Pediatric Nursing The Critical Component
m m m m
s of Nursing Care 2nd EditionRudd Test Ba
m m m m m m m m
nk
PediatricmNursingmThemCriticalmComponentsmofmNursingmCarem2ndmEditionmRuddmTestmBank
Chapterm1.m IssuesmandmTrendsminmPediatricmNursing
MULTIPLEmCHOICE
1. Amnursemismreviewingmchangesminmhealthcaremdeliverymandmfundingmformpediatricmpopulatio
ns.mWhichmcurrentmtrendminmthempediatricmsettingmshouldm themnursemexpectmtomfind?
a. Increasedmhospitalizationmofmchildren
b. Decreasedmnumbermofmuninsuredmchildre
nmc.m Anmincreaseminmambulatorymcare
d.m Decreasedmusemofmmanagedmcare
ANS:mC
Onemeffectmofmmanagedmcaremismthatmpediatricmhealthcaremdeliverymhasmshiftedmdramaticallymfromm
themacutemcaremsettingmtomthemambulatorymsetting.mThemnumbermofmhospitalmbedsmbeingmusedmhasmd
ecreasedmasmmoremcaremismprovidedminmoutpatientmandmhomemsettings.mThemnumbermofmuninsuredm
childrenminmthemUnitedmStatesmcontinuesmtomgrow.mOnemofmthembiggestmchangesminmhealthcaremhasm
beenmthem growthmofmmanagedm care.
DIF:mCognitivemLevel:mComprehensionmREF:mp.m3
OBJ:mNursingmProcessmStep:mPlanningmMSC:mSafemandmEffectivemCaremEnvironment
2. Amnursemismreferringmamlow-
incomemfamilymwithmthreemchildrenmundermthemagemofm5myearsmtomamprogrammthatmassistsmwithmsup
plementalmfoodmsupplies.mWhichmprogrammshouldmthemnursemrefermthismfamilymto?
a.mMedicaidmb
.m Medicare
c.mEarlymandmPeriodicmScreening,mDiagnostic,mandmTreatmentm(EPSDT)mprogra
mmd.m Women,mInfants,mandmChildrenm(WIC)mprogram
,Pediatric Nursing The Critical Component
m m m m
s of Nursing Care 2nd EditionRudd Test Ba
m m m m m m m m
nk
ANS:mD
WICmismamfederalmprogrammthatmprovidesmsupplementalmfoodmsuppliesmtomlow-
incomemwomenmwhomarempregnantmormbreast-
feedingmandmtomtheirmchildrenmuntilmthemagemofm5myears.mMedicaidmandmthemMedicaidmEarlymandm
PeriodicmScreening,mDiagnostic,mandmTreatmentm(EPSDT)mprogrammprovidesmformwell-
childmexaminationsmandmrelatedmtreatmentmofmmedicalmproblems.mChildrenminmthemWICmprogram
m aremoftenmreferredmformimmunizations,mbutmthatmismnotmthemprimarymfocusmofmthemprogram.mPubli
cmLawm99-
457mprovidesmfinancialmincentivesmtomstatesmtomestablishmcomprehensivemearlyminterventionmservi
cesmforminfantsmandmtoddlersmwith,mormatmriskmfor,mdevelopmentalmdisabilities.
MedicaremismthemprogrammformSeniormCitizens.
DIF:mCognitivemLevel:mApplicationmREF:mp.m7
OBJ:m Nursingm Processm Step:m Implementation
MSC:mHealthmPromotionmandmMaintenance
3. Inmmostmstates,madolescentsmwhomaremnotmemancipatedmminorsmmustmhavemparentalmpermissi
onmbefore:
a. treatmentmformdrugmabuse.
b. treatmentmformsexuallymtransmittedmdiseasesm(STDs
).mc.m obtainingmbirthmcontrol.
d.m surgery.
