Davis Advantage for Pediatric Nursing: The Critical Components of Nursing Care Second Edition Test Bank

, Pediatric fNursing fThe fCritical fComponents fof fNursing fCare f2nd fEdition fRudd fTest fBank

f Chapter f1. fIssues fand fTrends fin fPediatric fNursing

MULTIPLE fCHOICE

1. A fnurse fis freviewing fchanges fin fhealthcare fdelivery fand ffunding ffor fpediatric fpopulations.
Which fcurrent ftrend fin fthe fpediatric fsetting fshould fthe fnurse fexpect fto ffind?
f




a. Increased fhospitalization fof fchildren
b. Decreased fnumber fof funinsured fchildren
c. An fincrease fin fambulatory fcare
d. Decreased fuse fof fmanaged fcare


ANS: fC

One feffect fof fmanaged fcare fis fthat fpediatric fhealthcare fdelivery fhas fshifted fdramatically ffrom fthe
acute fcare fsetting fto fthe fambulatory fsetting. fThe fnumber fof fhospital fbeds fbeing fused fhas
f


decreased fas fmore fcare fis fprovided fin foutpatient fand fhome fsettings. fThe fnumber fof funinsured
f


children fin fthe fUnited fStates fcontinues fto fgrow. fOne fof fthe fbiggest fchanges fin fhealthcare fhas
f


been fthe fgrowth fof fmanaged fcare.
f




DIF: fCognitive fLevel: fComprehension fREF: fp. f3

OBJ: fNursing fProcess fStep: fPlanning fMSC: fSafe fand fEffective fCare fEnvironment

2. A fnurse fis freferring fa flow-income ffamily fwith fthree fchildren funder fthe fage fof f5 fyears fto fa
program fthat fassists fwith fsupplemental ffood fsupplies. fWhich fprogram fshould fthe fnurse frefer fthis
f


family fto?
f




a. Medicaid
b. Medicare
c. Early fand fPeriodic fScreening, fDiagnostic, fand fTreatment f(EPSDT) fprogram
d. Women, fInfants, fand fChildren f(WIC) fprogram

,ANS: fD

WIC fis fa ffederal fprogram fthat fprovides fsupplemental ffood fsupplies fto flow-income fwomen fwho
are fpregnant for fbreast-feeding fand fto ftheir fchildren funtil fthe fage fof f5 fyears. fMedicaid fand fthe
f


Medicaid fEarly fand fPeriodic fScreening, fDiagnostic, fand fTreatment f(EPSDT) fprogram fprovides
f


for fwell-child fexaminations fand frelated ftreatment fof fmedical fproblems. fChildren fin fthe fWIC
f


program fare foften freferred ffor fimmunizations, fbut fthat fis fnot fthe fprimary ffocus fof fthe fprogram.
f


Public fLaw f99-457 fprovides ffinancial fincentives fto fstates fto festablish fcomprehensive fearly
f


intervention fservices ffor finfants fand ftoddlers fwith, for fat frisk ffor, fdevelopmental fdisabilities.
f


Medicare fis fthe fprogram ffor fSenior fCitizens.

DIF: fCognitive fLevel: fApplication fREF: fp. f7
f




OBJ: fNursing fProcess fStep: fImplementation
f




MSC: fHealth fPromotion fand fMaintenance
f




3. In fmost fstates, fadolescents fwho fare fnot femancipated fminors fmust fhave fparental fpermission
before:
f




a. treatment ffor fdrug fabuse.
b. treatment ffor fsexually ftransmitted fdiseases f(STDs).
c. obtaining fbirth fcontrol.
d. surgery.


ANS: fD

An femancipated fminor fis fa fminor fchild fwho fhas fthe flegal fcompetence fof fan fadult. fLegal fcounsel
may fbe fconsulted fto fverify fthe fstatus fof fthe femancipated fminor ffor fconsent fpurposes. fMost fstates
f


allow fminors fto fobtain ftreatment ffor fdrug for falcohol fabuse fand fSTDs fand fallow faccess fto fbirth
f


control fwithout fparental fconsent.
f




DIF: fCognitive fLevel: fApplication fREF: fp. f12

OBJ: fNursing fProcess fStep: fPlanning fMSC: fSafe fand fEffective fCare fEnvironment

, 4. A fnurse fis fcompleting fa fclinical fpathway ffor fa fchild fadmitted fto fthe fhospital fwith fpneumonia.
Which fcharacteristic fof fa fclinical fpathway fis fcorrect?
f




a. Developed fand fimplemented fby fnurses
b. Used fprimarily fin fthe fpediatric fsetting
c. Specific ftime flines ffor fsequencing finterventions
d. One fof fthe fsteps fin fthe fnursing fprocess


ANS: fC

Clinical fpathways fmeasure foutcomes fof fclient fcare fand fare fdeveloped fby fmultiple fhealthcare
professionals. fEach fpathway foutlines fspecific ftime flines ffor fsequencing finterventions fand freflects
f


interdisciplinary finterventions. fClinical fpathways fare fused fin fmultiple fsettings fand ffor fclients
f


throughout fthe flife fspan. fThe fsteps fof fthe fnursing fprocess fare fassessment, fdiagnosis, fplanning,
f


implementation, fand fevaluation.
f




DIF: fCognitive fLevel: fComprehension fREF: fp. f6

OBJ: fNursing fProcess fStep: fPlanning fMSC: fSafe fand fEffective fCare fEnvironment

5. When fplanning fa fparenting fclass, fthe fnurse fshould fexplain fthat fthe fleading fcause fof fdeath fin
children f1 fto f4 fyears fof fage fin fthe fUnited fStates fis:
f




a. premature fbirth.
b. congenital fanomalies.
c. accidental fdeath.
d. respiratory ftract fillness.


ANS: fC

Accidents fare fthe fleading fcause fof fdeath fin fchildren fages f1 fto f19 fyears. fDisorders fof fshort
f gestation fand funspecified flow fbirth fweight fmake fup fone fof fthe fleading fcauses fof fdeath fin
neonates. fOne fof fthe fleading fcauses fof finfant fdeath fafter fthe ffirst fmonth fof flife fis fcongenital
f


anomalies. fRespiratory ftract fillnesses fare fa fmajor fcause fof fmorbidity fin fchildren.
f