,PediatriceNursingeTheeCriticaleComponentseofeNursingeCaree2ndeEditioneRuddeTesteBankeCh
aptere1.eIssueseandeTrendseinePediatriceNursing
MULTIPLEeCHOICE
1. Aenurseeisereviewingechangeseinehealthcareedeliveryeandefundingeforepediatricepopulations.e
Whichecurrentetrendeinetheepediatricesettingeshouldetheenurseeexpectetoefind?
a. Increasedehospitalizationeofechildren
b. Decreasedenumbereofeuninsuredechildren
c. Aneincreaseeineambulatoryecare
d. Decreasedeuseeofemanagedecare
ANS:eC
Oneeeffecteofemanagedecareeisethatepediatricehealthcareedeliveryehaseshiftededramaticallyefrometheeac
uteecareesettingetoetheeambulatoryesetting.eTheenumbereofehospitalebedsebeingeusedehasedecreasedease
moreecareeiseprovidedeineoutpatienteandehomeesettings.eTheenumbereofeuninsuredechildreneinetheeUn
itedeStatesecontinuesetoegrow.eOneeofetheebiggestechangeseinehealthcareehasebeenetheegrowtheofeman
agedecare.
DIF:eCognitiveeLevel:eComprehensioneREF:ep.e3
OBJ:eNursingeProcesseStep:ePlanningeMSC:eSafeeandeEffectiveeCareeEnvironment
2. Aenurseeisereferringeaelow-
incomeefamilyewithethreeechildreneunderetheeageeofe5eyearsetoeaeprogramethateassistsewithesuppleme
ntalefoodesupplies.eWhicheprogrameshouldetheenurseereferethisefamilyeto?
a. Medicaid
b. Medicare
c. EarlyeandePeriodiceScreening,eDiagnostic,eandeTreatmente(EPSDT)eprogram
d. Women,eInfants,eandeChildrene(WIC)eprogram
,ANS:eD
WICeiseaefederaleprogramethateprovidesesupplementalefoodesuppliesetoelow-
incomeewomenewhoeareepregnanteorebreast-
feedingeandetoetheirechildreneuntiletheeageeofe5eyears.eMedicaideandetheeMedicaideEarlyeandePeriod
iceScreening,eDiagnostic,eandeTreatmente(EPSDT)eprogrameprovideseforewell-
childeexaminationseanderelatedetreatmenteofemedicaleproblems.eChildreneinetheeWICeprogramearee
oftenereferredeforeimmunizations,ebutethateisenotetheeprimaryefocuseofetheeprogram.ePubliceLawe99-
457eprovidesefinancialeincentivesetoestatesetoeestablishecomprehensiveeearlyeinterventioneservicese
foreinfantseandetoddlersewith,eoreateriskefor,edevelopmentaledisabilities.
MedicareeisetheeprogrameforeSenioreCitizens.e
DIF:eCognitiveeLevel:eApplicationeREF:ep.e7e
OBJ:eNursingeProcesseStep:eImplementatione
MSC:eHealthePromotioneandeMaintenance
3. Inemostestates,eadolescentsewhoeareenoteemancipatedeminorsemustehaveeparentalepermissioneb
efore:
a. treatmenteforedrugeabuse.
b. treatmenteforesexuallyetransmittedediseasese(STDs).
c. obtainingebirthecontrol.
d. surgery.
ANS:eD
Aneemancipatedeminoreiseaeminorechildewhoehasetheelegalecompetenceeofeaneadult.eLegalecounselemaye
beeconsultedetoeverifyetheestatuseofetheeemancipatedeminoreforeconsentepurposes.eMostestateseallowemi
norsetoeobtainetreatmenteforedrugeorealcoholeabuseeandeSTDseandealloweaccessetoebirthecontrolewithou
teparentaleconsent.
