Page|1
, Chapter1.IssuesandTrendsingPediatric NursinggMULTIPLEgCH
m
OICE
1. Anurseisreviewingchangesginhealthcaregdeliveryandfundingforpediatricpopulations.gWhic
hgcurrentgtrendgingthegpediatricgsettinggshouldgthegnursegexpectgtogfind?
a. Increasedhospitalizationofchildren
b. Decreasednumberofuninsuredchildren
c. Anincreaseinambulatorycare
d. Decreaseduseofmanagedcare
gACURATEgANSWER:gC
Onegeffectgofmanagedgcaregisgthatgpediatricghealthcaregdeliveryghasgshiftedgdramaticallygfromgthega
cutegcaregsettingtotheambulatorysetting.gThenumbergofghospitalgbedsgbeing usedghasdecreasedgasgm
n
oregcaregisgprovided inoutpatientgandhomesettings.gThenumberofuninsuredchildrenintheUnitedgStates
m
continuestoggrow.gOnegofgthegbiggestgchangesgin healthcareghasgbeengtheggrowthgofmanagedgcare
m
.
DIF:CognitivegLevel:gComprehensiongREF:gp.g3
OBJ:NursingProcess Step:PlanningMSC:SafeandEffectiveCareEnvironment
m
2. Anursegisgreferringalow-
incomefamilywiththreechildrengundertheagegofg5gyearstoagprogramthatgassistswithgsuppleme
ntalgfoodgsupplies.gWhichgprogramgshouldthegnurserefergthisgfamilygto?
a. Medicaid
b. Medicare
c. Earlyand PeriodicgScreening,gDiagnostic, andgTreatment (EPSDT)gprogram
n n n
d. Women,gInfants,andgChildren(WIC)gprogramgACURATEgANSWER:gD
WICisafederalprogramthatprovidessupplementalfoodsuppliestolow-
incomewomenwhoarepregnantg g g orbreast-
feedingand totheirgchildrenuntiltheageofg5gyears.gMedicaidandthegMedicaidgEarlyandgPeriodicgScre
m
ening,gDiagnostic,gandgTreatmentg(EPSDT)gprogramgprovidesgforgwell-
childexaminationsgandgrelatedgtreatmentofmedicalproblems.gChildreninthegWICprogramareoftenrefer
redforimmunizations,butthatisg notgtheprimaryfocusoftheprogram.gPublicgLawg99-
457gprovidesfinancialgincentivesgtostatesgtoestablishgcomprehensiveearlyinterventiongservicesgforgi
nfantsandtoddlersgwith,gorgatgriskgfor,gdevelopmentalgdisabilities.
MedicareisthegprogramforSeniorCitizens.DIF:CognitiveLevel:gApplication REF:p.7OBJ:gNursinggPro
m
Page|2
,cessgStep:gImplementationgMSC:gHealthgPromotionandgMaintenance
Page|3
, 3. In moststates,adolescentsgwhoare notemancipated minorsgmust have parental permissiongbefore:
n n
a. treatment forgdrugabuse.
n
b. treatmentforsexuallytransmitteddiseases(STDs).
c. obtainingbirthgcontrol.
d. surgery.
ACURATEANSWER:D
An emancipated minorgisaminorchildwhohas theglegalcompetenceofanadult.gLegalcounselmaybe
m m m
gconsultedtoverifythestatusoftheemancipatedminorgforconsentgpurposes.gMost statesallowminor
m
stogobtaintreatmentfordrugoralcoholabuseandgSTDsandgallowaccesstobirthcontrolwithoutparent
algconsent.
DIF:CognitivegLevel:gApplicationREF:gp.12
OBJ:NursingProcess Step:PlanningMSC:Safeandg EffectiveCareEnvironment
m
4. Anurseiscompletingagclinicalgpathwayforgachildadmittedgtotheghospitalgwithpneumonia.gW
hichgcharacteristicgofgagclinicalgpathwaygisgcorrect?
a. Developedandimplementedbynurses
b. Usedprimarilyinthepediatricgsetting
c. Specificgtimelinesforgsequencing interventions
n
d. Oneofthestepsinthenursingprocessg ACURATEANSWER:g C
Clinicalgpathwaysgmeasureoutcomesgofgclientgcaregandgaregdevelopedgbymultipleghealthcaregprofess
ionals.gEachgpathwaygoutlinesgspecificgtimeglinesgforgsequencing interventionsgand reflectsginterdis
m m
ciplinaryginterventions.gClinicalpathwaysgareusedingmultiplesettingsgandforclientsthroughoutgtheglifegs
pan.gThegstepsgofgthegnursinggprocessgaregassessment,gdiagnosis,gplanning,gimplementation,gandge
valuation.
