,Pediatric Nursing The Critical Components of Nursing Care 2nd Edition Rudd Test Bank (ALL
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COMPLETE CHAPTERS) mf
Chapter 1. Issues and Trends in Pediatric Nursing
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MULTIPLE CHOICE mf
1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations.Which
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current trend in the pediatric setting should the nurse expect to find?
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a. Increased hospitalization of children mf mf mf
b. Decreased number of uninsured children mf mf mf mf
c. An increase in ambulatory care
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d. Decreased use of managed care mf mf mf mf
ANS: C mf
One effect of managed care is that pediatric healthcare delivery has shifted dramatically from theacute care
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setting to the ambulatory setting. The number of hospital beds being used has decreased as more care is pr
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ovided in outpatient and home settings. The number of uninsured children in the United States continues t
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o 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 foo
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d 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 mf mf mf mf mf
,ANS: D mf
WIC is a federal program that provides supplemental food supplies to low-
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income women whoare pregnant or breast-
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feeding and to their children until the age of 5 years. Medicaid and the Medicaid Early and Periodic Scree
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ning, Diagnostic, and Treatment (EPSDT) program providesfor well-
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child examinations and related treatment of medical problems. Children in the WIC program are often re
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ferred 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 inf
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ants 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: m f m f m f m f m f m f
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. mf mf mf
b. treatment for sexually transmitted diseases (STDs). mf mf mf mf mf
c. obtaining birth control. mf mf
d. surgery.
ANS: D mf
An emancipated minor is a minor child who has the legal competence of an adult. Legal counselmay be con
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sulted to verify the status of the emancipated minor for consent purposes. Most statesallow minors to obtain
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treatment for drug or alcohol abuse and STDs and allow access to birth control without parental consent.
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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.Which c
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haracteristic of a clinical pathway is correct? mf mf mf mf mf mf
a. Developed and implemented by nurses mf mf mf mf
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 mf
Clinical pathways measure outcomes of client care and are developed by multiple healthcare professionals.
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Each pathway outlines specific time lines for sequencing interventions and reflectsinterdisciplinary interventi
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ons. Clinical pathways are used in multiple settings and for clients throughout the life span. The steps of the
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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 inchildren
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f 1 to 4 years of age in the United States is:
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a. premature birth. mf
b. congenital anomalies. mf
c. accidental death. mf
d. respiratory tract illness. mf mf
ANS: C mf
Accidents are the leading cause of death in children ages 1 to 19 years. Disorders of short gestation and u
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nspecified low birth weight make up one of the leading causes of death in neonates. One of the leading ca
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uses of infant death after the first month of life is congenitalanomalies. Respiratory tract illnesses are a maj
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or cause of morbidity in children.
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COMPLETE CHAPTERS) mf
Chapter 1. Issues and Trends in Pediatric Nursing
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MULTIPLE CHOICE mf
1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations.Which
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current trend in the pediatric setting should the nurse expect to find?
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a. Increased hospitalization of children mf mf mf
b. Decreased number of uninsured children mf mf mf mf
c. An increase in ambulatory care
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d. Decreased use of managed care mf mf mf mf
ANS: C mf
One effect of managed care is that pediatric healthcare delivery has shifted dramatically from theacute care
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setting to the ambulatory setting. The number of hospital beds being used has decreased as more care is pr
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ovided in outpatient and home settings. The number of uninsured children in the United States continues t
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o 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 foo
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d 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 mf mf mf mf mf
,ANS: D mf
WIC is a federal program that provides supplemental food supplies to low-
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income women whoare pregnant or breast-
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feeding and to their children until the age of 5 years. Medicaid and the Medicaid Early and Periodic Scree
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ning, Diagnostic, and Treatment (EPSDT) program providesfor well-
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child examinations and related treatment of medical problems. Children in the WIC program are often re
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ferred 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 inf
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ants 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: m f m f m f m f m f m f
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. mf mf mf
b. treatment for sexually transmitted diseases (STDs). mf mf mf mf mf
c. obtaining birth control. mf mf
d. surgery.
ANS: D mf
An emancipated minor is a minor child who has the legal competence of an adult. Legal counselmay be con
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sulted to verify the status of the emancipated minor for consent purposes. Most statesallow minors to obtain
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treatment for drug or alcohol abuse and STDs and allow access to birth control without parental consent.
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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.Which c
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haracteristic of a clinical pathway is correct? mf mf mf mf mf mf
a. Developed and implemented by nurses mf mf mf mf
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 mf
Clinical pathways measure outcomes of client care and are developed by multiple healthcare professionals.
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Each pathway outlines specific time lines for sequencing interventions and reflectsinterdisciplinary interventi
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ons. Clinical pathways are used in multiple settings and for clients throughout the life span. The steps of the
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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 inchildren
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f 1 to 4 years of age in the United States is:
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a. premature birth. mf
b. congenital anomalies. mf
c. accidental death. mf
d. respiratory tract illness. mf mf
ANS: C mf
Accidents are the leading cause of death in children ages 1 to 19 years. Disorders of short gestation and u
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nspecified low birth weight make up one of the leading causes of death in neonates. One of the leading ca
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uses of infant death after the first month of life is congenitalanomalies. Respiratory tract illnesses are a maj
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or cause of morbidity in children.
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