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PediatricSNursingSTheSCriticalSComponentsSofSNursingSCareS2ndSEditionSRuddSTestSBank
ChapterS1.S IssuesSandSTrendsSinSPediatricSNursing
MULTIPLESCHOICE
1. ASnurseSisSreviewingSchangesSinShealthcareSdeliverySandSfundingSforSpediatricSpopulations.S
WhichScurrentStrendSinStheSpediatricSsettingSshouldS theSnurseSexpectStoSfind?
a. IncreasedShospitalizationSofSchildren
b. DecreasedSnumberSofSuninsuredSchildrenS
c.S AnSincreaseSinSambulatoryScare
d.S DecreasedSuseSofSmanagedScare
ANS:SC
OneSeffectSofSmanagedScareSisSthatSpediatricShealthcareSdeliveryShasSshiftedSdramaticallySfromStheS
acuteScareSsettingStoStheSambulatorySsetting.STheSnumberSofShospitalSbedsSbeingSusedShasSdecreas
edSasSmoreScareSisSprovidedSinSoutpatientSandShomeSsettings.STheSnumberSofSuninsuredSchildrenSin
theSUnitedSStatesScontinuesStoSgrow.SOneSofStheSbiggestSchangesSinShealthcareShasSbeenStheSgrow
S
thSofSmanagedS care.
DIF:SCognitiveSLevel:SComprehensionSREF:Sp.S3
OBJ:SNursingSProcessSStep:SPlanningSMSC:SSafeSandSEffectiveSCareSEnvironment
2. ASnurseSisSreferringSaSlow-
incomeSfamilySwithSthreeSchildrenSunderStheSageSofS5SyearsStoSaSprogramSthatSassistsSwithSsupple
mentalSfoodSsupplies.SWhichSprogramSshouldStheSnurseSreferSthisSfamilySto?
a.SMedicaidSb
.S Medicare
c.SEarlySandSPeriodicSScreening,SDiagnostic,SandSTreatmentS(EPSDT)SprogramS
d.S Women,SInfants,SandSChildrenS(WIC)Sprogram
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ANS:SD
WICSisSaSfederalSprogramSthatSprovidesSsupplementalSfoodSsuppliesStoSlow-
incomeSwomenSwhoSareSpregnantSorSbreast-
feedingSandStoStheirSchildrenSuntilStheSageSofS5Syears.SMedicaidSandStheSMedicaidSEarlySandSPeri
odicSScreening,SDiagnostic,SandSTreatmentS(EPSDT)SprogramSprovidesSforSwell-
childSexaminationsSandSrelatedStreatmentSofSmedicalSproblems.SChildrenSinStheSWICSprogramSar
eSoftenSreferredSforSimmunizations,SbutSthatSisSnotStheSprimarySfocusSofStheSprogram.SPublicSLawS
99-
457SprovidesSfinancialSincentivesStoSstatesStoSestablishScomprehensiveSearlySinterventionSservice
sSforSinfantsSandStoddlersSwith,SorSatSriskSfor,SdevelopmentalSdisabilities.
MedicareSisStheSprogramSforSSeniorSCitizens.
DIF:SCognitiveSLevel:SApplicationSREF:Sp.S7
OBJ:S NursingS ProcessS Step:S Implementation
MSC:SHealthSPromotionSandSMaintenance
3. InSmostSstates,SadolescentsSwhoSareSnotSemancipatedSminorsSmustShaveSparentalSpermissionS
before:
a. treatmentSforSdrugSabuse.
b. treatmentSforSsexuallyStransmittedSdiseasesS(STDs).S
c.S obtainingSbirthScontrol.
d.S surgery.
ANS:SD
AnSemancipatedSminorSisSaSminorSchildSwhoShasStheSlegalScompetenceSofSanSadult.SLegalScounselS
maySbeSconsultedStoSverifyStheSstatusSofStheSemancipatedSminorSforSconsentSpurposes.SMostSstatesS
allowSminorsStoSobtainStreatmentSforSdrugSorSalcoholSabuseSandSSTDsSandSallowSaccessStoSbirthSc
ontrolSwithoutSparentalSconsent.
DIF:SCognitiveSLevel:SApplicationSREF:Sp.S12
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OBJ:SNursingSProcessSStep:SPlanningSMSC:SSafeSandSEffectiveSCareSEnvironment
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4. ASnurseSisScompletingSaSclinicalSpathwaySforSaSchildSadmittedStoStheShospitalSwithSpneumonia.S
WhichScharacteristicSofSaSclinicalSpathwaySisScorrect?
a.S DevelopedSandSimplementedSbySnursesSb
.S UsedSprimarilySinStheSpediatricSsetting
c.S SpecificStimeSlinesSforSsequencingSinterventionsSd
.S OneSofStheSstepsSinStheSnursingSprocess
ANS:SC
ClinicalSpathwaysSmeasureSoutcomesSofSclientScareSandSareSdevelopedSbySmultipleShealthcareSprofes
sionals.SEachSpathwaySoutlinesSspecificStimeSlinesSforSsequencingSinterventionsSandSreflectsSinterdisci
plinarySinterventions.SClinicalSpathwaysSareSusedSinSmultipleSsettingsSandSforSclientsSthroughoutStheS
lifeSspan.STheSstepsSofStheSnursingSprocessSareSassessment,Sdiagnosis,Splanning,Simplementation,San
dSevaluation.
DIF:SCognitiveSLevel:SComprehensionSREF:Sp.S6
OBJ:SNursingSProcessSStep:SPlanningSMSC:SSafeSandSEffectiveSCareSEnvironment
5. WhenSplanningSaSparentingSclass,StheSnurseSshouldSexplainSthatStheSleadingScauseSofSdeathSinS
childrenS1StoS4S yearsSofSageSinStheSUnitedSStatesSis:
a. prematureSbirth.
b. congenitalSanomalies.
c. accidentalSdeath.
d. respiratoryStractSillness.
ANS:SC
AccidentsSareStheSleadingScauseSofSdeathSinSchildrenSagesS1StoS19Syears.SDisordersSofSshortSg
estationSandSunspecifiedSlowSbirthSweightSmakeSupSoneSofStheSleadingScausesSofSdeathSinSne
onates.SOneSofStheSleadingScausesSofSinfantSdeathSafterStheSfirstSmonthSofSlifeSisScongenitalSan
omalies.SRespiratoryStractS illnessesSareSaSmajorS causeSofSmorbiditySinSchildren.