DIF:CognitivegLevel:gComprehensiongREF:gp.g6
OBJ:NursingProcess Step:PlanningMSC:SafeandEffectiveCareEnvironment
m
Page|4
, Chapter1.IssuesandTrendsingPediatric NursinggMULTIPLEgCH
m
OICE
1. Anurseisreviewingchangesginhealthcaregdeliveryandfundingforpediatricpopulations.gWhic
hgcurrentgtrendgingthegpediatricgsettinggshouldgthegnursegexpectgtogfind?
a. Increasedhospitalizationofchildren
b. Decreasednumberofuninsuredchildren
c. Anincreaseinambulatorycare
d. Decreaseduseofmanagedcare
gACURATEgANSWER:gC
Onegeffectgofmanagedgcaregisgthatgpediatricghealthcaregdeliveryghasgshiftedgdramaticallygfromgthega
cutegcaregsettingtotheambulatorysetting.gThenumbergofghospitalgbedsgbeing usedghasdecreasedgasgm
n
oregcaregisgprovided inoutpatientgandhomesettings.gThenumberofuninsuredchildrenintheUnitedgStates
m
continuestoggrow.gOnegofgthegbiggestgchangesgin healthcareghasgbeengtheggrowthgofmanagedgcare
m
.
DIF:CognitivegLevel:gComprehensiongREF:gp.g3
OBJ:NursingProcess Step:PlanningMSC:SafeandEffectiveCareEnvironment
m
2. Anursegisgreferringalow-
incomefamilywiththreechildrengundertheagegofg5gyearstoagprogramthatgassistswithgsuppleme
ntalgfoodgsupplies.gWhichgprogramgshouldthegnurserefergthisgfamilygto?
a. Medicaid
b. Medicare
c. Earlyand PeriodicgScreening,gDiagnostic, andgTreatment (EPSDT)gprogram
n n n
d. Women,gInfants,andgChildren(WIC)gprogramgACURATEgANSWER:gD
WICisafederalprogramthatprovidessupplementalfoodsuppliestolow-
incomewomenwhoarepregnantg g g orbreast-
feedingand totheirgchildrenuntiltheageofg5gyears.gMedicaidandthegMedicaidgEarlyandgPeriodicgScre
m
ening,gDiagnostic,gandgTreatmentg(EPSDT)gprogramgprovidesgforgwell-
childexaminationsgandgrelatedgtreatmentofmedicalproblems.gChildreninthegWICprogramareoftenrefer
redforimmunizations,butthatisg notgtheprimaryfocusoftheprogram.gPublicgLawg99-
457gprovidesfinancialgincentivesgtostatesgtoestablishgcomprehensiveearlyinterventiongservicesgforgi
nfantsandtoddlersgwith,gorgatgriskgfor,gdevelopmentalgdisabilities.
MedicareisthegprogramforSeniorCitizens.DIF:CognitiveLevel:gApplication REF:p.7OBJ:gNursinggPro
m
Page|2
,cessgStep:gImplementationgMSC:gHealthgPromotionandgMaintenance
Page|3
, 3. In moststates,adolescentsgwhoare notemancipated minorsgmust have parental permissiongbefore:
n n
a. treatment forgdrugabuse.
n
b. treatmentforsexuallytransmitteddiseases(STDs).
c. obtainingbirthgcontrol.
d. surgery.
ACURATEANSWER:D
An emancipated minorgisaminorchildwhohas theglegalcompetenceofanadult.gLegalcounselmaybe
m m m
gconsultedtoverifythestatusoftheemancipatedminorgforconsentgpurposes.gMost statesallowminor
m
stogobtaintreatmentfordrugoralcoholabuseandgSTDsandgallowaccesstobirthcontrolwithoutparent
algconsent.
DIF:CognitivegLevel:gApplicationREF:gp.12
OBJ:NursingProcess Step:PlanningMSC:Safeandg EffectiveCareEnvironment
m
4. Anurseiscompletingagclinicalgpathwayforgachildadmittedgtotheghospitalgwithpneumonia.gW
hichgcharacteristicgofgagclinicalgpathwaygisgcorrect?
a. Developedandimplementedbynurses
b. Usedprimarilyinthepediatricgsetting
c. Specificgtimelinesforgsequencing interventions
n
d. Oneofthestepsinthenursingprocessg ACURATEANSWER:g C
Clinicalgpathwaysgmeasureoutcomesgofgclientgcaregandgaregdevelopedgbymultipleghealthcaregprofess
ionals.gEachgpathwaygoutlinesgspecificgtimeglinesgforgsequencing interventionsgand reflectsginterdis
m m
ciplinaryginterventions.gClinicalpathwaysgareusedingmultiplesettingsgandforclientsthroughoutgtheglifegs
pan.gThegstepsgofgthegnursinggprocessgaregassessment,gdiagnosis,gplanning,gimplementation,gandge
valuation.
DIF:CognitivegLevel:gComprehensiongREF:gp.g6
OBJ:NursingProcess Step:PlanningMSC:SafeandEffectiveCareEnvironment
m
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