TEST BANK DAVIS ADVANTAGE
FOR PEDIATRIC NURSING THE
CRITICAL COMPONENTS OF
NURSING CARE 2nd EDITION
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Pediatric Nursing The Critical Components of Nursing Care 2nd Edition Rudd
Test BankChapter 1. Issues and Trends in Pediatric Nursing
MULTIPLE CHOICE
1. A nurse is reviewing changes in healthcare delivery and funding for
pediatric populations. Which current trend in the pediatric setting should
the nurse expect to find?
a. Increased hospitalization of children
b. Decreased number of uninsured children
c. An increase in ambulatory care
d. Decreased use of
managed care ANS: C
One effect of managed care is that pediatric healthcare delivery has shifted
dramatically from the
acute care setting to the ambulatory setting. The number of hospital beds being
used has decreased as more care is provided in outpatient and home settings.
The number of uninsured children in the United States continues to grow. One
of the biggest changes in healthcare has been the growth of managed care.
DIF: Cognitive Level:
Comprehension REF: p. 3
OBJ: Nursing Process Step: Planning
MSC: Safe and Effective Care Environment
2. A nurse is referring a low-income family with three children under the age of
5 years to a program that assists with supplemental food supplies. Which
program should the nurse refer this family to?
a. Medicaid
b. Medicare
c. Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program
d. Women, Infants, and Children (WIC)
program ANS: D
WIC is a federal program that provides supplemental food supplies to low-income
women who
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are pregnant or breast-feeding and to their children until the age of 5 years.
Medicaid and the Medicaid Early and Periodic Screening, Diagnostic, and
Treatment (EPSDT) program provides for well-child examinations and related
treatment of medical problems. Children in the WIC program are often referred
for immunizations, but that is not the primary focus of the program. Public Law
99-457 provides financial incentives to states to establish comprehensive early
intervention services for infants and toddlers with, or at risk for, developmental
disabilities.
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Medicare is the program for Senior
Citizens. DIF: Cognitive Level:
Application REF: p. 7 OBJ: Nursing
Process Step: Implementation MSC:
Health Promotion and Maintenance
3. In most states, adolescents who are not emancipated minors must have
parental permission before:
a. treatment for drug abuse.
b. treatment for sexually transmitted diseases (STDs).
c. obtaining birth control.
d. surger
y. ANS: D
An emancipated minor is a minor child who has the legal competence of an adult.
Legal counsel
may be consulted to verify the status of the emancipated minor for consent
purposes. Most states allow minors to obtain treatment for drug or alcohol abuse
and STDs and allow access to birth control without parental consent.
DIF: Cognitive Level: Application REF: p. 12
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
4. A nurse is completing a clinical pathway for a child admitted to the hospital
with pneumonia. Which characteristic of a clinical pathway is correct?
a. Developed and implemented by nurses
b. Used primarily in the pediatric setting
c. Specific time lines for sequencing interventions
d. One of the steps in the nursing
process ANS: C
Clinical pathways measure outcomes of client care and are developed by multiple
healthcare
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