,Pediatric Nursing The Critical Components of Nursing Care 2nd Edition Rudd Test Bank (AL
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L COMPLETE CHAPTERS)
b1 b1
Chapter 1. Issues and Trends in Pediatric Nursing
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MULTIPLE CHOICE b1
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 b1 b1 b1
b. Decreased number of uninsured children b1 b1 b1 b1
c. An increase in ambulatory care
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d. Decreased use of managed care b1 b1 b1 b1
ANS: C b1
One effect of managed care is that pediatric healthcare delivery has shifted dramatically from theacute c
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
are setting to the ambulatory setting. The number of hospital beds being used has decreased as more c
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
are is provided in outpatient and home settings. The number of uninsured children in the United States c
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
ontinues to grow. One of the biggest changes in healthcare has been the growth of managed care.
b 1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
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
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
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
b1 b1 b1 b1 b1 b1 b1 b1
d. Women, Infants, and Children (WIC) program b1 b1 b1 b1 b1
,ANS: D b1
WIC is a federal program that provides supplemental food supplies to low-
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
income women whoare b1 b1 b 1 pregnant or breast- b1 b1
feeding and to their children until the age of 5 years. Medicaid and the Medicaid Early and Periodic S
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
creening, Diagnostic, and Treatment (EPSDT) program providesfor well-
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child b 1 examinations and related treatment of medical problems. Children in the WIC program are ofte
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
n referred for immunizations, but that is not the primary focus of the program.Public Law 99-
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
457 provides financial incentives to states to establish comprehensive early intervention services for
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
infants and toddlers with, or at risk for, developmental disabilities.
b1 b1 b1 b1 b1 b1 b1 b1 b1
Medicare is the program for Senior Citizens. DIF:
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Cognitive Level: Application REF: p. 7 OBJ: b 1 b 1 b 1 b 1 b 1 b 1
Nursing Process Step: Implementation MSC:
b 1 b 1 b 1 b 1
Health Promotion and Maintenance
b1 b1 b1
3. In most states, adolescents who are not emancipated minors must have parental permissionbefore:
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
a. treatment for drug abuse. b1 b1 b1
b. treatment for sexually transmitted diseases (STDs). b1 b1 b1 b1 b1
c. obtaining birth control. b1 b1
d. surgery.
ANS: D b1
An emancipated minor is a minor child who has the legal competence of an adult. Legal counselmay be
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
consulted to verify the status of the emancipated minor for consent purposes. Most statesallow minors to
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b
1 obtain treatment for drug or alcohol abuse and STDs and allow access to birth control without parental c
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
onsent.
DIF: Cognitive Level: Application REF: p. 12
b1 b1 b1 b1 b1 b1
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
, 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 b1 b1 b1 b1
b. Used primarily in the pediatric setting
b1 b1 b1 b1 b1
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 b1
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
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
ventions. Clinical pathways are used in multiple settings and for clients throughout the life span. The ste
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
ps of the nursing process are assessment, diagnosis, planning, implementation, and evaluation.
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
DIF: Cognitive Level: Comprehension REF: p. 6
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OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
5. When planning a parenting class, the nurse should explain that the leading cause of death inchildre
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nb 1 1 to 4 years of age in the United States is:
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a. premature birth. b1
b. congenital anomalies. b1
c. accidental death. b1
d. respiratory tract illness. b1 b1
ANS: C b1
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
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
ding causes of infant death after the first month of life is congenitalanomalies. Respiratory tract illnesse
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
s are a major cause of morbidity in children.
b1 b1 b1 b1 b1 b1 b1 b1
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
L COMPLETE CHAPTERS)
b1 b1
Chapter 1. Issues and Trends in Pediatric Nursing
b1 b1 b1 b1 b1 b1 b1
MULTIPLE CHOICE b1
1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations.Whic
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
h current trend in the pediatric setting should the nurse expect to find?
