PediatrichgNursinghgThehgCriticalhgComponentshgofhgNursinghgCarehg2ndhgEditionhgRuddhgTesthgBa
nkhgChapterhg1.hgIssueshgandhgTrendshginhgPediatrichgNursing
MULTIPLEhgCHOICE
1. Ahgnursehgishgreviewinghgchangeshginhghealthcarehgdeliveryhgandhgfundinghgforhgpediatrichgpopulati
ons.hgWhichhgcurrenthgtrendhginhgthehgpediatrichgsettinghgshouldhgthehgnursehgexpecthgtohgfind?
a. Increasedhghospitalizationhgofhgchildren
b. Decreasedhgnumberhgofhguninsuredhgchildren
c. Anhgincreasehginhgambulatoryhgcare
d. Decreasedhgusehgofhgmanagedhgcare
ANS:hgC
Onehgeffecthgofhgmanagedhgcarehgishgthathgpediatrichghealthcarehgdeliveryhghashgshiftedhgdramaticallyhgfro
mhgthehgacutehgcarehgsettinghgtohgthehgambulatoryhgsetting.hgThehgnumberhgofhghospitalhgbedshgbeinghgusedh
g hashgdecreasedhgashgmorehgcarehgishgprovidedhginhgoutpatienthgandhghomehgsettings.hgThehgnumberhgofhgun
insuredhgchildrenhginhgthehgUnitedhgStateshgcontinueshgtohggrow.hgOnehgofhgthehgbiggesthgchangeshginhgheal
thcarehghashgbeenhgthehggrowthhgofhgmanagedhgcare.
DIF:hgCognitivehgLevel:hgComprehensionhgREF:hgp.hg3
OBJ:hgNursinghgProcesshgStep:hgPlanninghgMSC:hgSafehgandhgEffectivehgCarehgEnvironment
2. Ahgnursehgishgreferringhgahglow-
incomehgfamilyhgwithhgthreehgchildrenhgunderhgthehgagehgofhg5hgyearshgtohgahgprogramhgthathgassistshgwithhg
supplementalhgfoodhgsupplies.hgWhichhgprogramhgshouldhgthehgnursehgreferhgthishgfamilyhgto?
a. Medicaid
b. Medicare
c. EarlyhgandhgPeriodichgScreening,hgDiagnostic,hgandhgTreatmenthg(EPSDT)hgprogram
d. Women,hgInfants,hgandhgChildrenhg(WIC)hgprogram
,ANS:hgD
WIChgishgahgfederalhgprogramhgthathgprovideshgsupplementalhgfoodhgsupplieshgtohglow-
incomehgwomenhgwhohgarehgpregnanthgorhgbreast-
feedinghgandhgtohgtheirhgchildrenhguntilhgthehgagehgofhg5hgyears.hgMedicaidhgandhgthehgMedicaidhgEarlyhgand
hg PeriodichgScreening,hgDiagnostic,hgandhgTreatmenthg(EPSDT)hgprogramhgprovideshgforhgwell-
childhgexaminationshgandhgrelatedhgtreatmenthgofhgmedicalhgproblems.hgChildrenhginhgthehgWIChgprogra
mhgarehgoftenhgreferredhgforhgimmunizations,hgbuthgthathgishgnothgthehgprimaryhgfocushgofhgthehgprogram.hgP
ublichgLawhg99-
457hgprovideshgfinancialhgincentiveshgtohgstateshgtohgestablishhgcomprehensivehgearlyhginterventionhgser
viceshgforhginfantshgandhgtoddlershgwith,hgorhgathgriskhgfor,hgdevelopmentalhgdisabilities.
