NURSm3425mPediatricmNursingmThemCriticalmComponentsmofmNursingmCarem2ndmEditionmRu
ddmmTestmBankm(1)
PediatricmNursingmThemCriticalmComponentsmofmNursingmCarem2ndmEditionmRuddmTestmBa
nkmChapterm1.mIssuesmandmTrendsminmPediatricmNursing
MULTIPLEmCHOICE
1. Amnursemismreviewingmchangesminmhealthcaremdeliverymandmfundingmformpediatricmpopulatio
ns.mWhichmcurrentmtrendminmthempediatricmsettingmshouldmthemnursemexpectmtomfind?
a. Increasedmhospitalizationmofmchildren
b. Decreasedmnumbermofmuninsuredmchildren
c. Anmincreaseminmambulatorymcare
d. Decreasedmusemofmmanagedmcare
ANS:mC
Onemeffectmofmmanagedmcaremismthatmpediatricmhealthcaremdeliverymhasmshiftedmdramaticallymfrommt
hemacutemcaremsettingmtomthemambulatorymsetting.mThemnumbermofmhospitalmbedsmbeingmusedmhasmd
ecreasedmasmmoremcaremismprovidedminmoutpatientmandmhomemsettings.mThemnumbermofmuninsuredmc
hildrenminmthemUnitedmStatesmcontinuesmtomgrow.mOnemofmthembiggestmchangesminmhealthcaremhasmb
eenmthemgrowthmofmmanagedmcare.
DIF:mCognitivemLevel:mComprehensionmREF:mp.m3
OBJ:mNursingmProcessmStep:mPlanningmMSC:mSafemandmEffectivemCaremEnvironment
2. Amnursemismreferringmamlow-
incomemfamilymwithmthreemchildrenmundermthemagemofm5myearsmtomamprogrammthatmassistsmwithmsup
plementalmfoodmsupplies.mWhichmprogrammshouldmthemnursemrefermthismfamilymto?
a. Medicaid
b. Medicare
c. EarlymandmPeriodicmScreening,mDiagnostic,mandmTreatmentm(EPSDT)mprogram
d. Women,mInfants,mandmChildrenm(WIC)mprogram
,NURSm3425mPediatricmNursingmThemCriticalmComponentsmofmNursingmCarem2ndmEditionmRu
ddmmTestmBankm(1)
ANS:mD
WICmismamfederalmprogrammthatmprovidesmsupplementalmfoodmsuppliesmtomlow-
incomemwomenmwhomarempregnantmormbreast-
feedingmandmtomtheirmchildrenmuntilmthemagemofm5myears.mMedicaidmandmthemMedicaidmEarlymandmPe
riodicmScreening,mDiagnostic,mandmTreatmentm(EPSDT)mprogrammprovidesmformwell-
childmexaminationsmandmrelatedmtreatmentmofmmedicalmproblems.mChildrenminmthemWICmprogramma
remoftenmreferredmformimmunizations,mbutmthatmismnotmthemprimarymfocusmofmthemprogram.mPublicmL
awm99-
457mprovidesmfinancialmincentivesmtomstatesmtomestablishmcomprehensivemearlyminterventionmservic
esmforminfantsmandmtoddlersmwith,mormatmriskmfor,mdevelopmentalmdisabilities.
MedicaremismthemprogrammformSeniormCitizen
s.mDIF:mCognitivemLevel:mApplicationmREF:m
p.m7mOBJ:mNursingmProcessmStep:mImplement
ationmMSC:mHealthmPromotionmandmMainten
ance
3. Inmmostmstates,madolescentsmwhomaremnotmemancipatedmminorsmmustmhavemparentalmpermissi
onmbefore:
a. treatmentmformdrugmabuse.
b. treatmentmformsexuallymtransmittedmdiseasesm(STDs).
c. obtainingmbirthmcontrol.
d. surgery.
ANS:mD
Anmemancipatedmminormismamminormchildmwhomhasmthemlegalmcompetencemofmanmadult.mLegalmcouns
elmmaymbemconsultedmtomverifymthemstatusmofmthememancipatedmminormformconsentmpurposes.mMostmst
atesmallowmminorsmtomobtainmtreatmentmformdrugmormalcoholmabusemandmSTDsmandmallowmaccessmtom
birthmcontrolmwithoutmparentalmconsent.
