TEST BANK FOR
PEDIATRIC NURSING THE CRITICAL
COMPONENTS OF NURSING CARE 2ND
EDITION RUDD TEST BANK
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Pediatric Nursing The Critical Components of Nursing Care 2nd Edition Rudd Test Bank
Chapter 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 onurse ois oreferring oa olow-income ofamily owith othree ochildren ounder othe oage oof o5
oyears oto oa oprogram othat oassists owith osupplemental ofood osupplies. oWhich oprogram oshould
othe onurse orefer othisofamily oto?
a. Medicaid
b. Medicare
c. Early oand oPeriodic oScreening, oDiagnostic, oand oTreatment o(EPSDT) oprogram
d. Women, oInfants, oand oChildren o(WIC) oprogram
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ANS: oD
WIC ois oa ofederal oprogram othat oprovides osupplemental ofood osupplies oto olow-income
owomen owhooare opregnant oor obreast-feeding oand oto otheir ochildren ountil othe oage oof o5
oyears. oMedicaid oand othe oMedicaid oEarly oand oPeriodic oScreening, oDiagnostic, oand
oTreatment o(EPSDT) oprogram oprovidesofor owell-child oexaminations oand orelated otreatment
oof omedical oproblems. oChildren oin othe oWIC oprogram oare ooften oreferred ofor
oimmunizations, obut othat ois onot othe oprimary ofocus oof othe oprogram.oPublic oLaw o99-457
oprovides ofinancial oincentives oto ostates oto oestablish ocomprehensive oearly ointervention
oservices ofor oinfants oand otoddlers owith, oor oat orisk ofor, odevelopmental odisabilities.
Medicare ois othe oprogram ofor oSenior
oCitizens. oDIF: oCognitive oLevel:
oApplication oREF: op. o7 oOBJ: oNursing
oProcess oStep: oImplementation oMSC:
oHealth oPromotion oand oMaintenance
3. In omost ostates, oadolescents owho oare onot oemancipated ominors omust ohave oparental
opermissionobefore:
a. treatment ofor odrug oabuse.
b. treatment ofor osexually otransmitted odiseases o(STDs).
c. obtaining obirth ocontrol.
d. surgery.
ANS: oD
An oemancipated ominor ois oa ominor ochild owho ohas othe olegal ocompetence oof oan oadult.
oLegal ocounselomay obe oconsulted oto overify othe ostatus oof othe oemancipated ominor ofor
oconsent opurposes. oMost ostatesoallow ominors oto oobtain otreatment ofor odrug oor oalcohol oabuse
oand oSTDs oand oallow oaccess oto obirth ocontrol owithout oparental oconsent.
DIF: oCognitive oLevel: oApplication oREF: op. o12
OBJ: oNursing oProcess oStep: oPlanning oMSC: oSafe oand oEffective oCare oEnvironment
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4. A onurse ois ocompleting oa oclinical opathway ofor oa ochild oadmitted oto othe ohospital owith
opneumonia.oWhich ocharacteristic oof oa oclinical opathway ois ocorrect?
a. Developed oand oimplemented oby onurses
b. Used oprimarily oin othe opediatric osetting
c. Specific otime olines ofor osequencing ointerventions
d. One oof othe osteps oin othe onursing oprocess
ANS: oC
Clinical opathways omeasure ooutcomes oof oclient ocare oand oare odeveloped oby omultiple
ohealthcare oprofessionals. oEach opathway ooutlines ospecific otime olines ofor osequencing
ointerventions oand oreflectsointerdisciplinary ointerventions. oClinical opathways oare oused oin
omultiple osettings oand ofor oclients othroughout othe olife ospan. oThe osteps oof othe onursing
oprocess oare oassessment, odiagnosis, oplanning, oimplementation, oand oevaluation.
DIF: oCognitive oLevel: oComprehension oREF: op. o6
OBJ: oNursing oProcess oStep: oPlanning oMSC: oSafe oand oEffective oCare oEnvironment
5. When oplanning oa oparenting oclass, othe onurse oshould oexplain othat othe oleading ocause oof
odeath oinochildren o1 oto o4 oyears oof oage oin othe oUnited oStates ois:
a. premature obirth.
b. congenital oanomalies.
c. accidental odeath.
d. respiratory otract oillness.
ANS: oC
Accidents oare othe oleading ocause oof odeath oin ochildren oages o1 oto o19 oyears. oDisorders oof
oshort ogestation oand ounspecified olow obirth oweight omake oup oone oof othe oleading ocauses oof
odeath oin oneonates. oOne oof othe oleading ocauses oof oinfant odeath oafter othe ofirst omonth oof
olife ois ocongenitaloanomalies. oRespiratory otract o illnesses oare oa omajor ocause oof omorbidity oin
ochildren.
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