,q Pediatric Nursing The Critical Components of Nursing Care 3rd Edition Rudd Test Bank (ALL C
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OMPLETE CHAPTERS) q
Chapter 1. Issues and Trends in Pediatric Nursing
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MULTIPLE CHOICE q
1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations.Which cur
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rent trend in the pediatric setting should the nurse expect to find?
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a. Increased hospitalization of children q q q
b. Decreased number of uninsured children q q q q
c. An increase in ambulatory care
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d. Decreased use of managed care q q q q
ANS: C q
One effect of managed care is that pediatric healthcare delivery has shifted dramatically from theacute care sett
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ing to the ambulatory setting. The number of hospital beds being used has decreased as more care is provided i
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n outpatient and home settings. The number of uninsured children in the United States continues to grow. One
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of the biggest 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 su
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pplies. 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 q q q q q
,ANS: D q
WIC is a federal program that provides supplemental food supplies to low-
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income women whoare pregnant or breast-
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feeding and to their children until the age of 5 years. Medicaid and the Medicaid Early and Periodic Screening
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, Diagnostic, and Treatment (EPSDT) program providesfor well-
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child examinations and related treatment of medical problems. Children in the WIC program are often referr
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ed for 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
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and toddlers with, or at risk for, developmental disabilities.
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Medicare is the program for Senior Citizens. DIF:
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Cognitive Level: Application REF: p. 7 OBJ: q q q q q q
Nursing Process Step: Implementation MSC:
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Health Promotion and Maintenanceq q q
3. In most states, adolescents who are not emancipated minors must have parental permissionbefore:
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a. treatment for drug abuse. q q q
b. treatment for sexually transmitted diseases (STDs). q q q q q
c. obtaining birth control. q q
d. surgery.
ANS: D q
An emancipated minor is a minor child who has the legal competence of an adult. Legal counselmay be consult
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ed to verify the status of the emancipated minor for consent purposes. Most statesallow minors to obtain treatm
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ent for drug or alcohol abuse and STDs and allow access to birth control without parental consent.
q q q q q q q q q q q q q q q q
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 char
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acteristic of a clinical pathway is correct?
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a. Developed and implemented by nurses q q q q
b. Used primarily in the pediatric setting
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c. Specific time lines for sequencing interventions q q q q q
d. One of the steps in the nursing process
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ANS: C q
Clinical pathways measure outcomes of client care and are developed by multiple healthcare professionals. Ea
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ch pathway outlines specific time lines for sequencing interventions and reflectsinterdisciplinary interventions.
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Clinical pathways are used in multiple settings and for clients throughout the life span. The steps of the nursing
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process are 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
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q 4 years of age in the United States is:
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a. premature birth. q
b. congenital anomalies. q
c. accidental death. q
d. respiratory tract illness. q q
ANS: C q
Accidents are the leading cause of death in children ages 1 to 19 years. Disorders of short gestation and unsp
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ecified low birth weight make up one of the leading causes of death in neonates. One of the leading causes of i
q q q q q q q q q q q q q q q q q q q q q
nfant death after the first month of life is congenitalanomalies. Respiratory tract illnesses are a major cause of
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q morbidity in children. q q
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OMPLETE CHAPTERS) q
Chapter 1. Issues and Trends in Pediatric Nursing
q q q q q q q
MULTIPLE CHOICE q
1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations.Which cur
q q q q q q q q q q q q q
rent trend in the pediatric setting should the nurse expect to find?
q q q q q q q q q q q
a. Increased hospitalization of children q q q
b. Decreased number of uninsured children q q q q
c. An increase in ambulatory care
q q q q
d. Decreased use of managed care q q q q
ANS: C q
One effect of managed care is that pediatric healthcare delivery has shifted dramatically from theacute care sett
q q q q q q q q q q q q q q q q
ing to the ambulatory setting. The number of hospital beds being used has decreased as more care is provided i
q q q q q q q q q q q q q q q q q q q
n outpatient and home settings. The number of uninsured children in the United States continues to grow. One
q q q q q q q q q q q q q q q q q q
of the biggest changes in healthcare has been the growth of managed care.
