Pediatric Nursing The Critical Components of Nursing C
g g g g g g g
are 2nd Edition Rudd Test Bank (1)
g g g g g g
PediatricgNursinggThegCriticalgComponentsgofgNursinggCareg2ndgEditiongRuddgTestgBankg
Chapterg1.gIssuesgandgTrendsgingPediatricgNursing
MULTIPLEgCHOICE
1. Agnursegisgreviewinggchangesginghealthcaregdeliverygandgfundinggforgpediatricgpopulation
s.gWhichgcurrentgtrendgingthegpediatricgsettinggshouldgthegnursegexpectgtogfind?
a. Increasedghospitalizationgofgchildren
b. Decreasedgnumbergofguninsuredgchildren
c. Angincreasegingambulatorygcare
d. Decreasedgusegofgmanagedgcare
ANS:gC
Onegeffectgofgmanagedgcaregisgthatgpediatricghealthcaregdeliveryghasgshiftedgdramaticallygfromgt
hegacutegcaregsettinggtogthegambulatorygsetting.gThegnumbergofghospitalgbedsgbeinggusedghasgdec
reasedgasgmoregcaregisgprovidedgingoutpatientgandghomegsettings.gThegnumbergofguninsuredgchil
drengingthegUnitedgStatesgcontinuesgtoggrow.gOnegofgthegbiggestgchangesginghealthcareghasgbeeng
theggrowthgofgmanagedgcare.
DIF:gCognitivegLevel:gComprehensiongREF:gp.g3
OBJ:gNursinggProcessgStep:gPlanninggMSC:gSafegandgEffectivegCaregEnvironment
2. Agnursegisgreferringgaglow-
incomegfamilygwithgthreegchildrengundergthegagegofg5gyearsgtogagprogramgthatgassistsgwithgsuppl
ementalgfoodgsupplies.gWhichgprogramgshouldgthegnursegrefergthisgfamilygto?
a. Medicaid
b. Medicare
c. EarlygandgPeriodicgScreening,gDiagnostic,gandgTreatmentg(EPSDT)gprogram
d. Women,gInfants,gandgChildreng(WIC)gprogram
,Pediatric Nursing The Critical Components of Nursing C
g g g g g g g
are 2nd Edition Rudd Test Bank (1)
g g g g g g
ANS:gD
WICgisgagfederalgprogramgthatgprovidesgsupplementalgfoodgsuppliesgtoglow-
incomegwomengwhogaregpregnantgorgbreast-
feedinggandgtogtheirgchildrenguntilgthegagegofg5gyears.gMedicaidgandgthegMedicaidgEarlygandgP
eriodicgScreening,gDiagnostic,gandgTreatmentg(EPSDT)gprogramgprovidesgforgwell-
childgexaminationsgandgrelatedgtreatmentgofgmedicalgproblems.gChildrengingthegWICgprogramg
aregoftengreferredgforgimmunizations,gbutgthatgisgnotgthegprimarygfocusgofgthegprogram.gPublicg
Lawg99-
457gprovidesgfinancialgincentivesgtogstatesgtogestablishgcomprehensivegearlyginterventiongservi
cesgforginfantsgandgtoddlersgwith,gorgatgriskgfor,gdevelopmentalgdisabilities.
MedicaregisgthegprogramgforgSeniorgCitizens
.gDIF:gCognitivegLevel:gApplicationgREF:gp.
7 OBJ:gNursinggProcessgStep:gImplementati
g g
ongMSC:gHealthgPromotiongandgMaintenanc
e
3. Ingmostgstates,gadolescentsgwhogaregnotgemancipatedgminorsgmustghavegparentalgpermissio
ngbefore:
a. treatmentgforgdruggabuse.
b. treatmentgforgsexuallygtransmittedgdiseasesg(STDs).
c. obtaininggbirthgcontrol.
d. surgery.
ANS:gD
Angemancipatedgminorgisgagminorgchildgwhoghasgtheglegalgcompetencegofgangadult.gLegalgcounselg
maygbegconsultedgtogverifygthegstatusgofgthegemancipatedgminorgforgconsentgpurposes.gMostgstatesg
allowgminorsgtogobtaingtreatmentgforgdruggorgalcoholgabusegandgSTDsgandgallowgaccessgtogbirthgc
,Pediatric Nursing The Critical Components of Nursing C
g g g g g g g
are 2nd Edition Rudd Test Bank (1)
g g g g g g
ontrolgwithoutgparentalgconsent.
