TEST BANK for Davis Advantage for Pediatric
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Nursing Critical Components of Nursing
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Care 3rd Edition by Diane Rudd, Kathryn ;
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Kocisko H
ALL CHAPTERS 1-22 WITH RATIONALES| A+ PASS
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Page | 1
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, Chapter 1. Issues and Trends in Pediatric Nursing MULTIPLE
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H CHOICE
1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations.
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Which current trend in the pediatric setting should the nurse expect to find?
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a. Increased hospitalization of children H H H
b. Decreased number of uninsured children H H H H
c. An increase in ambulatory care
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d. Decreased use of managed H H H
care ACURATE ANSWER: C
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One effect of managed care is that pediatric healthcare delivery has shifted dramatically from the
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acute care setting to the ambulatory setting. The number of hospital beds being used has decreased as
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more care is provided in outpatient and home settings. The number of uninsured children in the
H H H H H H H H H H H H H H H H
United States continues to grow. One of the biggest changes in healthcare has been the growth of
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managed care.
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DIF: Cognitive Level: Comprehension REF: p. 3
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OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
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2. A nurse is referring a low-income family with three children under the age of 5 years to a program
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that assists with supplemental food supplies. Which program should the nurse refer this family to?
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a. Medicaid
b. Medicare
c. Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program
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d. Women, Infants, and Children (WIC) program ACURATE ANSWER: D
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WIC is a federal program that provides supplemental food supplies to low-income women who are
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pregnant or breast-feeding and to their children until the age of 5 years. Medicaid and the Medicaid
H H H H H H H H H H H H H H H H H
Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program provides for well-child
H H H H H H H H H H H H
examinations and related treatment of medical problems. Children in the WIC program are often
H H H H H H H H H H H H H H
referred for immunizations, but that is not the primary focus of the program. Public Law 99-457
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provides financial incentives to states to establish comprehensive early intervention services for
H H H H H H H H H H H H
infants and toddlers with, or at risk for, developmental disabilities.
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Page | 2 H H
,Medicare is the program for Senior Citizens. DIF: Cognitive Level: Application REF: p. 7 OBJ: Nursing
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Process Step: Implementation MSC: Health Promotion and Maintenance
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Page | 3
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, 3. In most states, adolescents who are not emancipated minors must have parental permission before:
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a. treatment for drug abuse. H H H
b. treatment for sexually transmitted diseases (STDs).
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c. obtaining birth control. H H
d. surgery.
ACURATE ANSWER: D H H
An emancipated minor is a minor child who has the legal competence of an adult. Legal counsel may
H H H H H H H H H H H H H H H H H
be consulted to verify the status of the emancipated minor for consent purposes. Most states allow
H H H H H H H H H H H H H H H H
minors to obtain treatment for drug or alcohol abuse and STDs and allow access to birth control
H H H H H H H H H H H H H H H H H
without parental consent.
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DIF: Cognitive Level: Application REF: p. 12
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OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
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4. A nurse is completing a clinical pathway for a child admitted to the hospital with pneumonia.
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Which characteristic of a clinical pathway is correct?
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a. Developed and implemented by nurses H H H H
b. Used primarily in the pediatric setting
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c. Specific time lines for sequencing interventions
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d. One of the steps in the nursing process ACURATE ANSWER: C
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Clinical pathways measure outcomes of client care and are developed by multiple healthcare
H H H H H H H H H H H H
professionals. Each pathway outlines specific time lines for sequencing interventions and reflects
H H H H H H H H H H H H
interdisciplinary interventions. Clinical pathways are used in multiple settings and for clients
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throughout the life span. The steps of the nursing process are assessment, diagnosis, planning,
H H H H H H H H H H H H H H
implementation, and evaluation.
H H H
DIF: Cognitive Level: Comprehension REF: p. 6
H H H H H H
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
H H H H H H H H H H
Page | 4 H H
H H H H H H
Nursing Critical Components of Nursing
H H H H H
Care 3rd Edition by Diane Rudd, Kathryn ;
H H H H H H H H
Kocisko H
ALL CHAPTERS 1-22 WITH RATIONALES| A+ PASS
H H H H H H
Page | 1
H H
, Chapter 1. Issues and Trends in Pediatric Nursing MULTIPLE
H H H H H H H H
H CHOICE
1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations.
