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PediatriccNursingcThecCriticalcComponentscofcNursingcCarec2ndcEditioncRuddcTestcBank
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Chapterc1.c IssuescandcTrendscincPediatriccNursing

MULTIPLEcCHOICE

1. Acnurseciscreviewingcchangescinchealthcarecdeliverycandcfundingcforcpediatriccpopulations.c
Whichccurrentctrendcincthecpediatriccsettingcshouldc thecnursecexpectcto find?

a. Increasedchospitalizationcofcchildren
b. Decreasedcnumbercofcuninsuredcchildren
c. Ancincreasecincambulatoryccare
d. Decreasedcusecofcmanagedccare


ANS:cC

Oneceffectcofcmanagedccareciscthatcpediatricchealthcarecdeliverychascshiftedcdramaticallycfromcthecac
uteccarecsettingctocthecambulatorycsetting.cThecnumbercofchospitalcbedscbeingcusedchascdecreasedcas
cmoreccareciscprovidedcincoutpatientcandchomecsettings.cThecnumbercofcuninsuredcchildrencincthecU
nitedcStatesccontinuesctocgrow.cOnecofcthecbiggestcchangescinchealthcarechascbeencthecgrowthcofcma
nagedccare.

DIF:cCognitivecLevel:cComprehensioncREF:cp.c3

OBJ:cNursingcProcesscStep:cPlanningcMSC:cSafecandcEffectivecCarecEnvironment

2. Acnurseciscreferringcaclow-
incomecfamilycwithcthreecchildrencundercthecagecofc5cyearsctocacprogramcthatcassistscwithcsuppleme
ntalcfoodcsupplies.cWhichcprogramcshouldcthecnursecrefercthiscfamilycto?

a. Medicaid
b. Medicare
c. EarlycandcPeriodiccScreening,cDiagnostic,candcTreatmentc(EPSDT)cprogram
d. Women,cInfants,candcChildrenc(WIC)cprogram




PediatriccNursingcThecCriticalcComponentscofcNursingcCarec2ndcEditioncRuddcTestcBank
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ANS:cD

WICciscacfederalcprogramcthatcprovidescsupplementalcfoodcsuppliesctoclow-
incomecwomencwhocarecpregnantcorcbreast-
feedingcandctoctheircchildrencuntilcthecagecofc5cyears.cMedicaidcandcthecMedicaidcEarlycandcPeriod
iccScreening,cDiagnostic,candcTreatmentc(EPSDT)cprogramcprovidescforcwell-
childcexaminationscandcrelatedctreatmentcofcmedicalcproblems.cChildrencincthecWICcprogramcarec
oftencreferredcforcimmunizations,cbutcthatciscnotcthecprimarycfocuscofcthecprogram.cPubliccLawc99-
457cprovidescfinancialcincentivesctocstatesctocestablishccomprehensivecearlycinterventioncservicesc
forcinfantscandctoddlerscwith,corcatcriskcfor,cdevelopmentalcdisabilities.
MedicareciscthecprogramcforcSeniorcCitizens.c

DIF:cCognitivecLevel:cApplicationcREF:cp.c7c

OBJ:cNursingcProcesscStep:cImplementationc

MSC:cHealthcPromotioncandcMaintenance

3. Incmostcstates,cadolescentscwhocarecnotcemancipatedcminorscmustchavecparentalcpermissioncb
efore:

a. treatmentcforcdrugcabuse.
b. treatmentcforcsexuallyctransmittedcdiseasesc(STDs).
c. obtainingcbirthccontrol.
d. surgery.


ANS:cD

Ancemancipatedcminorciscacminorcchildcwhochasctheclegalccompetencecofcancadult.cLegalccounselcm
aycbecconsultedctocverifycthecstatuscofcthecemancipatedcminorcforcconsentcpurposes.cMostcstatescallo
wcminorsctocobtainctreatmentcforcdrugcorcalcoholcabusecandcSTDscandcallowcaccessctocbirthccontrolc
withoutcparentalcconsent.

DIF:cCognitivecLevel:cApplicationcREF:cp.c12


PediatriccNursingcThecCriticalcComponentscofcNursingcCarec2ndcEditioncRuddcTestcBank
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,PediatriccNursingcThecCriticalcComponentscofcNursingcCarec2ndcEditioncRuddcTestcBank
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OBJ:cNursingcProcesscStep:cPlanningcMSC:cSafecandcEffectivecCarecEnvironment




PediatriccNursingcThecCriticalcComponentscofcNursingcCarec2ndcEditioncRuddcTestcBank
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4. Acnursecisccompletingcacclinicalcpathwaycforcacchildcadmittedctocthechospitalcwithcpneumonia.cW
hichccharacteristiccofcacclinicalcpathwaycisccorrect?

a. Developedcandcimplementedcbycnurses
b. Usedcprimarilycincthecpediatriccsetting
c. Specificctimeclinescforcsequencingcinterventions
d. Onecofcthecstepscincthecnursingcprocess


ANS:cC

Clinicalcpathwayscmeasurecoutcomescofcclientccarecandcarecdevelopedcbycmultiplechealthcarecprofe
ssionals.cEachcpathwaycoutlinescspecificctimeclinescforcsequencingcinterventionscandcreflectscinterdis
ciplinarycinterventions.cClinicalcpathwayscarecusedcincmultiplecsettingscandcforcclientscthroughoutct
heclifecspan.cThecstepscofcthecnursingcprocesscarecassessment,cdiagnosis,cplanning,cimplementation,c
andcevaluation.

DIF:cCognitivecLevel:cComprehensioncREF:cp.c6

OBJ:cNursingcProcesscStep:cPlanningcMSC:cSafecandcEffectivecCarecEnvironment

5. Whencplanningcacparentingcclass,cthecnursecshouldcexplaincthatcthecleadingccausecofcdeathcincch
ildrenc1ctoc4c yearscofcagecincthecUnitedcStatescis:

a. prematurecbirth.
b. congenitalcanomalies.
c. accidentalcdeath.
d. respiratoryctractcillness.


ANS:cC

Accidentscarecthecleadingccausecofcdeathcincchildrencagesc1ctoc19cyears.cDisorderscofcshortcges
tationcandcunspecifiedclowcbirthcweightcmakecupconecofcthecleadingccausescofcdeathcincneonat
es.cOnecofcthecleadingccausescofcinfantcdeathcaftercthecfirstcmonthcofclifecisccongenitalcanomalie
s.cRespiratoryctractcillnessescarecacmajorccausecofcmorbiditycincchildren.

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