Test Bank for Davis Advantage for Pediatric Nursing: The Critical Components of Nursing Care 2nd Edition by Ruddall | Complete Guide A+

b




Pediatric Nursing The Critical Components Of Nursing Care
b b b b b b b




2nd Edition Rudd Test
b b b b

, Pediatric Nursing The Critical Components of Nursing Care 2nd Edition Rudd Test
b b b b b b b b b b b




b BankChapter 1. Issues and Trends in Pediatric Nursing b b b b b b b




MULTIPLE CHOICE b




1. Anurse is reviewing changes in healthcare deliveryand funding for pediatric populations.
b b b b b b b b b b b b




b Which current trend in the pediatric setting should the nurse expect to find?
b b b b b b b b b b b b




a. Increased hospitalization of children b b b




b. Decreased number of uninsured children b b b b




c. An increase in ambulatorycare b b b b




d. Decreased useofmanagedcare b b b b




b ANS: C b




One effect of managed care is that pediatric healthcare deliveryhas shifted dramatically from the
b b b b b b b b b b b b b b




acute care setting to the ambulatory setting. The number of hospital beds being used has decreased as
b b b b b b b b b b b b b b b b




more care is provided in outpatient and home settings. The number of uninsured children in the
b b b b b b b b b b b b b b b b




b United States continues to grow. One of the biggest changes in healthcare has been the growth of
b b b b b b b b b b b b b b b b




b managed care. b




DIF: CognitiveLevel: Comprehension
b b b




REF: p. 3
b b b




OBJ: Nursing Process Step: Planning
b b b b




MSC: Safe and Effective Care Environment
b b b b b




2. A nurse is referring a low-income family with three children under the age of 5 years to a program
b b b b b b b b b b b b b b b b b b




that assists with supplemental food supplies. Whichprogram should the nurse refer this family to?
b b b b b b b b b b b b b b b




a. Medicaid
b. Medicare
c. Earlyand Periodic Screening, Diagnostic, and Treatment (EPSDT) program
b b b b b b b b




d. Women, Infants, and Children (WIC) program b b b b b




b ANS: D b




WIC is a federal program that provides supplemental food supplies to low-income women who
b b b b b b b b b b b b b




are pregnant or breast-feeding and to their children until the age of 5 years. Medicaid and the
b b b b b b b b b b b b b b b b




b Medicaid Earlyand Periodic Screening, Diagnostic, and Treatment (EPSDT) program provides for
b b b b b b b b b b b




b well-child examinations and related treatment of medical problems. Children in the WIC program
b b b b b b b b b b b b




are often referred for immunizations, but that is not the primary focus of the program. Public Law 99-
b b b b b b b b b b b b b b b b b b




457 provides financial incentives to states to establish comprehensive early intervention services for
b b b b b b b b b b b b




b infants and toddlers with, or at risk for, developmental disabilities.
b b b b b b b b b

,Medicare is the program for Senior Citizens. b b b b b b




b DIF: Cognitive Level: Application REF: p. 7
b b b b b b




b OBJ: Nursing Process Step: Implementation
b b b b




b MSC: Health Promotion and Maintenance
b b b b




3. In most states, adolescents who are not emancipated minors must have parental permission
b b b b b b b b b b b b




b before:
a. treatment for drug abuse. b b b




b. treatment for sexuallytransmitted diseases (STDs). b b b b b




c. obtaining birth control. b b




d. surgery.
ANS: D
b b




An emancipated minor is a minor child who has the legal competence of an adult. Legal counsel
b b b b b b b b b b b b b b b b




may be consulted to verify the status of the emancipated minor for consent purposes. Most states allow
b b b b b b b b b b b b b b b b




b minors to obtain treatment for drug or alcohol abuse and STDs and allow access to birth control
b b b b b b b b b b b b b b b b




b without parental consent. b b




DIF: Cognitive Level: Application REF: p. 12
b b b b b b




OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
b b b b b b b b b b




4. Anurse is completing a clinical pathwayfor a child admitted to the hospitalwith pneumonia.
b b b b b b b b b b b b b b b




b Which characteristic of a clinical pathway is correct?
b b b b b b b




a. Developed and implemented bynurses b b b b




b. Used primarily in the pediatric setting b b b b b




c. Specific time lines for sequencing interventions b b b b b




d. One ofthe steps in the nursing process b b b b b b b




b ANS: C b




Clinical pathways measure outcomes of client care and are developed by multiple healthcare
b b b b b b b b b b b b




professionals. Each pathwayoutlines specific time lines for sequencing interventions and reflects
b b b b b b b b b b b




b interdisciplinary interventions. Clinical pathways are used in multiple settings and for clients b b b b b b b b b b b




b throughout the life span. The steps of the nursing process are assessment, diagnosis, planning,
b b b b b b b b b b b b b




b implementation, and evaluation. b b




DIF: Cognitive Level: Comprehension REF: p. 6
b b b b b b

, OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
b b b b b b b b b b




5. When planning a parenting class, the nurse should explain that the leading cause of death in
b b b b b b b b b b b b b b b




b children 1 to 4 years of age in the United States is:
b b b b b b b b b b b




a. premature birth. b




b. congenital anomalies. b




c. accidental death. b




d. respiratorytract illness. b b




b ANS: C b




Accidents are the leading cause of death in children ages 1 to 19 years. Disorders of short
b b b b b b b b b b b b b b b b




gestation and unspecified low birth weight make up one of the leading causes of death in neonates.
b b b b b b b b b b b b b b b b




One ofthe leading causes of infant death after the first month of life is congenital anomalies.
b b b b b b b b b b b b b b b b b




b Respiratory tract illnesses are a major cause of morbidity in children.
b b b b b b b b b b




DIF: Cognitive Level: Application REF: p. 9
b b b b b b




b OBJ: Nursing Process Step: Implementation
b b b b




b MSC: Safe and Effective Care Environment
b b b b b




6. Which statement is true regarding the quality assurance or incident report?
b b b b b b b b b b




a. The report assures the legal department that there is no problem.
b b b b b b b b b b




b. Reports are a permanent part of the clients chart. b b b b b b b b




c. The nurses notes should contain the following: Incident report filed and copy
b b b b b b b b b b b




placed in chart.
b b b




d. This report is a form of documentation of an event that mayresult in legal action. ANS:
b b b b b b b b b b b b b b b b




b D
An incident report is a warning to the legal department to be prepared for potential legal action;
b b b b b b b b b b b b b b b b




it is not a part of the clients chart or nurse documentation. DIF:
b b b b b b b b b b b b




b Cognitive Level: Knowledge REF: p. 14 b b b b b




OBJ: Nursing Process Step: Implementation MSC:
b b b b b




Safe and Effective Care Environment
b b b b b




7. Whichclient situation fails to meet the first requirement of informed consent?
b b b b b b b b b b b




a. The parent does not understand the physicians explanations.
b b b b b b b




b. The physician gives the parent only a partial list of possible side effects and
b b b b b b b b b b b b b