MedicarehgishgthehgprogramhgforhgSeniorhgCitize
ns.hgDIF:hgCognitivehgLevel:hgApplicationhgREF
:hgp.hg7hgOBJ:hgNursinghgProcesshgStep:hgImplem
entationhgMSC:hgHealthhgPromotionhgandhgMai
ntenance
3. Inhgmosthgstates,hgadolescentshgwhohgarehgnothgemancipatedhgminorshgmusthghavehgparentalhgpermis
sionhgbefore:
a. treatmenthgforhgdrughgabuse.
b. treatmenthgforhgsexuallyhgtransmittedhgdiseaseshg(STDs).
c. obtaininghgbirthhgcontrol.
d. surgery.
ANS:hgD
Anhgemancipatedhgminorhgishgahgminorhgchildhgwhohghashgthehglegalhgcompetencehgofhganhgadult.hgLegalhgc
ounselhgmayhgbehgconsultedhgtohgverifyhgthehgstatushgofhgthehgemancipatedhgminorhgforhgconsenthgpurposes.
hg MosthgstateshgallowhgminorshgtohgobtainhgtreatmenthgforhgdrughgorhgalcoholhgabusehgandhgSTDshgandhgallo
whgaccesshgtohgbirthhgcontrolhgwithouthgparentalhgconsent.
DIF:hgCognitivehgLevel:hgApplicationhgREF:hgp.hg12
OBJ:hgNursinghgProcesshgStep:hgPlanninghgMSC:hgSafehgandhgEffectivehgCarehgEnvironment
,4. Ahgnursehgishgcompletinghgahgclinicalhgpathwayhgforhgahgchildhgadmittedhgtohgthehghospitalhgwithhgpneum
onia.hgWhichhgcharacteristichgofhgahgclinicalhgpathwayhgishgcorrect?
a. Developedhgandhgimplementedhgbyhgnurses
b. Usedhgprimarilyhginhgthehgpediatrichgsetting
c. Specifichgtimehglineshgforhgsequencinghginterventions
d. Onehgofhgthehgstepshginhgthehgnursinghgprocess
ANS:hgC
Clinicalhgpathwayshgmeasurehgoutcomeshgofhgclienthgcarehgandhgarehgdevelopedhgbyhgmultiplehghealthcarehg
professionals.hgEachhgpathwayhgoutlineshgspecifichgtimehglineshgforhgsequencinghginterventionshgandhgreflec
tshginterdisciplinaryhginterventions.hgClinicalhgpathwayshgarehgusedhginhgmultiplehgsettingshgandhgforhgclien
tshgthroughouthgthehglifehgspan.hgThehgstepshgofhgthehgnursinghgprocesshgarehgassessment,hgdiagnosis,hgplann
ing,hgimplementation,hgandhgevaluation.
DIF:hgCognitivehgLevel:hgComprehensionhgREF:hgp.hg6
OBJ:hgNursinghgProcesshgStep:hgPlanninghgMSC:hgSafehgandhgEffectivehgCarehgEnvironment
5. Whenhgplanninghgahgparentinghgclass,hgthehgnursehgshouldhgexplainhgthathgthehgleadinghgcausehgofhgde
athhginhgchildrenhg1hgtohg4hgyearshgofhgagehginhgthehgUnitedhgStateshgis:
a. prematurehgbirth.
b. congenitalhganomalies.
c. accidentalhgdeath.
d. respiratoryhgtracthgillness.
ANS:hgC
Accidentshgarehgthehgleadinghgcausehgofhgdeathhginhgchildrenhgageshg1hgtohg19hgyears.hgDisordershgofhgshorth
g gestationhgandhgunspecifiedhglowhgbirthhgweighthgmakehguphgonehgofhgthehgleadinghgcauseshgofhgdeathhginhg
neonates.hgOnehgofhgthehgleadinghgcauseshgofhginfanthgdeathhgafterhgthehgfirsthgmonthhgofhglifehgishgcongenitalh
g anomalies.hgRespiratoryhgtracthgillnesseshgarehgahgmajorhgcausehgofhgmorbidityhginhgchildren.
, DIF:hgCognitivehgLevel:hgApplicationhgREF:hgp.