DIF:gCognitivegLevel:gApplicationgREF:gp.g12
OBJ:gNursinggProcessgStep:gPlanninggMSC:gSafegandgEffectivegCaregEnvironment
, Pediatric Nursing The Critical Components of Nursing C
g g g g g g g
are 2nd Edition Rudd Test Bank (1)
g g g g g g
4. Agnursegisgcompletinggagclinicalgpathwaygforgagchildgadmittedgtogtheghospitalgwithgpneumoni
a.gWhichgcharacteristicgofgagclinicalgpathwaygisgcorrect?
a. Developedgandgimplementedgbygnurses
b. Usedgprimarilygingthegpediatricgsetting
c. Specificgtimeglinesgforgsequencingginterventions
d. Onegofgthegstepsgingthegnursinggprocess
ANS:gC
Clinicalgpathwaysgmeasuregoutcomesgofgclientgcaregandgaregdevelopedgbygmultipleghealthcaregpro
fessionals.gEachgpathwaygoutlinesgspecificgtimeglinesgforgsequencingginterventionsgandgreflectsginte
rdisciplinaryginterventions.gClinicalgpathwaysgaregusedgingmultiplegsettingsgandgforgclientsgthroug
houtgtheglifegspan.gThegstepsgofgthegnursinggprocessgaregassessment,gdiagnosis,gplanning,gimpleme
ntation,gandgevaluation.
DIF:gCognitivegLevel:gComprehensiongREF:gp.g6
OBJ:gNursinggProcessgStep:gPlanninggMSC:gSafegandgEffectivegCaregEnvironment
5. Whengplanninggagparentinggclass,gthegnursegshouldgexplaingthatgthegleadinggcausegofgdeathg
ingchildreng1gtog4gyearsgofgagegingthegUnitedgStatesgis:
a. prematuregbirth.
b. congenitalganomalies.
c. accidentalgdeath.
d. respiratorygtractgillness.
ANS:gC
Accidentsgaregthegleadinggcausegofgdeathgingchildrengagesg1gtog19gyears.gDisordersgofgshortggest
ationgandgunspecifiedglowgbirthgweightgmakegupgonegofgthegleadinggcausesgofgdeathgingneonates.
Onegofgthegleadinggcausesgofginfantgdeathgaftergthegfirstgmonthgofglifegisgcongenitalganomalies.gR
g
espiratorygtractgillnessesgaregagmajorgcausegofgmorbiditygingchildren.
g g g g g g g
are 2nd Edition Rudd Test Bank (1)
g g g g g g
PediatricgNursinggThegCriticalgComponentsgofgNursinggCareg2ndgEditiongRuddgTestgBankg
Chapterg1.gIssuesgandgTrendsgingPediatricgNursing
MULTIPLEgCHOICE
1. Agnursegisgreviewinggchangesginghealthcaregdeliverygandgfundinggforgpediatricgpopulation
s.gWhichgcurrentgtrendgingthegpediatricgsettinggshouldgthegnursegexpectgtogfind?
a. Increasedghospitalizationgofgchildren
b. Decreasedgnumbergofguninsuredgchildren
c. Angincreasegingambulatorygcare
d. Decreasedgusegofgmanagedgcare
ANS:gC
Onegeffectgofgmanagedgcaregisgthatgpediatricghealthcaregdeliveryghasgshiftedgdramaticallygfromgt
hegacutegcaregsettinggtogthegambulatorygsetting.gThegnumbergofghospitalgbedsgbeinggusedghasgdec
reasedgasgmoregcaregisgprovidedgingoutpatientgandghomegsettings.gThegnumbergofguninsuredgchil
drengingthegUnitedgStatesgcontinuesgtoggrow.gOnegofgthegbiggestgchangesginghealthcareghasgbeeng
theggrowthgofgmanagedgcare.
DIF:gCognitivegLevel:gComprehensiongREF:gp.g3
OBJ:gNursinggProcessgStep:gPlanninggMSC:gSafegandgEffectivegCaregEnvironment
2. Agnursegisgreferringgaglow-
incomegfamilygwithgthreegchildrengundergthegagegofg5gyearsgtogagprogramgthatgassistsgwithgsuppl
ementalgfoodgsupplies.gWhichgprogramgshouldgthegnursegrefergthisgfamilygto?
