Test Bank for Pediatric Nursing: The Critical Components of Nursing Care, 2nd Edition, Kathryn Rudd, Diane Kocisko

TEST BANK DAVIS ADVANTAGE
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FOR PEDIATRIC NURSING THE
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CRITICAL COMPONENTS OF
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nd
NURSING CARE 2 EDITION
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, Pediatric Nursing The Critical Components of Nursing Care 2nd Edition Rudd Test
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yu BankChapter 1. Issues and Trends in Pediatric Nursing yu yu yu yu yu yu yu




MULTIPLE CHOICE yu




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




b. Decreased number of uninsured children yu yu yu yu




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




care ANS: C
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One effect of managed care is that pediatric healthcare delivery has shifted dramatically from
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the
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acute care setting to the ambulatory setting. The number of hospital beds being used has
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yu decreased as more care is provided in outpatient and home settings. The number of
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yu uninsured children in the United States continues to grow. One of the biggest changes in
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yu healthcare has been the growth of managed care.
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DIF: Cognitive Level: Comprehension
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REF: p. 3
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OBJ: Nursing Process Step: Planning
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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
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yu to a program that assists with supplemental food supplies. Which program should the nurse
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refer this family 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) yu yu yu yu




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

yu Citizens. DIF:
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yu Application REF: p. 7 OBJ: Nursing yu yu yu yu yu




yu Process Step:
yu yuImplementation yuMSC:

yu Health Promotion and Maintenance
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3. In most states, adolescents who are not emancipated minors must have parental
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yu permission before: yu




a. treatment for drug abuse. yu yu yu




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




c. obtaining birth control. yu yu




d. surgery.
yu ANS: D yu




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




b. Used primarily in the pediatric setting
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c. Specific time lines for sequencing interventions
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d. One of the steps in the nursing
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process ANS: C
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Clinical pathways measure outcomes of client care and are developed by multiple healthcare
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professionals. Each pathway outlines specific time lines for sequencing interventions and
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reflects interdisciplinary interventions. Clinical pathways are used in multiple settings and
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yu for clients throughout the life span. The steps of the nursing process are assessment,
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yu diagnosis, planning, implementation, and evaluation.
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DIF: Cognitive Level: Comprehension REF: p. 6
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