Deck 25: Introduction to Disease Management

Question 1

The primary care pediatric nurse practitioner orders a pulmonology consult for a child who has severe asthma. The nurse practitioner writes "child with asthma refractory to conventional treatments needs suggestions for alternative treatments." What does the nurse practitioner expects the pulmonologist to do?

A) Confirm the medical diagnosis for the child's parents.
B) Make recommendations for disease management.
C) Stress the importance of adherence to the medication regimen.
D) Take over management of this child's chronic illness.

Answer 1

B

Question 2

A toddler is prescribed a liquid oral medication. The parent tells the primary care pediatric nurse practitioner that the child refuses to take medications and usually spits them out. What will the nurse practitioner do?

A) Demonstrate oral medication administration with the toddler in the office.
B) Instruct the parent to hide the medication in a favorite food or beverage.
C) Order the medication to be given via another route if possible.
D) Tell the parent to offer the child a reward each time the medication is taken.

Answer 2

A

Question 3

A toddler swallowed a coin several days prior. The child's parent has not found the coin in the child's stool. Which imaging test will the primary care pediatric nurse practitioner employ to evaluate this ingestion?

A) Abdominal ultrasound
B) Computed tomography
C) Conventional radiograph
D) Magnetic resonance imaging

Answer 3

C

Question 4

The primary care pediatric nurse practitioner uses a shared decision-making (SDM) model when working with families of children with chronic health conditions. When using this model, the nurse practitioner can expect:

A) considerably more time in each encounter.
B) improved patient health outcomes.
C) less PNP involvement in health care decisions.
D) lower provider and higher patient satisfaction.

Question 5

The primary care pediatric nurse practitioner diagnoses a 5-year-old child with asthma and prescribes an oral steroid and a short-acting beta-adrenergic medication via a metered-dose inhaler to manage acute symptoms. Along with education about the prescribed medications, what information is important to give the child's family at this visit?

A) An asthma action plan
B) Effects and side effects of current medications
C) Information about spirometry testing
D) Instructions for medications at school

Question 6

What is the most important role of the primary care pediatric nurse practitioner who provides care for a child with special health care needs who sees several specialists and receives community and school-based services?

A) Assessing the parent's ability to perform home care tasks
B) Coordinating services to ensure continuity of care
C) Monitoring the family's adherence to the health care plan
D) Ordering medications and other prescribed treatments

Question 7

The primary care pediatric nurse practitioner is preparing to perform a well child examination on a 5-year-old child who has multiple developmental and cognitive delays. The child's mother is angry and tells the nurse practitioner that her friends' children are all preparing for kindergarten. What will the nurse practitioner do:

A) allow the mother to express her feelings, understanding that she is experiencing grief.
B) reassure the mother that special educational opportunities are available for her child.
C) suggest that the mother find a support group with other children with special needs.
D) tell her that most schools provide services for children with special health care needs.

Question 8

The primary care pediatric nurse practitioner is assessing an ill 2-month-old infant who is febrile and refusing most fluids. The preliminary blood work indicates a viral infection and shows that the infant is hydrated. The infant is alert. The infant's parents are attentive and live close by. What will the nurse practitioner do?

A) Administer a parenteral antibiotic and antipyretic and send the infant home.
B) Admit the infant to an inpatient hospital unit for overnight monitoring.
C) Give the parents sick care instructions and follow up in the clinic in the morning.
D) Send the infant to the urgent care center for intravenous fluids.

Question 9

The primary care pediatric nurse practitioner cares for several families with chronically ill children who text status updates about their children to a mobile device that has an encryption- protection platform installed. If the nurse practitioner misplaces the mobile device, it is important to do what?

A) Disconnect the user from the system to avoid a data breach.
B) Notify the families that their messages may be read by others.
C) Obtain a new device as soon as possible to resume communication.
D) Upload the messages from another remote device.

Question 10

The parent of a child with complex health care needs tells the primary care pediatric nurse practitioner that the child has had difficulty breathing the past two nights but can't articulate specific symptoms. The child has normal oxygen saturations and a normal respiratory rate with clear breath sounds. What will the nurse practitioner do?

A) Admit the child to the hospital for close observation and monitoring of respiratory status.
B) Encourage the parent to call when concerned and schedule a follow-up appointment the next day.
C) Perform a complete blood count, blood cultures, and a chest radiograph to evaluate symptoms.
D) Reassure the parent that the child has a normal exam and is most likely not ill.