9hgOBJ:hgNursinghgProcesshgStep:hgImplement
hg
ationhgMSC:hgSafehgandhgEffectivehgCarehgEnvir
onment
6. Whichhgstatementhgishgtruehgregardinghgthehgqualityhgassurancehgorhgincidenthgreport?
a. Thehgreporthgassureshgthehglegalhgdepartmenthgthathgtherehgishgnohgproblem.
b. Reportshgarehgahgpermanenthgparthgofhgthehgclientshgchart.
c. Thehgnurseshgnoteshgshouldhgcontainhgthehgfollowing:hgIncidenthgreporthgfiledhgandhgc
opyhgplacedhginhgchart.
d. Thishgreporthgishgahgformhgofhgdocumentationhgofhganhgeventhgthathgmayhgresulthg inhglegalhgaction.
ANS:hgD
Anhgincidenthgreporthgishgahgwarninghgtohgthehglegalhgdepartmenthgtohgbehgpreparedhgforhgpotentialhglegalhga
ction;hgithgishgnothgahgparthgofhgthehgclientshgcharthgorhgnursehgdocumentation.
DIF:hgCognitivehgLevel:hgKnowledgehgREF:hgp.hg14hg
OBJ:hgNursinghgProcesshgStep:hgImplementationhgM
SC:hgSafehgandhgEffectivehgCarehgEnvironment
7. Whichhgclienthgsituationhgfailshgtohgmeethgthehgfirsthgrequirementhgofhginformedhgconsent?
a. Thehgparenthgdoeshgnothgunderstandhgthehgphysicianshgexplanations.
b. Thehgphysicianhggiveshgthehgparenthgonlyhgahgpartialhglisthgofhgpossiblehgsidehgeffects
hgandhgcomplications.
c. Nohgparenthgishgavailablehgandhgthehgphysicianhgaskshgthehgadolescenthgtohgsignhgthehgco
nsenthgform.
d. Thehginfantshgteenagehgmotherhgsignshgahgconsenthgformhgbecausehgherhgparenthgtellshgherhgto.
ANS:hgC
nkhgChapterhg1.hgIssueshgandhgTrendshginhgPediatrichgNursing
MULTIPLEhgCHOICE
1. Ahgnursehgishgreviewinghgchangeshginhghealthcarehgdeliveryhgandhgfundinghgforhgpediatrichgpopulati
ons.hgWhichhgcurrenthgtrendhginhgthehgpediatrichgsettinghgshouldhgthehgnursehgexpecthgtohgfind?
a. Increasedhghospitalizationhgofhgchildren
b. Decreasedhgnumberhgofhguninsuredhgchildren
c. Anhgincreasehginhgambulatoryhgcare
d. Decreasedhgusehgofhgmanagedhgcare
ANS:hgC
Onehgeffecthgofhgmanagedhgcarehgishgthathgpediatrichghealthcarehgdeliveryhghashgshiftedhgdramaticallyhgfro
mhgthehgacutehgcarehgsettinghgtohgthehgambulatoryhgsetting.hgThehgnumberhgofhghospitalhgbedshgbeinghgusedh
g hashgdecreasedhgashgmorehgcarehgishgprovidedhginhgoutpatienthgandhghomehgsettings.hgThehgnumberhgofhgun
insuredhgchildrenhginhgthehgUnitedhgStateshgcontinueshgtohggrow.hgOnehgofhgthehgbiggesthgchangeshginhgheal
thcarehghashgbeenhgthehggrowthhgofhgmanagedhgcare.