DIF:mCognitivemLevel:mApplicationmREF:mp.m12
OBJ:mNursingmProcessmStep:mPlanningmMSC:mSafemandmEffectivemCaremEnvironment
,NURSm3425mPediatricmNursingmThemCriticalmComponentsmofmNursingmCarem2ndmEditionmRu
ddmmTestmBankm(1)
4. Amnursemismcompletingmamclinicalmpathwaymformamchildmadmittedmtomthemhospitalmwithmpneumon
ia.mWhichmcharacteristicmofmamclinicalmpathwaymismcorrect?
a. Developedmandmimplementedmbymnurses
b. Usedmprimarilyminmthempediatricmsetting
c. Specificmtimemlinesmformsequencingminterventions
d. Onemofmthemstepsminmthemnursingmprocess
ANS:mC
Clinicalmpathwaysmmeasuremoutcomesmofmclientmcaremandmaremdevelopedmbymmultiplemhealthcaremp
rofessionals.mEachmpathwaymoutlinesmspecificmtimemlinesmformsequencingminterventionsmandmreflects
m interdisciplinaryminterventions.mClinicalmpathwaysmaremusedminmmultiplemsettingsmandmformclientsm
throughoutmthemlifemspan.mThemstepsmofmthemnursingmprocessmaremassessment,mdiagnosis,mplanning,m
implementation,mandmevaluation.
DIF:mCognitivemLevel:mComprehensionmREF:mp.m6
OBJ:mNursingmProcessmStep:mPlanningmMSC:mSafemandmEffectivemCaremEnvironment
5. Whenmplanningmamparentingmclass,mthemnursemshouldmexplainmthatmthemleadingmcausemofmdeath
minmchildrenm1mtom4myearsmofmageminmthemUnitedmStatesmis:
a. prematurembirth.
b. congenitalmanomalies.
c. accidentalmdeath.
d. respiratorymtractmillness.
ANS:mC
Accidentsmaremthemleadingmcausemofmdeathminmchildrenmagesm1mtom19myears.mDisordersmofmshortmgest
ationmandmunspecifiedmlowmbirthmweightmmakemupmonemofmthemleadingmcausesmofmdeathminmneonates.
m Onemofmthemleadingmcausesmofminfantmdeathmaftermthemfirstmmonthmofmlifemismcongenitalmanomalies.m
Respiratorymtractmillnessesmaremammajormcausemofmmorbidityminmchildren.
, NURSm3425mPediatricmNursingmThemCriticalmComponentsmofmNursingmCarem2ndmEditionmRu
ddmmTestmBankm(1)
DIF:mCognitivemLevel:mApplicationmREF:mp.m
9mOBJ:mNursingmProcessmStep:mImplementati
onmMSC:mSafemandmEffectivemCaremEnviron
ment
6. Whichmstatementmismtruemregardingmthemqualitymassurancemormincidentmreport?
a. Themreportmassuresmthemlegalmdepartmentmthatmtheremismnomproblem.
b. Reportsmaremampermanentmpartmofmthemclientsmchart.
c. Themnursesmnotesmshouldmcontainmthemfollowing:mIncidentmreportmfiledmandmco
pymplacedminmchart.
d. Thismreportmismamformmofmdocumentationmofmanmeventmthatmmaymresultm inmlegalmaction.
ANS:mD
Anmincidentmreportmismamwarningmtomthemlegalmdepartmentmtombempreparedmformpotentialmlegalmacti
on;mitmismnotmampartmofmthemclientsmchartmormnursemdocumentation.
DIF:mCognitivemLevel:mKnowledgemREF:mp.m14mO
BJ:mNursingmProcessmStep:mImplementationmMSC:
m SafemandmEffectivemCaremEnvironment
7. Whichmclientmsituationmfailsmtommeetmthemfirstmrequirementmofminformedmconsent?
a. Themparentmdoesmnotmunderstandmthemphysiciansmexplanations.
b. Themphysicianmgivesmthemparentmonlymampartialmlistmofmpossiblemsidemeffectsma
ndmcomplications.
c. Nomparentmismavailablemandmthemphysicianmasksmthemadolescentmtomsignmthemconse
ntmform.
d. Theminfantsmteenagemmothermsignsmamconsentmformmbecausemhermparentmtellsmhermto.
