Care 2nd Edition
Pediatric Nursing The Critical Components of Nursing Care 2nd Edition
Pediatric Nursing The Critical Components of Nursing Care 2nd Edition
,Pediatric Nursing The Critical Components of Nursing Care 2nd Edition
Rudd Test Bank
Chapter 1. Issues and Trends in Pediatric Nursing
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 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 nurse is completing a clinical pathway for a child admitted to the
hospital with pneumonia. Which characteristic of a clinical pathway is
correct?
a. Developed and implemented by nurses
b. Used primarily in the pediatric setting
c. Specific time lines for sequencing interventions
d. One of the steps in the nursing process
ANS: C
Clinical pathways measure outcomes of client care and are developed by multiple
healthcare professionals. Each pathway outlines specific time lines for sequencing
interventions and reflects interdisciplinary interventions. Clinical pathways are used
in multiple settings and for clients throughout the life span. The steps of the nursing
process are assessment, diagnosis, planning, implementation, and evaluation.
DIF: Cognitive Level: Comprehension REF: p. 6