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
a. Increased hospitalization of children b1 b1 b1
b. Decreased number of uninsured children b1 b1 b1 b1
c. An increase in ambulatory care
b1 b1 b1 b1
d. Decreased use of managed care b1 b1 b1 b1
ANS: C b1
One effect of managed care is that pediatric healthcare delivery has shifted dramatically from theacute c
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
are setting to the ambulatory setting. The number of hospital beds being used has decreased as more c
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
are is provided in outpatient and home settings. The number of uninsured children in the United States c
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
ontinues to grow. One of the biggest changes in healthcare has been the growth of managed care.
b 1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
DIF: Cognitive Level: Comprehension REF: p. 3
b1 b1 b1 b1 b1 b1
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
2. A nurse is referring a low-
b1 b1 b1 b1 b1
income family with three children under the age of 5 years to a program that assists with supplemental
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
food supplies. Which program should the nurse refer thisfamily to?
b1 b1 b1 b1 b1 b1 b1 b1 b1
a. Medicaid
b. Medicare
c. Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program
b1 b1 b1 b1 b1 b1 b1 b1
d. Women, Infants, and Children (WIC) program b1 b1 b1 b1 b1
,ANS: D b1
WIC is a federal program that provides supplemental food supplies to low-
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
income women whoare b1 b1 b 1 pregnant or breast- b1 b1
feeding and to their children until the age of 5 years. Medicaid and the Medicaid Early and Periodic S
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
creening, Diagnostic, and Treatment (EPSDT) program providesfor well-
b1 b1 b1 b1 b1 b1 b1
child b 1 examinations and related treatment of medical problems. Children in the WIC program are ofte
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
n referred for immunizations, but that is not the primary focus of the program.Public Law 99-
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
457 provides financial incentives to states to establish comprehensive early intervention services for
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
infants and toddlers with, or at risk for, developmental disabilities.
b1 b1 b1 b1 b1 b1 b1 b1 b1
Medicare is the program for Senior Citizens. DIF:
b1 b1 b1 b1 b1 b1 b1
Cognitive Level: Application REF: p. 7 OBJ: b 1 b 1 b 1 b 1 b 1 b 1
Nursing Process Step: Implementation MSC:
b 1 b 1 b 1 b 1
Health Promotion and Maintenance
b1 b1 b1
3. In most states, adolescents who are not emancipated minors must have parental permissionbefore:
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
a. treatment for drug abuse. b1 b1 b1
b. treatment for sexually transmitted diseases (STDs). b1 b1 b1 b1 b1
c. obtaining birth control. b1 b1
d. surgery.
ANS: D b1
An emancipated minor is a minor child who has the legal competence of an adult. Legal counselmay be
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
consulted to verify the status of the emancipated minor for consent purposes. Most statesallow minors to
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b
1 obtain treatment for drug or alcohol abuse and STDs and allow access to birth control without parental c
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
onsent.
DIF: Cognitive Level: Application REF: p. 12
b1 b1 b1 b1 b1 b1
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
, 4. A nurse is completing a clinical pathway for a child admitted to the hospital with pneumonia.Whic
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
h characteristic of a clinical pathway is correct?
b1 b1 b1 b1 b1 b1 b1
a. Developed and implemented by nurses b1 b1 b1 b1
b. Used primarily in the pediatric setting
b1 b1 b1 b1 b1
c. Specific time lines for sequencing interventions
b1 b1 b1 b1 b1
d. One of the steps in the nursing process
b1 b1 b1 b1 b1 b1 b1
ANS: C b1
Clinical pathways measure outcomes of client care and are developed by multiple healthcare professional
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
s. Each pathway outlines specific time lines for sequencing interventions and reflectsinterdisciplinary inter
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
ventions. Clinical pathways are used in multiple settings and for clients throughout the life span. The ste
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
ps of the nursing process are assessment, diagnosis, planning, implementation, and evaluation.
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
DIF: Cognitive Level: Comprehension REF: p. 6
b1 b1 b1 b1 b1 b1
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
5. When planning a parenting class, the nurse should explain that the leading cause of death inchildre
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
nb 1 1 to 4 years of age in the United States is:
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
a. premature birth. b1
b. congenital anomalies. b1
c. accidental death. b1
d. respiratory tract illness. b1 b1
ANS: C b1
Accidents are the leading cause of death in children ages 1 to 19 years. Disorders of short gestation an
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
d unspecified low birth weight make up one of the leading causes of death in neonates. One of the lea
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
ding causes of infant death after the first month of life is congenitalanomalies. Respiratory tract illnesse
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
s are a major cause of morbidity in children.
b1 b1 b1 b1 b1 b1 b1 b1
