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