ANS:mC
ddmmTestmBankm(1)
PediatricmNursingmThemCriticalmComponentsmofmNursingmCarem2ndmEditionmRuddmTestmBa
nkmChapterm1.mIssuesmandmTrendsminmPediatricmNursing
MULTIPLEmCHOICE
1. Amnursemismreviewingmchangesminmhealthcaremdeliverymandmfundingmformpediatricmpopulatio
ns.mWhichmcurrentmtrendminmthempediatricmsettingmshouldmthemnursemexpectmtomfind?
a. Increasedmhospitalizationmofmchildren
b. Decreasedmnumbermofmuninsuredmchildren
c. Anmincreaseminmambulatorymcare
d. Decreasedmusemofmmanagedmcare
ANS:mC
Onemeffectmofmmanagedmcaremismthatmpediatricmhealthcaremdeliverymhasmshiftedmdramaticallymfrommt
hemacutemcaremsettingmtomthemambulatorymsetting.mThemnumbermofmhospitalmbedsmbeingmusedmhasmd
ecreasedmasmmoremcaremismprovidedminmoutpatientmandmhomemsettings.mThemnumbermofmuninsuredmc
hildrenminmthemUnitedmStatesmcontinuesmtomgrow.mOnemofmthembiggestmchangesminmhealthcaremhasmb
eenmthemgrowthmofmmanagedmcare.
DIF:mCognitivemLevel:mComprehensionmREF:mp.m3
OBJ:mNursingmProcessmStep:mPlanningmMSC:mSafemandmEffectivemCaremEnvironment
2. Amnursemismreferringmamlow-
incomemfamilymwithmthreemchildrenmundermthemagemofm5myearsmtomamprogrammthatmassistsmwithmsup
plementalmfoodmsupplies.mWhichmprogrammshouldmthemnursemrefermthismfamilymto?
a. Medicaid
b. Medicare
c. EarlymandmPeriodicmScreening,mDiagnostic,mandmTreatmentm(EPSDT)mprogram
d. Women,mInfants,mandmChildrenm(WIC)mprogram
,NURSm3425mPediatricmNursingmThemCriticalmComponentsmofmNursingmCarem2ndmEditionmRu
ddmmTestmBankm(1)
ANS:mD
WICmismamfederalmprogrammthatmprovidesmsupplementalmfoodmsuppliesmtomlow-
incomemwomenmwhomarempregnantmormbreast-
feedingmandmtomtheirmchildrenmuntilmthemagemofm5myears.mMedicaidmandmthemMedicaidmEarlymandmPe
riodicmScreening,mDiagnostic,mandmTreatmentm(EPSDT)mprogrammprovidesmformwell-
childmexaminationsmandmrelatedmtreatmentmofmmedicalmproblems.mChildrenminmthemWICmprogramma
remoftenmreferredmformimmunizations,mbutmthatmismnotmthemprimarymfocusmofmthemprogram.mPublicmL
awm99-
457mprovidesmfinancialmincentivesmtomstatesmtomestablishmcomprehensivemearlyminterventionmservic
esmforminfantsmandmtoddlersmwith,mormatmriskmfor,mdevelopmentalmdisabilities.
MedicaremismthemprogrammformSeniormCitizen
s.mDIF:mCognitivemLevel:mApplicationmREF:m
p.m7mOBJ:mNursingmProcessmStep:mImplement
ationmMSC:mHealthmPromotionmandmMainten
ance
3. Inmmostmstates,madolescentsmwhomaremnotmemancipatedmminorsmmustmhavemparentalmpermissi
onmbefore:
a. treatmentmformdrugmabuse.
b. treatmentmformsexuallymtransmittedmdiseasesm(STDs).
c. obtainingmbirthmcontrol.
d. surgery.
ANS:mD
Anmemancipatedmminormismamminormchildmwhomhasmthemlegalmcompetencemofmanmadult.mLegalmcouns
elmmaymbemconsultedmtomverifymthemstatusmofmthememancipatedmminormformconsentmpurposes.mMostmst
atesmallowmminorsmtomobtainmtreatmentmformdrugmormalcoholmabusemandmSTDsmandmallowmaccessmtom
birthmcontrolmwithoutmparentalmconsent.
