Test Bank Pediatric Nursing The Critical Components of Nursing Care 2nd Edition Rudd |Complete Guide A+[2025!!!]

Test Bank Pediatric Nursing The Critical Components of

Nursing Care 2nd Edition Rudd |Complete Guide A+


Pediatric Nursing The Critical Components of Nursing Care 2nd Edition Rudd Test Bank
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Chapter 1. Issues and Trends in Pediatric Nursing
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MULTIPLE CHOICE v




1. Anurse is reviewing changes in healthcare deliveryand funding for pediatric populations.
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Which current trend in the pediatric setting should the nurse expect to find?
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a. Increased hospitalization of children v v v




b. Decreased number of uninsured children v v v v




c. An increase in ambulatory care v v v v




d. Decreased use of managed care v v v v




ANS: C v




One effect of managed care is that pediatric healthcare delivery has shifted dramatically fromthe
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acute care setting to the ambulatory setting. The number of hospital beds being used has decreased as
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more care is provided in outpatient and home settings. The number of uninsured children in the
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United States continues to grow. One of the biggest changes in healthcare has been the growth of
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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-income family with three children under the age of 5 years to a program
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that assists with supplemental food supplies. Which program should the nurse refer this family to?
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a. Medicaid
b. Medicare
c. Earlyand Periodic Screening, Diagnostic, and Treatment (EPSDT) program
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d. Women, Infants, and Children (WIC) program v v v v v

,ANS: D v




WIC is a federal program that provides supplemental food supplies to low-income women who are
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pregnant or breast-feeding and to their children until the age of 5 years. Medicaid and the Medicaid
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Earlyand Periodic Screening, Diagnostic, and Treatment (EPSDT) program provides for well-child
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examinations and related treatment of medical problems. Children in the WIC program are often
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referred for immunizations, but that is not the primary focus of the program. Public Law 99-457
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provides financial incentives to states to establish comprehensive early intervention services for
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infants and toddlers with, or at risk for, developmental disabilities.
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Medicare is the program for Senior Citizens. v v v v v v




DIF: Cognitive Level: Application REF: p. 7
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OBJ: Nursing Process Step: Implementation
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MSC: Health Promotion and Maintenance
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3. In most states, adolescents who are not emancipated minors must have parental permission
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before:
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a. treatment for drug abuse. v v v




b. treatment for sexuallytransmitted diseases (STDs). v v v v v




c. obtaining birth control. v v




d. surgery.


ANS: D v




An emancipated minor is a minor child who has the legal competence of an adult. Legal counsel may
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be consulted to verify the status of the emancipated minor for consent purposes. Most states allow
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minors to obtain treatment for drug or alcohol abuse and STDs and allow access to birth control
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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.
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Which characteristic of a clinical pathway is correct?
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a. Developed and implemented by nurses v v v v




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




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




d. One of the steps in the nursing process
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ANS: C v




Clinical pathways measure outcomes of client care and are developed by multiple healthcare
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professionals. Each pathwayoutlines specific time lines for sequencing interventions and reflects
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interdisciplinary interventions. Clinical pathways are used in multiple settings and for clients
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throughout the life span. The steps of the nursing process are assessment, diagnosis, planning,
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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 in
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children 1 to 4 years of age in the United States is:
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a. premature birth. v




b. congenital anomalies. v




c. accidental death. v




d. respiratory tract illness. v v




ANS: C v




Accidents are the leading cause of death in children ages 1 to 19 years. Disorders of short gestation
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and unspecified low birth weight make up one of the leading causes of death in neonates. One of the
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leading causes of infant death after the first month of life is congenital anomalies. Respiratory tract
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illnesses are a major cause of morbidity in children.
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, DIF: Cognitive Level: Application REF: p. 9
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OBJ: Nursing Process Step: Implementation
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MSC: Safe and Effective Care Environment
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6. Whichstatement is true regarding the quality assurance or incident report?
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a. The report assures the legal department that there is no problem.
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b. Reports are a permanent part of the clients chart. v v v v v v v v




c. The nurses notes should contain the following: Incident report filed and copy
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placed in chart.
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d. This report is a form of documentation of an event that may result in legal action.
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ANS: D v




An incident report is a warning to the legal department to be prepared for potential legal action; it is
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not a part of the clients chart or nurse documentation.
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DIF: Cognitive Level: Knowledge REF: p. 14 OBJ:
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Nursing Process Step: Implementation MSC: Safe
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and Effective Care Environment
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7. Whichclient situation fails to meet the first requirement of informed consent?
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a. The parent does not understand the physicians explanations.
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b. The physician gives the parent only a partial list of possible side effects and
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complications.
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c. No parent is available and the physician asks the adolescent to sign the consent
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form. v




d. The infants teenage mother signs a consent form because her parent tells her to.
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ANS: C v