TEST BANK For Davis Advantage for Pediatric Nursing: Critical Components of Nursing Care, 3rd Edition by Kathryn Rudd, Complete Chapter's 1 - 22, 100 % Verified

,Pediatric Nursing The Critical Components of Nursing Care 3rd Edition Rudd Test Bank (ALL COM
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PLETE CHAPTERS) f




Chapter 1. Issues and Trends in Pediatric Nursing
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MULTIPLE CHOICE f




1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations.Which curre
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nt trend in the pediatric setting should the nurse expect to find?
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a. Increased hospitalization of children f f f




b. Decreased number of uninsured children f f f f




c. An increase in ambulatory care
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d. Decreased use of managed care f f f f




ANS: C f




One effect of managed care is that pediatric healthcare delivery has shifted dramatically from theacute care setting
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to the ambulatory setting. The number of hospital beds being used has decreased as more care is provided in outpa
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tient and home settings. The number of uninsured children in the United States continues to grow. One of the bigge
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st changes in healthcare has been the growth of 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-
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income family with three children under the age of 5 years to a program that assists with supplemental food supplie
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s. Which program should the nurse refer thisfamily 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 f f f f f

,ANS: D f




WIC is a federal program that provides supplemental food supplies to low-
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income women whoare pregnant or breast- f f f f f



feeding and to their children until the age of 5 years. Medicaid and the Medicaid Early and Periodic Screening, Di
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agnostic, and Treatment (EPSDT) program providesfor well- f f f f f f



child examinations and related treatment of medical problems. Children in the WIC program are often referred f
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or immunizations, but that is not the primary focus of the program.Public Law 99-
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457 provides financial incentives to states to establish comprehensive early intervention services for infants an
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d toddlers with, or at risk for, developmental disabilities.
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Medicare is the program for Senior Citizens. DIF: f f f f f f f




Cognitive Level: Application REF: p. 7 OBJ: f f f f f f




Nursing Process Step: Implementation MSC: f f f f




Health Promotion and Maintenance f f f




3. In most states, adolescents who are not emancipated minors must have parental permissionbefore:
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a. treatment for drug abuse. f f f




b. treatment for sexually transmitted diseases (STDs). f f f f f




c. obtaining birth control. f f




d. surgery.


ANS: D f




An emancipated minor is a minor child who has the legal competence of an adult. Legal counselmay be consulted to
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verify the status of the emancipated minor for consent purposes. Most statesallow minors to obtain treatment for dr
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ug or alcohol abuse and STDs and allow access to birth control 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.Which charact
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eristic of a clinical pathway is correct?
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a. Developed and implemented by nurses f f f f




b. Used primarily in the pediatric setting f f f f f




c. Specific time lines for sequencing interventions f f f f f




d. One of the steps in the nursing process f f f f f f f




ANS: C f




Clinical pathways measure outcomes of client care and are developed by multiple healthcare professionals. Each
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pathway outlines specific time lines for sequencing interventions and reflectsinterdisciplinary interventions. Clinic
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al pathways are used in multiple settings and for clients throughout the life span. The steps of the nursing process ar
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e assessment, diagnosis, planning, implementation, and evaluation.
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DIF: Cognitive Level: Comprehension REF: p. 6
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OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
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5. When planning a parenting class, the nurse should explain that the leading cause of death inchildren 1 to 4 y
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ears of age in the United States is:
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a. premature birth. f




b. congenital anomalies. f




c. accidental death. f




d. respiratory tract illness. f f




ANS: C f




Accidents are the leading cause of death in children ages 1 to 19 years. Disorders of short gestation and unspecifi
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ed low birth weight make up one of the leading causes of death in neonates. One of the leading causes of infant dea
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th after the first month of life is congenitalanomalies. Respiratory tract illnesses are a major cause of morbidity in
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children.