H H H H H H H H H H H H
Which current trend in the pediatric setting should the nurse expect to find?
H H H H H H H H H H H H H
a. Increased hospitalization of children H H H
b. Decreased number of uninsured children H H H H
c. An increase in ambulatory care
H H H H
d. Decreased use of managed H H H
care ACURATE ANSWER: C
H H H H
One effect of managed care is that pediatric healthcare delivery has shifted dramatically from the
H H H H H H H H H H H H H H
acute care setting to the ambulatory setting. The number of hospital beds being used has decreased as
H H H H H H H H H H H H H H H H H
more care is provided in outpatient and home settings. The number of uninsured children in the
H H H H H H H H H H H H H H H H
United States continues to grow. One of the biggest changes in healthcare has been the growth of
H H H H H H H H H H H H H H H H H
managed care.
H H
DIF: Cognitive Level: Comprehension REF: p. 3
H H H H H H
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
H H H H H H H H H H
2. A nurse is referring a low-income family with three children under the age of 5 years to a program
H H H H H H H H H H H H H H H H H H
that assists with supplemental food supplies. Which program should the nurse refer this family to?
H H H H H H H H H H H H H H H
a. Medicaid
b. Medicare
c. Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program
H H H H H H H H
d. Women, Infants, and Children (WIC) program ACURATE ANSWER: D
H H H H H H H H
WIC is a federal program that provides supplemental food supplies to low-income women who are
H H H H H H H H H H H H H H
pregnant or breast-feeding and to their children until the age of 5 years. Medicaid and the Medicaid
H H H H H H H H H H H H H H H H H
Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program provides for well-child
H H H H H H H H H H H H
examinations and related treatment of medical problems. Children in the WIC program are often
H H H H H H H H H H H H H H
referred for immunizations, but that is not the primary focus of the program. Public Law 99-457
H H H H H H H H H H H H H H H H
provides financial incentives to states to establish comprehensive early intervention services for
H H H H H H H H H H H H
infants and toddlers with, or at risk for, developmental disabilities.
H H H H H H H H H H
Page | 2 H H
,Medicare is the program for Senior Citizens. DIF: Cognitive Level: Application REF: p. 7 OBJ: Nursing
H H H H H H H H H H H H H H H
Process Step: Implementation MSC: Health Promotion and Maintenance
H H H H H H H H
Page | 3
H H
, 3. In most states, adolescents who are not emancipated minors must have parental permission before:
H H H H H H H H H H H H H
a. treatment for drug abuse. H H H
b. treatment for sexually transmitted diseases (STDs).
H H H H H
c. obtaining birth control. H H
d. surgery.
ACURATE ANSWER: D H H
An emancipated minor is a minor child who has the legal competence of an adult. Legal counsel may
H H H H H H H H H H H H H H H H H
be consulted to verify the status of the emancipated minor for consent purposes. Most states allow
H H H H H H H H H H H H H H H H
minors to obtain treatment for drug or alcohol abuse and STDs and allow access to birth control
H H H H H H H H H H H H H H H H H
without parental consent.
H H H
DIF: Cognitive Level: Application REF: p. 12
H H H H H H
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
H H H H H H H H H H
4. A nurse is completing a clinical pathway for a child admitted to the hospital with pneumonia.
H H H H H H H H H H H H H H H
Which characteristic of a clinical pathway is correct?
H H H H H H H H
a. Developed and implemented by nurses H H H H
b. Used primarily in the pediatric setting
H H H H H
c. Specific time lines for sequencing interventions
H H H H H
d. One of the steps in the nursing process ACURATE ANSWER: C
H H H H H H H H H H
Clinical pathways measure outcomes of client care and are developed by multiple healthcare
H H H H H H H H H H H H
professionals. Each pathway outlines specific time lines for sequencing interventions and reflects
H H H H H H H H H H H H
interdisciplinary interventions. Clinical pathways are used in multiple settings and for clients
H H H H H H H H H H H H
throughout the life span. The steps of the nursing process are assessment, diagnosis, planning,
H H H H H H H H H H H H H H
implementation, and evaluation.
H H H
DIF: Cognitive Level: Comprehension REF: p. 6
H H H H H H
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
H H H H H H H H H H
Page | 4 H H