DIF:mCognitivemLevel:mApplicationmREF:mp.m12
OBJ:mNursingmProcessmStep:mPlanningmMSC:mSafemandmEffectivemCaremEnvironment
,NURSm3425mPediatricmNursingmThemCriticalmComponentsmofmNursingmCarem2ndmEditionmRu
ddmmTestmBankm(1)
4. Amnursemismcompletingmamclinicalmpathwaymformamchildmadmittedmtomthemhospitalmwithmpneumon
ia.mWhichmcharacteristicmofmamclinicalmpathwaymismcorrect?
a. Developedmandmimplementedmbymnurses
b. Usedmprimarilyminmthempediatricmsetting
c. Specificmtimemlinesmformsequencingminterventions
d. Onemofmthemstepsminmthemnursingmprocess
ANS:mC
Clinicalmpathwaysmmeasuremoutcomesmofmclientmcaremandmaremdevelopedmbymmultiplemhealthcaremp
rofessionals.mEachmpathwaymoutlinesmspecificmtimemlinesmformsequencingminterventionsmandmreflects
m interdisciplinaryminterventions.mClinicalmpathwaysmaremusedminmmultiplemsettingsmandmformclientsm
throughoutmthemlifemspan.mThemstepsmofmthemnursingmprocessmaremassessment,mdiagnosis,mplanning,m
implementation,mandmevaluation.
DIF:mCognitivemLevel:mComprehensionmREF:mp.m6
OBJ:mNursingmProcessmStep:mPlanningmMSC:mSafemandmEffectivemCaremEnvironment
5. Whenmplanningmamparentingmclass,mthemnursemshouldmexplainmthatmthemleadingmcausemofmdeath
minmchildrenm1mtom4myearsmofmageminmthemUnitedmStatesmis:
a. prematurembirth.
b. congenitalmanomalies.
c. accidentalmdeath.
d. respiratorymtractmillness.
ANS:mC
Accidentsmaremthemleadingmcausemofmdeathminmchildrenmagesm1mtom19myears.mDisordersmofmshortmgest
ationmandmunspecifiedmlowmbirthmweightmmakemupmonemofmthemleadingmcausesmofmdeathminmneonates.
m Onemofmthemleadingmcausesmofminfantmdeathmaftermthemfirstmmonthmofmlifemismcongenitalmanomalies.m
Respiratorymtractmillnessesmaremammajormcausemofmmorbidityminmchildren.
, NURSm3425mPediatricmNursingmThemCriticalmComponentsmofmNursingmCarem2ndmEditionmRu
ddmmTestmBankm(1)
DIF:mCognitivemLevel:mApplicationmREF:mp.m
9mOBJ:mNursingmProcessmStep:mImplementati
onmMSC:mSafemandmEffectivemCaremEnviron
ment
6. Whichmstatementmismtruemregardingmthemqualitymassurancemormincidentmreport?
a. Themreportmassuresmthemlegalmdepartmentmthatmtheremismnomproblem.
b. Reportsmaremampermanentmpartmofmthemclientsmchart.
c. Themnursesmnotesmshouldmcontainmthemfollowing:mIncidentmreportmfiledmandmco
pymplacedminmchart.
d. Thismreportmismamformmofmdocumentationmofmanmeventmthatmmaymresultm inmlegalmaction.
ANS:mD
Anmincidentmreportmismamwarningmtomthemlegalmdepartmentmtombempreparedmformpotentialmlegalmacti
on;mitmismnotmampartmofmthemclientsmchartmormnursemdocumentation.
DIF:mCognitivemLevel:mKnowledgemREF:mp.m14mO
BJ:mNursingmProcessmStep:mImplementationmMSC:
m SafemandmEffectivemCaremEnvironment
7. Whichmclientmsituationmfailsmtommeetmthemfirstmrequirementmofminformedmconsent?
a. Themparentmdoesmnotmunderstandmthemphysiciansmexplanations.
b. Themphysicianmgivesmthemparentmonlymampartialmlistmofmpossiblemsidemeffectsma
ndmcomplications.
c. Nomparentmismavailablemandmthemphysicianmasksmthemadolescentmtomsignmthemconse
ntmform.
d. Theminfantsmteenagemmothermsignsmamconsentmformmbecausemhermparentmtellsmhermto.
ANS:mC