a. Medicaid
b. Medicare
c. EarlygandgPeriodicgScreening,gDiagnostic,gandgTreatmentg(EPSDT)gprogram
d. Women,gInfants,gandgChildreng(WIC)gprogram
,Pediatric Nursing The Critical Components of Nursing C
g g g g g g g
are 2nd Edition Rudd Test Bank (1)
g g g g g g
ANS:gD
WICgisgagfederalgprogramgthatgprovidesgsupplementalgfoodgsuppliesgtoglow-
incomegwomengwhogaregpregnantgorgbreast-
feedinggandgtogtheirgchildrenguntilgthegagegofg5gyears.gMedicaidgandgthegMedicaidgEarlygandgP
eriodicgScreening,gDiagnostic,gandgTreatmentg(EPSDT)gprogramgprovidesgforgwell-
childgexaminationsgandgrelatedgtreatmentgofgmedicalgproblems.gChildrengingthegWICgprogramg
aregoftengreferredgforgimmunizations,gbutgthatgisgnotgthegprimarygfocusgofgthegprogram.gPublicg
Lawg99-
457gprovidesgfinancialgincentivesgtogstatesgtogestablishgcomprehensivegearlyginterventiongservi
cesgforginfantsgandgtoddlersgwith,gorgatgriskgfor,gdevelopmentalgdisabilities.
MedicaregisgthegprogramgforgSeniorgCitizens
.gDIF:gCognitivegLevel:gApplicationgREF:gp.
7 OBJ:gNursinggProcessgStep:gImplementati
g g
ongMSC:gHealthgPromotiongandgMaintenanc
e
3. Ingmostgstates,gadolescentsgwhogaregnotgemancipatedgminorsgmustghavegparentalgpermissio
ngbefore:
a. treatmentgforgdruggabuse.
b. treatmentgforgsexuallygtransmittedgdiseasesg(STDs).
c. obtaininggbirthgcontrol.
d. surgery.
ANS:gD
Angemancipatedgminorgisgagminorgchildgwhoghasgtheglegalgcompetencegofgangadult.gLegalgcounselg
maygbegconsultedgtogverifygthegstatusgofgthegemancipatedgminorgforgconsentgpurposes.gMostgstatesg
allowgminorsgtogobtaingtreatmentgforgdruggorgalcoholgabusegandgSTDsgandgallowgaccessgtogbirthgc
,Pediatric Nursing The Critical Components of Nursing C
g g g g g g g
are 2nd Edition Rudd Test Bank (1)
g g g g g g
ontrolgwithoutgparentalgconsent.
DIF:gCognitivegLevel:gApplicationgREF:gp.g12
OBJ:gNursinggProcessgStep:gPlanninggMSC:gSafegandgEffectivegCaregEnvironment
, Pediatric Nursing The Critical Components of Nursing C
g g g g g g g
are 2nd Edition Rudd Test Bank (1)
g g g g g g
4. Agnursegisgcompletinggagclinicalgpathwaygforgagchildgadmittedgtogtheghospitalgwithgpneumoni
a.gWhichgcharacteristicgofgagclinicalgpathwaygisgcorrect?
a. Developedgandgimplementedgbygnurses
b. Usedgprimarilygingthegpediatricgsetting
c. Specificgtimeglinesgforgsequencingginterventions
d. Onegofgthegstepsgingthegnursinggprocess
ANS:gC
Clinicalgpathwaysgmeasuregoutcomesgofgclientgcaregandgaregdevelopedgbygmultipleghealthcaregpro
fessionals.gEachgpathwaygoutlinesgspecificgtimeglinesgforgsequencingginterventionsgandgreflectsginte
rdisciplinaryginterventions.gClinicalgpathwaysgaregusedgingmultiplegsettingsgandgforgclientsgthroug
houtgtheglifegspan.gThegstepsgofgthegnursinggprocessgaregassessment,gdiagnosis,gplanning,gimpleme
ntation,gandgevaluation.
DIF:gCognitivegLevel:gComprehensiongREF:gp.g6
OBJ:gNursinggProcessgStep:gPlanninggMSC:gSafegandgEffectivegCaregEnvironment
5. Whengplanninggagparentinggclass,gthegnursegshouldgexplaingthatgthegleadinggcausegofgdeathg
ingchildreng1gtog4gyearsgofgagegingthegUnitedgStatesgis:
a. prematuregbirth.
b. congenitalganomalies.
c. accidentalgdeath.
d. respiratorygtractgillness.
ANS:gC
Accidentsgaregthegleadinggcausegofgdeathgingchildrengagesg1gtog19gyears.gDisordersgofgshortggest
ationgandgunspecifiedglowgbirthgweightgmakegupgonegofgthegleadinggcausesgofgdeathgingneonates.
Onegofgthegleadinggcausesgofginfantgdeathgaftergthegfirstgmonthgofglifegisgcongenitalganomalies.gR
g
espiratorygtractgillnessesgaregagmajorgcausegofgmorbiditygingchildren.