Test Bank Pediatric Nursing The Critical Components of Nursing Care 2nd Edition Rudd |Complete Guide A+ All Chapters Included LATEST UPDATE!!!

,Pediatric Nursing The Critical Components of Nursing Care 2nd Edition Rudd Test Bank (AL
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L COMPLETE CHAPTERS)
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Chapter 1. Issues and Trends in Pediatric Nursing
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MULTIPLE CHOICE b6




1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations.Whic
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h current trend in the pediatric setting should the nurse expect to find?
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a. Increased hospitalization of children b6 b6 b6




b. Decreased number of uninsured children b6 b6 b6 b6




c. An increase in ambulatory care
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d. Decreased use of managed care b6 b6 b6 b6




ANS: C b6




One effect of managed care is that pediatric healthcare delivery has shifted dramatically from theacute c
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are setting to the ambulatory setting. The number of hospital beds being used has decreased as more c
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are is provided in outpatient and home settings. The number of uninsured children in the United States c
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ontinues to grow. One of the biggest changes in healthcare has been the growth of 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-
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income family with three children under the age of 5 years to a program that assists with supplemental
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food supplies. Which program should the nurse refer thisfamily 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) program b6 b6 b6 b6 b6

,ANS: D b6




WIC is a federal program that provides supplemental food supplies to low-
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income women whoare b6 b6 b 6 pregnant or breast- b6 b6



feeding and to their children until the age of 5 years. Medicaid and the Medicaid Early and Periodic S
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creening, Diagnostic, and Treatment (EPSDT) program providesfor well-
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child b 6 examinations and related treatment of medical problems. Children in the WIC program are ofte
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n referred for immunizations, but that is not the primary focus of the program.Public Law 99-
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457 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. DIF:
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Cognitive Level: Application REF: p. 7 OBJ: b 6 b 6 b 6 b 6 b 6 b 6




Nursing Process Step: Implementation MSC:
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Health Promotion and Maintenance
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3. In most states, adolescents who are not emancipated minors must have parental permissionbefore:
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a. treatment for drug abuse. b6 b6 b6




b. treatment for sexually transmitted diseases (STDs). b6 b6 b6 b6 b6




c. obtaining birth control. b6 b6




d. surgery.


ANS: D b6




An emancipated minor is a minor child who has the legal competence of an adult. Legal counselmay be
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consulted to verify the status of the emancipated minor for consent purposes. Most statesallow minors to
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6 obtain treatment for drug or alcohol abuse and STDs and allow access to birth control without parental c
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onsent.

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.Whic
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h characteristic of a clinical pathway is correct?
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a. Developed and implemented by nurses b6 b6 b6 b6




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 process
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ANS: C b6




Clinical pathways measure outcomes of client care and are developed by multiple healthcare professional
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s. Each pathway outlines specific time lines for sequencing interventions and reflectsinterdisciplinary inter
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ventions. Clinical pathways are used in multiple settings and for clients throughout the life span. The ste
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ps of the nursing process are assessment, diagnosis, planning, 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 inchildre
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nb 6 1 to 4 years of age in the United States is:
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a. premature birth. b6




b. congenital anomalies. b6




c. accidental death. b6




d. respiratory tract illness. b6 b6




ANS: C b6




Accidents are the leading cause of death in children ages 1 to 19 years. Disorders of short gestation an
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d unspecified low birth weight make up one of the leading causes of death in neonates. One of the lea
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ding causes of infant death after the first month of life is congenitalanomalies. Respiratory tract illnesse
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s are a major cause of morbidity in children.
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