DIF:hgCognitivehgLevel:hgComprehensionhgREF:hgp.hg3
OBJ:hgNursinghgProcesshgStep:hgPlanninghgMSC:hgSafehgandhgEffectivehgCarehgEnvironment
2. Ahgnursehgishgreferringhgahglow-
incomehgfamilyhgwithhgthreehgchildrenhgunderhgthehgagehgofhg5hgyearshgtohgahgprogramhgthathgassistshgwithhg
supplementalhgfoodhgsupplies.hgWhichhgprogramhgshouldhgthehgnursehgreferhgthishgfamilyhgto?
a. Medicaid
b. Medicare
c. EarlyhgandhgPeriodichgScreening,hgDiagnostic,hgandhgTreatmenthg(EPSDT)hgprogram
d. Women,hgInfants,hgandhgChildrenhg(WIC)hgprogram
,ANS:hgD
WIChgishgahgfederalhgprogramhgthathgprovideshgsupplementalhgfoodhgsupplieshgtohglow-
incomehgwomenhgwhohgarehgpregnanthgorhgbreast-
feedinghgandhgtohgtheirhgchildrenhguntilhgthehgagehgofhg5hgyears.hgMedicaidhgandhgthehgMedicaidhgEarlyhgand
hg PeriodichgScreening,hgDiagnostic,hgandhgTreatmenthg(EPSDT)hgprogramhgprovideshgforhgwell-
childhgexaminationshgandhgrelatedhgtreatmenthgofhgmedicalhgproblems.hgChildrenhginhgthehgWIChgprogra
mhgarehgoftenhgreferredhgforhgimmunizations,hgbuthgthathgishgnothgthehgprimaryhgfocushgofhgthehgprogram.hgP
ublichgLawhg99-
457hgprovideshgfinancialhgincentiveshgtohgstateshgtohgestablishhgcomprehensivehgearlyhginterventionhgser
viceshgforhginfantshgandhgtoddlershgwith,hgorhgathgriskhgfor,hgdevelopmentalhgdisabilities.
MedicarehgishgthehgprogramhgforhgSeniorhgCitize
ns.hgDIF:hgCognitivehgLevel:hgApplicationhgREF
:hgp.hg7hgOBJ:hgNursinghgProcesshgStep:hgImplem
entationhgMSC:hgHealthhgPromotionhgandhgMai
ntenance
3. Inhgmosthgstates,hgadolescentshgwhohgarehgnothgemancipatedhgminorshgmusthghavehgparentalhgpermis
sionhgbefore:
a. treatmenthgforhgdrughgabuse.
b. treatmenthgforhgsexuallyhgtransmittedhgdiseaseshg(STDs).
c. obtaininghgbirthhgcontrol.
d. surgery.
ANS:hgD
Anhgemancipatedhgminorhgishgahgminorhgchildhgwhohghashgthehglegalhgcompetencehgofhganhgadult.hgLegalhgc
ounselhgmayhgbehgconsultedhgtohgverifyhgthehgstatushgofhgthehgemancipatedhgminorhgforhgconsenthgpurposes.
hg MosthgstateshgallowhgminorshgtohgobtainhgtreatmenthgforhgdrughgorhgalcoholhgabusehgandhgSTDshgandhgallo
whgaccesshgtohgbirthhgcontrolhgwithouthgparentalhgconsent.
DIF:hgCognitivehgLevel:hgApplicationhgREF:hgp.hg12
OBJ:hgNursinghgProcesshgStep:hgPlanninghgMSC:hgSafehgandhgEffectivehgCarehgEnvironment
,4. Ahgnursehgishgcompletinghgahgclinicalhgpathwayhgforhgahgchildhgadmittedhgtohgthehghospitalhgwithhgpneum
onia.hgWhichhgcharacteristichgofhgahgclinicalhgpathwayhgishgcorrect?
a. Developedhgandhgimplementedhgbyhgnurses
b. Usedhgprimarilyhginhgthehgpediatrichgsetting
c. Specifichgtimehglineshgforhgsequencinghginterventions
d. Onehgofhgthehgstepshginhgthehgnursinghgprocess
ANS:hgC
Clinicalhgpathwayshgmeasurehgoutcomeshgofhgclienthgcarehgandhgarehgdevelopedhgbyhgmultiplehghealthcarehg
professionals.hgEachhgpathwayhgoutlineshgspecifichgtimehglineshgforhgsequencinghginterventionshgandhgreflec
tshginterdisciplinaryhginterventions.hgClinicalhgpathwayshgarehgusedhginhgmultiplehgsettingshgandhgforhgclien
tshgthroughouthgthehglifehgspan.hgThehgstepshgofhgthehgnursinghgprocesshgarehgassessment,hgdiagnosis,hgplann
ing,hgimplementation,hgandhgevaluation.
