Test Bank Davis Advantage for Pediatric Nursing The Critical Components of Nursing Care Second Edition by Kathryn Rudd Chapter 1-22

,PediatriceNursingeTheeCriticaleComponentseofeNursingeCaree2ndeEditioneRuddeTesteBankeCh

aptere1.eIssueseandeTrendseinePediatriceNursing

MULTIPLEeCHOICE

1. Aenurseeisereviewingechangeseinehealthcareedeliveryeandefundingeforepediatricepopulations.e
Whichecurrentetrendeinetheepediatricesettingeshouldetheenurseeexpectetoefind?

a. Increasedehospitalizationeofechildren
b. Decreasedenumbereofeuninsuredechildren
c. Aneincreaseeineambulatoryecare
d. Decreasedeuseeofemanagedecare


ANS:eC

Oneeeffecteofemanagedecareeisethatepediatricehealthcareedeliveryehaseshiftededramaticallyefrometheeac
uteecareesettingetoetheeambulatoryesetting.eTheenumbereofehospitalebedsebeingeusedehasedecreasedease
moreecareeiseprovidedeineoutpatienteandehomeesettings.eTheenumbereofeuninsuredechildreneinetheeUn
itedeStatesecontinuesetoegrow.eOneeofetheebiggestechangeseinehealthcareehasebeenetheegrowtheofeman
agedecare.

DIF:eCognitiveeLevel:eComprehensioneREF:ep.e3

OBJ:eNursingeProcesseStep:ePlanningeMSC:eSafeeandeEffectiveeCareeEnvironment

2. Aenurseeisereferringeaelow-
incomeefamilyewithethreeechildreneunderetheeageeofe5eyearsetoeaeprogramethateassistsewithesuppleme
ntalefoodesupplies.eWhicheprogrameshouldetheenurseereferethisefamilyeto?

a. Medicaid
b. Medicare
c. EarlyeandePeriodiceScreening,eDiagnostic,eandeTreatmente(EPSDT)eprogram
d. Women,eInfants,eandeChildrene(WIC)eprogram

,ANS:eD

WICeiseaefederaleprogramethateprovidesesupplementalefoodesuppliesetoelow-
incomeewomenewhoeareepregnanteorebreast-
feedingeandetoetheirechildreneuntiletheeageeofe5eyears.eMedicaideandetheeMedicaideEarlyeandePeriod
iceScreening,eDiagnostic,eandeTreatmente(EPSDT)eprogrameprovideseforewell-
childeexaminationseanderelatedetreatmenteofemedicaleproblems.eChildreneinetheeWICeprogramearee
oftenereferredeforeimmunizations,ebutethateisenotetheeprimaryefocuseofetheeprogram.ePubliceLawe99-
457eprovidesefinancialeincentivesetoestatesetoeestablishecomprehensiveeearlyeinterventioneservicese
foreinfantseandetoddlersewith,eoreateriskefor,edevelopmentaledisabilities.
MedicareeisetheeprogrameforeSenioreCitizens.e

DIF:eCognitiveeLevel:eApplicationeREF:ep.e7e

OBJ:eNursingeProcesseStep:eImplementatione

MSC:eHealthePromotioneandeMaintenance

3. Inemostestates,eadolescentsewhoeareenoteemancipatedeminorsemustehaveeparentalepermissioneb
efore:

a. treatmenteforedrugeabuse.
b. treatmenteforesexuallyetransmittedediseasese(STDs).
c. obtainingebirthecontrol.
d. surgery.


ANS:eD

Aneemancipatedeminoreiseaeminorechildewhoehasetheelegalecompetenceeofeaneadult.eLegalecounselemaye
beeconsultedetoeverifyetheestatuseofetheeemancipatedeminoreforeconsentepurposes.eMostestateseallowemi
norsetoeobtainetreatmenteforedrugeorealcoholeabuseeandeSTDseandealloweaccessetoebirthecontrolewithou
teparentaleconsent.

DIF:eCognitiveeLevel:eApplicationeREF:ep.e12

OBJ:eNursingeProcesseStep:ePlanningeMSC:eSafeeandeEffectiveeCareeEnvironment

, 4. Aenurseeisecompletingeaeclinicalepathwayeforeaechildeadmittedetoetheehospitalewithepneumonia.eW
hichecharacteristiceofeaeclinicalepathwayeisecorrect?

a. Developedeandeimplementedebyenurses
b. Usedeprimarilyeinetheepediatricesetting
c. Specificetimeelineseforesequencingeinterventions
d. Oneeofetheestepseinetheenursingeprocess


ANS:eC

Clinicalepathwaysemeasureeoutcomeseofeclientecareeandeareedevelopedebyemultipleehealthcareeprofess
ionals.eEachepathwayeoutlinesespecificetimeelineseforesequencingeinterventionseandereflectseinterdiscip
linaryeinterventions.eClinicalepathwayseareeusedeinemultipleesettingseandeforeclientsethroughoutetheelif
eespan.eTheestepseofetheenursingeprocesseareeassessment,ediagnosis,eplanning,eimplementation,eandeev
aluation.

DIF:eCognitiveeLevel:eComprehensioneREF:ep.e6

OBJ:eNursingeProcesseStep:ePlanningeMSC:eSafeeandeEffectiveeCareeEnvironment

5. Wheneplanningeaeparentingeclass,etheenurseeshouldeexplainethatetheeleadingecauseeofedeatheinech
ildrene1etoe4eyearseofeageeinetheeUnitedeStateseis:

a. prematureebirth.
b. congenitaleanomalies.
c. accidentaledeath.
d. respiratoryetracteillness.


ANS:eC

Accidentseareetheeleadingecauseeofedeatheinechildreneagese1etoe19eyears.eDisorderseofeshortegestatione
andeunspecifiedelowebirtheweightemakeeupeoneeofetheeleadingecauseseofedeatheineneonates.eOneeofeth
eeleadingecauseseofeinfantedeatheafteretheefirstemontheofelifeeisecongenitaleanomalies.eRespiratoryetrac
teillnesseseareeaemajorecauseeofemorbidityeinechildren.