare system of payment for hospital stays:
a. Had no impact on children’s health
b. Led to shorter hospital stays for acutely ill children
c. Decreased the need for discharge teaching
d. Eliminated the need for home health care
ANS: B
Copyright © 2008 by Saunders, an imprint of Elsevier, Inc.
, Test Bank 1-2
The Medicare system of payment had an enormous impact on the rest of the insurance industry.
Other insurance companies developed prospective payments plans of their own. The need for
discharge teaching and home health care increased as a result of shorter hospital stays.
DIF: Cognitive Level: Comprehension REF: Page 4 OBJ: 4
TOP: Healthcare Today KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
4. Mrs. Lee, a Chinese American woman, brought her 5-year-old daughter to the clinic following a
minor injury to the child’s leg. She talked freely with the female nurse while the nurse completed
the health history and assessed vital signs. The nurse left the room to care for other patients. The
physician, a male, examined the child with the mother present. He noticed that Mrs. Lee was
uncommunicative and would not maintain eye contact. The nurse understands that Mrs. Lee’s
response to the physician was related to the fact that:
a. Mrs. Lee did not understand the physician
b. Mrs. Lee injured her child and is afraid she will be reported to the authorities
c. Mrs. Lee is uncomfortable with male health care workers because of her culture
d. Mrs. Lee plans to see a traditional healer after consulting with the physician
ANS: C
Mrs. Lee talked freely with the nurse during the assessment. There is insufficient information to
suspect abuse. Chinese American clients may consider eye contact impolite. Chinese American
women may be very uncomfortable about being examined by a male health care worker.
Traditional Chinese healers are usually sought before seeking Western medicine.
DIF: Cognitive Level: Analysis REF: Page 7 OBJ: 7
TOP: Cultural Considerations KEY: Nursing Process Step: Assessment
MSC: NCLEX: Psychosocial Integrity
5. Your pediatric patient is about to be discharged home. The child will be taking prescription
medications on a regular basis. The parent uses herbal supplements and wishes to administer
these to the child. You explain to the parent that herbal supplements:
a. Do not provide any benefit to the patient and are harmless
b. Can cause serious interactions with some prescription medications
c. Can be administered in excess of the recommended dosage
d. Are ineffective and are only used by the uninformed
ANS: B
Herbal supplements can provide benefit but should never be considered harmless. Herbals have
been documented to cause significant and harmful side effects with prescription drugs.
Exceeding dosage is not recommended. Herbal supplements have been proven effective for some
ailments and may be used in cultural rituals that are meaningful to the client.
DIF: Cognitive Level: Application REF: Pages 8-9 OBJ: 7
TOP: Complementary and Alternative Medicine
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
Copyright © 2008 by Saunders, an imprint of Elsevier, Inc.
, Test Bank 1-3
6. Complementary medicine is:
a. Only used when all other measures have been exhausted
b. Reimbursed by most insurance companies
c. Used in place of traditional medicine
d. Advocated by many cultural beliefs
ANS: D
Complementary medicine is used with traditional or conventional therapy. It is not considered a
last resort. It is not reimbursed by most insurance companies. Many cultural beliefs promote the
use of complementary therapy.
DIF: Cognitive Level: Comprehension REF: Page 8 OBJ: 7
TOP: Complementary and Alternative Medicine
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
7. A mother inquires about health insurance while visiting your clinic. She states that her income is
too high for her to be eligible for Medicare, but too low to afford health insurance. You explain
that she may be eligible to receive assistance from the:
a. The Division of Maternal and Child Health
b. The Health Insurance Portability and Accountability Act
c. WIC
d. The State Children’s Health Insurance Program
ANS: D
The State Children’s Health Insurance Program has expanded coverage to many uninsured
children ineligible for Medicaid. The division of Maternal and Child Health does not provide
insurance. HIPAA protects privacy; WIC is a supplemental food program.
DIF: Cognitive Level: Application REF: Page 2 OBJ: 2
TOP: Government Programs KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
8. The prevalence of chronic health conditions in children is:
a. Decreasing as a result of advances in health care and treatment
b. Increasing as a result of advances in health care and treatment
c. Increasing as a result of the improved survival of premature infants
d. Decreasing as a result of decreased incidence of childhood injury
ANS: B
The prevalence of chronic health conditions in children is increasing as a result of advanced care
and treatment. The increased number of surviving premature infants has increased the number of
children with chronic conditions. The number of children who survive childhood injury has
increased, leading to increased numbers of disabled children.
DIF: Cognitive Level: Comprehension REF: Page 3 OBJ: 3
TOP: Changes in Mortality and Morbidity
Copyright © 2008 by Saunders, an imprint of Elsevier, Inc.