DIF:hgCognitivehgLevel:hgComprehensionhgREF:hgp.hg6
OBJ:hgNursinghgProcesshgStep:hgPlanninghgMSC:hgSafehgandhgEffectivehgCarehgEnvironment
5. Whenhgplanninghgahgparentinghgclass,hgthehgnursehgshouldhgexplainhgthathgthehgleadinghgcausehgofhgde
athhginhgchildrenhg1hgtohg4hgyearshgofhgagehginhgthehgUnitedhgStateshgis:
a. prematurehgbirth.
b. congenitalhganomalies.
c. accidentalhgdeath.
d. respiratoryhgtracthgillness.
ANS:hgC
Accidentshgarehgthehgleadinghgcausehgofhgdeathhginhgchildrenhgageshg1hgtohg19hgyears.hgDisordershgofhgshorth
g gestationhgandhgunspecifiedhglowhgbirthhgweighthgmakehguphgonehgofhgthehgleadinghgcauseshgofhgdeathhginhg
neonates.hgOnehgofhgthehgleadinghgcauseshgofhginfanthgdeathhgafterhgthehgfirsthgmonthhgofhglifehgishgcongenitalh
g anomalies.hgRespiratoryhgtracthgillnesseshgarehgahgmajorhgcausehgofhgmorbidityhginhgchildren.
, DIF:hgCognitivehgLevel:hgApplicationhgREF:hgp.
9hgOBJ:hgNursinghgProcesshgStep:hgImplement
hg
ationhgMSC:hgSafehgandhgEffectivehgCarehgEnvir
onment
6. Whichhgstatementhgishgtruehgregardinghgthehgqualityhgassurancehgorhgincidenthgreport?
a. Thehgreporthgassureshgthehglegalhgdepartmenthgthathgtherehgishgnohgproblem.
b. Reportshgarehgahgpermanenthgparthgofhgthehgclientshgchart.
c. Thehgnurseshgnoteshgshouldhgcontainhgthehgfollowing:hgIncidenthgreporthgfiledhgandhgc
opyhgplacedhginhgchart.
d. Thishgreporthgishgahgformhgofhgdocumentationhgofhganhgeventhgthathgmayhgresulthg inhglegalhgaction.
ANS:hgD
Anhgincidenthgreporthgishgahgwarninghgtohgthehglegalhgdepartmenthgtohgbehgpreparedhgforhgpotentialhglegalhga
ction;hgithgishgnothgahgparthgofhgthehgclientshgcharthgorhgnursehgdocumentation.
DIF:hgCognitivehgLevel:hgKnowledgehgREF:hgp.hg14hg
OBJ:hgNursinghgProcesshgStep:hgImplementationhgM
SC:hgSafehgandhgEffectivehgCarehgEnvironment
7. Whichhgclienthgsituationhgfailshgtohgmeethgthehgfirsthgrequirementhgofhginformedhgconsent?
a. Thehgparenthgdoeshgnothgunderstandhgthehgphysicianshgexplanations.
b. Thehgphysicianhggiveshgthehgparenthgonlyhgahgpartialhglisthgofhgpossiblehgsidehgeffects
hgandhgcomplications.
c. Nohgparenthgishgavailablehgandhgthehgphysicianhgaskshgthehgadolescenthgtohgsignhgthehgco
nsenthgform.
d. Thehginfantshgteenagehgmotherhgsignshgahgconsenthgformhgbecausehgherhgparenthgtellshgherhgto.
ANS:hgC