q q q q q q q q q q q q
DIF: Cognitive Level: Comprehension REF: p. 3
q q q q q q
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
q q q q q q q q q q
2. A nurse is referring a low-
q q q q q
income family with three children under the age of 5 years to a program that assists with supplemental food su
q q q q q q q q q q q q q q q q q q q
pplies. Which program should the nurse refer thisfamily to?
q q q q q q q q
a. Medicaid
b. Medicare
c. Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program
q q q q q q q q
d. Women, Infants, and Children (WIC) program q q q q q
,ANS: D q
WIC is a federal program that provides supplemental food supplies to low-
q q q q q q q q q q q
income women whoare pregnant or breast-
q q q q q
feeding and to their children until the age of 5 years. Medicaid and the Medicaid Early and Periodic Screening
q q q q q q q q q q q q q q q q q q
, Diagnostic, and Treatment (EPSDT) program providesfor well-
q q q q q q q
child examinations and related treatment of medical problems. Children in the WIC program are often referr
q q q q q q q q q q q q q q q
ed for immunizations, but that is not the primary focus of the program.Public Law 99-
q q q q q q q q q q q q q q
457 provides financial incentives to states to establish comprehensive early intervention services for infants
q q q q q q q q q q q q q
and toddlers with, or at risk for, developmental disabilities.
q q q q q q q q q
Medicare is the program for Senior Citizens. DIF:
q q q q q q q
Cognitive Level: Application REF: p. 7 OBJ: q q q q q q
Nursing Process Step: Implementation MSC:
q q q q
Health Promotion and Maintenanceq q q
3. In most states, adolescents who are not emancipated minors must have parental permissionbefore:
q q q q q q q q q q q q
a. treatment for drug abuse. q q q
b. treatment for sexually transmitted diseases (STDs). q q q q q
c. obtaining birth control. q q
d. surgery.
ANS: D q
An emancipated minor is a minor child who has the legal competence of an adult. Legal counselmay be consult
q q q q q q q q q q q q q q q q q q
ed to verify the status of the emancipated minor for consent purposes. Most statesallow minors to obtain treatm
q q q q q q q q q q q q q q q q q
ent for drug or alcohol abuse and STDs and allow access to birth control without parental consent.
q q q q q q q q q q q q q q q q
DIF: Cognitive Level: Application REF: p. 12
q q q q q q
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
q q q q q q q q q q
, 4. A nurse is completing a clinical pathway for a child admitted to the hospital with pneumonia.Which char
q q q q q q q q q q q q q q q q
acteristic of a clinical pathway is correct?
q q q q q q
a. Developed and implemented by nurses q q q q
b. Used primarily in the pediatric setting
q q q q q
c. Specific time lines for sequencing interventions q q q q q
d. One of the steps in the nursing process
q q q q q q q
ANS: C q
Clinical pathways measure outcomes of client care and are developed by multiple healthcare professionals. Ea
q q q q q q q q q q q q q q
ch pathway outlines specific time lines for sequencing interventions and reflectsinterdisciplinary interventions.
q q q q q q q q q q q q
Clinical pathways are used in multiple settings and for clients throughout the life span. The steps of the nursing
q q q q q q q q q q q q q q q q q q q
process are assessment, diagnosis, planning, implementation, and evaluation.
q q q q q q q
DIF: Cognitive Level: Comprehension REF: p. 6
q q q q q q
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
q q q q q q q q q q
5. When planning a parenting class, the nurse should explain that the leading cause of death inchildren 1 to
q q q q q q q q q q q q q q q q q
q 4 years of age in the United States is:
q q q q q q q q
a. premature birth. q
b. congenital anomalies. q
c. accidental death. q
d. respiratory tract illness. q q
ANS: C q
Accidents are the leading cause of death in children ages 1 to 19 years. Disorders of short gestation and unsp
q q q q q q q q q q q q q q q q q q q
ecified low birth weight make up one of the leading causes of death in neonates. One of the leading causes of i
q q q q q q q q q q q q q q q q q q q q q
nfant death after the first month of life is congenitalanomalies. Respiratory tract illnesses are a major cause of
q q q q q q q q q q q q q q q q q
q morbidity in children. q q
