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