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Chapterf1.f IssuesfandfTrendsfinfPediatricfNursing
MULTIPLEfCHOICE
1. Afnursefisfreviewingfchangesfinfhealthcarefdeliveryfandffundingfforfpediatricfpopulations.fW
hichfcurrentftrendfinfthefpediatricfsettingfshouldfthefnursefexpectfto find?
a. Increasedfhospitalizationfoffchildren
b. Decreasedfnumberfoffuninsuredfchildren
c. Anfincreasefinfambulatoryfcare
d. Decreasedfusefoffmanagedfcare
ANS:fC
Onefeffectfoffmanagedfcarefisfthatfpediatricfhealthcarefdeliveryfhasfshiftedfdramaticallyffromfthefacu
tefcarefsettingftofthefambulatoryfsetting.fThefnumberfoffhospitalfbedsfbeingfusedfhasfdecreasedfasfm
orefcarefisfprovidedfinfoutpatientfandfhomefsettings.fThefnumberfoffuninsuredfchildrenfinfthefUnitedf
Statesfcontinuesftofgrow.fOnefoffthefbiggestfchangesfinfhealthcarefhasfbeenfthefgrowthfoffmanagedfc
are.
DIF:fCognitivefLevel:fComprehensionfREF:fp.f3
OBJ:fNursingfProcessfStep:fPlanningfMSC:fSafefandfEffectivefCarefEnvironment
2. Afnursefisfreferringfaflow-
incomeffamilyfwithfthreefchildrenfunderfthefagefoff5fyearsftofafprogramfthatfassistsfwithfsupplement
alffoodfsupplies.fWhichfprogramfshouldfthefnursefreferfthisffamilyfto?
a. Medicaid
b. Medicare
c. EarlyfandfPeriodicfScreening,fDiagnostic,fandfTreatmentf(EPSDT)fprogram
d. Women,fInfants,fandfChildrenf(WIC)fprogram
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ANS:fD
WICfisfaffederalfprogramfthatfprovidesfsupplementalffoodfsuppliesftoflow-
incomefwomenfwhofarefpregnantforfbreast-
feedingfandftoftheirfchildrenfuntilfthefagefoff5fyears.fMedicaidfandfthefMedicaidfEarlyfandfPeriodicfS
creening,fDiagnostic,fandfTreatmentf(EPSDT)fprogramfprovidesfforfwell-
childfexaminationsfandfrelatedftreatmentfoffmedicalfproblems.fChildrenfinfthefWICfprogramfarefoft
enfreferredfforfimmunizations,fbutfthatfisfnotfthefprimaryffocusfoffthefprogram.fPublicfLawf99-
457fprovidesffinancialfincentivesftofstatesftofestablishfcomprehensivefearlyfinterventionfservicesffor
finfantsfandftoddlersfwith,forfatfriskffor,fdevelopmentalfdisabilities.
MedicarefisfthefprogramfforfSeniorfCitizens.f
DIF:fCognitivefLevel:fApplicationfREF:fp.f7f
OBJ:fNursingfProcessfStep:fImplementationf
MSC:fHealthfPromotionfandfMaintenance
3. Infmostfstates,fadolescentsfwhofarefnotfemancipatedfminorsfmustfhavefparentalfpermissionfbef
ore:
a. treatmentfforfdrugfabuse.
b. treatmentfforfsexuallyftransmittedfdiseasesf(STDs).
c. obtainingfbirthfcontrol.
d. surgery.
ANS:fD
Anfemancipatedfminorfisfafminorfchildfwhofhasftheflegalfcompetencefoffanfadult.fLegalfcounselfmayf
befconsultedftofverifyfthefstatusfoffthefemancipatedfminorfforfconsentfpurposes.fMostfstatesfallowfmi
norsftofobtainftreatmentfforfdrugforfalcoholfabusefandfSTDsfandfallowfaccessftofbirthfcontrolfwithout
fparentalfconsent.
DIF:fCognitivefLevel:fApplicationfREF:fp.f12
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OBJ:fNursingfProcessfStep:fPlanningfMSC:fSafefandfEffectivefCarefEnvironment
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4. Afnursefisfcompletingfafclinicalfpathwayfforfafchildfadmittedftofthefhospitalfwithfpneumonia.fWh
ichfcharacteristicfoffafclinicalfpathwayfisfcorrect?
a. Developedfandfimplementedfbyfnurses
b. Usedfprimarilyfinfthefpediatricfsetting
c. Specificftimeflinesfforfsequencingfinterventions
d. Onefoffthefstepsfinfthefnursingfprocess
ANS:fC
Clinicalfpathwaysfmeasurefoutcomesfoffclientfcarefandfarefdevelopedfbyfmultiplefhealthcarefprofes
sionals.fEachfpathwayfoutlinesfspecificftimeflinesfforfsequencingfinterventionsfandfreflectsfinterdisci
plinaryfinterventions.fClinicalfpathwaysfarefusedfinfmultiplefsettingsfandfforfclientsfthroughoutfthefl
ifefspan.fThefstepsfoffthefnursingfprocessfarefassessment,fdiagnosis,fplanning,fimplementation,fandf
evaluation.
DIF:fCognitivefLevel:fComprehensionfREF:fp.f6
OBJ:fNursingfProcessfStep:fPlanningfMSC:fSafefandfEffectivefCarefEnvironment
5. Whenfplanningfafparentingfclass,fthefnursefshouldfexplainfthatfthefleadingfcausefoffdeathfinfchil
drenf1ftof4fyearsfoffagefinfthefUnitedfStatesfis:
a. prematurefbirth.
b. congenitalfanomalies.
c. accidentalfdeath.
d. respiratoryftractfillness.
ANS:fC
Accidentsfarefthefleadingfcausefoffdeathfinfchildrenfagesf1ftof19fyears.fDisordersfoffshortfgestationfan
dfunspecifiedflowfbirthfweightfmakefupfonefoffthefleadingfcausesfoffdeathfinfneonates.fOnefofftheflead
ingfcausesfoffinfantfdeathfafterftheffirstfmonthfofflifefisfcongenitalfanomalies.fRespiratoryftractfillness
esfarefafmajorfcausefoffmorbidityfinfchildren.
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