DIF:eCognitiveeLevel:eApplicationeREF:ep.e12
OBJ:eNursingeProcesseStep:ePlanningeMSC:eSafeeandeEffectiveeCareeEnvironment
, 4. Aenurseeisecompletingeaeclinicalepathwayeforeaechildeadmittedetoetheehospitalewithepneumonia.eW
hichecharacteristiceofeaeclinicalepathwayeisecorrect?
a. Developedeandeimplementedebyenurses
b. Usedeprimarilyeinetheepediatricesetting
c. Specificetimeelineseforesequencingeinterventions
d. Oneeofetheestepseinetheenursingeprocess
ANS:eC
Clinicalepathwaysemeasureeoutcomeseofeclientecareeandeareedevelopedebyemultipleehealthcareeprofess
ionals.eEachepathwayeoutlinesespecificetimeelineseforesequencingeinterventionseandereflectseinterdiscip
linaryeinterventions.eClinicalepathwayseareeusedeinemultipleesettingseandeforeclientsethroughoutetheelif
eespan.eTheestepseofetheenursingeprocesseareeassessment,ediagnosis,eplanning,eimplementation,eandeev
aluation.
DIF:eCognitiveeLevel:eComprehensioneREF:ep.e6
OBJ:eNursingeProcesseStep:ePlanningeMSC:eSafeeandeEffectiveeCareeEnvironment
5. Wheneplanningeaeparentingeclass,etheenurseeshouldeexplainethatetheeleadingecauseeofedeatheinech
ildrene1etoe4eyearseofeageeinetheeUnitedeStateseis:
a. prematureebirth.
b. congenitaleanomalies.
c. accidentaledeath.
d. respiratoryetracteillness.
ANS:eC
Accidentseareetheeleadingecauseeofedeatheinechildreneagese1etoe19eyears.eDisorderseofeshortegestatione
andeunspecifiedelowebirtheweightemakeeupeoneeofetheeleadingecauseseofedeatheineneonates.eOneeofeth
eeleadingecauseseofeinfantedeatheafteretheefirstemontheofelifeeisecongenitaleanomalies.eRespiratoryetrac
teillnesseseareeaemajorecauseeofemorbidityeinechildren.
aptere1.eIssueseandeTrendseinePediatriceNursing
MULTIPLEeCHOICE
1. Aenurseeisereviewingechangeseinehealthcareedeliveryeandefundingeforepediatricepopulations.e
Whichecurrentetrendeinetheepediatricesettingeshouldetheenurseeexpectetoefind?
a. Increasedehospitalizationeofechildren
b. Decreasedenumbereofeuninsuredechildren
c. Aneincreaseeineambulatoryecare
d. Decreasedeuseeofemanagedecare
ANS:eC
Oneeeffecteofemanagedecareeisethatepediatricehealthcareedeliveryehaseshiftededramaticallyefrometheeac
uteecareesettingetoetheeambulatoryesetting.eTheenumbereofehospitalebedsebeingeusedehasedecreasedease
moreecareeiseprovidedeineoutpatienteandehomeesettings.eTheenumbereofeuninsuredechildreneinetheeUn
itedeStatesecontinuesetoegrow.eOneeofetheebiggestechangeseinehealthcareehasebeenetheegrowtheofeman
agedecare.
DIF:eCognitiveeLevel:eComprehensioneREF:ep.e3
OBJ:eNursingeProcesseStep:ePlanningeMSC:eSafeeandeEffectiveeCareeEnvironment
2. Aenurseeisereferringeaelow-
incomeefamilyewithethreeechildreneunderetheeageeofe5eyearsetoeaeprogramethateassistsewithesuppleme
ntalefoodesupplies.eWhicheprogrameshouldetheenurseereferethisefamilyeto?
a. Medicaid
b. Medicare
c. EarlyeandePeriodiceScreening,eDiagnostic,eandeTreatmente(EPSDT)eprogram
d. Women,eInfants,eandeChildrene(WIC)eprogram
,ANS:eD
WICeiseaefederaleprogramethateprovidesesupplementalefoodesuppliesetoelow-
incomeewomenewhoeareepregnanteorebreast-
feedingeandetoetheirechildreneuntiletheeageeofe5eyears.eMedicaideandetheeMedicaideEarlyeandePeriod
iceScreening,eDiagnostic,eandeTreatmente(EPSDT)eprogrameprovideseforewell-
childeexaminationseanderelatedetreatmenteofemedicaleproblems.eChildreneinetheeWICeprogramearee
oftenereferredeforeimmunizations,ebutethateisenotetheeprimaryefocuseofetheeprogram.ePubliceLawe99-
457eprovidesefinancialeincentivesetoestatesetoeestablishecomprehensiveeearlyeinterventioneservicese
foreinfantseandetoddlersewith,eoreateriskefor,edevelopmentaledisabilities.
MedicareeisetheeprogrameforeSenioreCitizens.e
DIF:eCognitiveeLevel:eApplicationeREF:ep.e7e
OBJ:eNursingeProcesseStep:eImplementatione
MSC:eHealthePromotioneandeMaintenance
3. Inemostestates,eadolescentsewhoeareenoteemancipatedeminorsemustehaveeparentalepermissioneb
efore:
a. treatmenteforedrugeabuse.
b. treatmenteforesexuallyetransmittedediseasese(STDs).
c. obtainingebirthecontrol.
d. surgery.
ANS:eD
Aneemancipatedeminoreiseaeminorechildewhoehasetheelegalecompetenceeofeaneadult.eLegalecounselemaye
beeconsultedetoeverifyetheestatuseofetheeemancipatedeminoreforeconsentepurposes.eMostestateseallowemi
norsetoeobtainetreatmenteforedrugeorealcoholeabuseeandeSTDseandealloweaccessetoebirthecontrolewithou
teparentaleconsent.
DIF:eCognitiveeLevel:eApplicationeREF:ep.e12
OBJ:eNursingeProcesseStep:ePlanningeMSC:eSafeeandeEffectiveeCareeEnvironment
, 4. Aenurseeisecompletingeaeclinicalepathwayeforeaechildeadmittedetoetheehospitalewithepneumonia.eW
hichecharacteristiceofeaeclinicalepathwayeisecorrect?
a. Developedeandeimplementedebyenurses
b. Usedeprimarilyeinetheepediatricesetting
c. Specificetimeelineseforesequencingeinterventions
d. Oneeofetheestepseinetheenursingeprocess
ANS:eC
Clinicalepathwaysemeasureeoutcomeseofeclientecareeandeareedevelopedebyemultipleehealthcareeprofess
ionals.eEachepathwayeoutlinesespecificetimeelineseforesequencingeinterventionseandereflectseinterdiscip
linaryeinterventions.eClinicalepathwayseareeusedeinemultipleesettingseandeforeclientsethroughoutetheelif
eespan.eTheestepseofetheenursingeprocesseareeassessment,ediagnosis,eplanning,eimplementation,eandeev
aluation.
DIF:eCognitiveeLevel:eComprehensioneREF:ep.e6
OBJ:eNursingeProcesseStep:ePlanningeMSC:eSafeeandeEffectiveeCareeEnvironment
5. Wheneplanningeaeparentingeclass,etheenurseeshouldeexplainethatetheeleadingecauseeofedeatheinech
ildrene1etoe4eyearseofeageeinetheeUnitedeStateseis:
a. prematureebirth.
b. congenitaleanomalies.
c. accidentaledeath.
d. respiratoryetracteillness.
ANS:eC
Accidentseareetheeleadingecauseeofedeatheinechildreneagese1etoe19eyears.eDisorderseofeshortegestatione
andeunspecifiedelowebirtheweightemakeeupeoneeofetheeleadingecauseseofedeatheineneonates.eOneeofeth
eeleadingecauseseofeinfantedeatheafteretheefirstemontheofelifeeisecongenitaleanomalies.eRespiratoryetrac
teillnesseseareeaemajorecauseeofemorbidityeinechildren.