ANS:mD
Anmemancipatedmminormismamminormchildmwhomhasmthemlegalmcompetencemofmanmadult.mLegalmcoun
selmmaymbemconsultedmtomverifymthemstatusmofmthememancipatedmminormformconsentmpurposes.mMostm
statesmallowmminorsmtomobtainmtreatmentmformdrugmormalcoholmabusemandmSTDsmandmallowmaccessmt
ombirthmcontrolmwithoutmparentalmconsent.
DIF:mCognitivemLevel:mApplicationmREF:mp.m12
,Pediatric Nursing The Critical Component
m m m m
s of Nursing Care 2nd EditionRudd Test Ba
m m m m m m m m
nk
OBJ:mNursingmProcessmStep:mPlanningmMSC:mSafemandmEffectivemCaremEnvironment
, Pediatric Nursing The Critical Component
m m m m
s of Nursing Care 2nd EditionRudd Test Ba
m m m m m m m m
nk
4. Amnursemismcompletingmamclinicalmpathwaymformamchildmadmittedmtomthemhospitalmwithmpneumo
nia.mWhichmcharacteristicmofmamclinicalmpathwaymismcorrect?
a.m Developedmandmimplementedmbymnurses
m b.m Usedmprimarilyminmthempediatricmsettin
g
c.m Specificmtimemlinesmformsequencingminterventions
m d.m Onemofmthemstepsminmthemnursingmprocess
ANS:mC
Clinicalmpathwaysmmeasuremoutcomesmofmclientmcaremandmaremdevelopedmbymmultiplemhealthcarempro
fessionals.mEachmpathwaymoutlinesmspecificmtimemlinesmformsequencingminterventionsmandmreflectsminte
rdisciplinaryminterventions.mClinicalmpathwaysmaremusedminmmultiplemsettingsmandmformclientsmthroug
houtmthemlifemspan.mThemstepsmofmthemnursingmprocessmaremassessment,mdiagnosis,mplanning,mimplem
entation,mandmevaluation.
DIF:mCognitivemLevel:mComprehensionmREF:mp.m6
OBJ:mNursingmProcessmStep:mPlanningmMSC:mSafemandmEffectivemCaremEnvironment
5. Whenmplanningmamparentingmclass,mthemnursemshouldmexplainmthatmthemleadingmcausemofmdeath
m inmchildrenm1mtom4m yearsmofmageminmthemUnitedmStatesmis:
a. prematurembirth.
b. congenitalmanomalies.
c. accidentalmdeath.
d. respiratorymtractmillness.
ANS:mC
Accidentsmaremthemleadingmcausemofmdeathminmchildrenmagesm1mtom19myears.mDisordersmofmsho
rtmgestationmandmunspecifiedmlowmbirthmweightmmakemupmonemofmthemleadingmcausesmofmdeat
hminmneonates.mOnemofmthemleadingmcausesmofminfantmdeathmaftermthemfirstmmonthmofmlifemismco
ngenitalmanomalies.mRespiratorymtractm illnessesmaremammajorm causemofmmorbidityminmchildren.
m m m m
s of Nursing Care 2nd EditionRudd Test Ba
m m m m m m m m
nk
PediatricmNursingmThemCriticalmComponentsmofmNursingmCarem2ndmEditionmRuddmTestmBank
Chapterm1.m IssuesmandmTrendsminmPediatricmNursing
MULTIPLEmCHOICE
1. Amnursemismreviewingmchangesminmhealthcaremdeliverymandmfundingmformpediatricmpopulatio
ns.mWhichmcurrentmtrendminmthempediatricmsettingmshouldm themnursemexpectmtomfind?
a. Increasedmhospitalizationmofmchildren
b. Decreasedmnumbermofmuninsuredmchildre
nmc.m Anmincreaseminmambulatorymcare
d.m Decreasedmusemofmmanagedmcare
ANS:mC
Onemeffectmofmmanagedmcaremismthatmpediatricmhealthcaremdeliverymhasmshiftedmdramaticallymfromm
themacutemcaremsettingmtomthemambulatorymsetting.mThemnumbermofmhospitalmbedsmbeingmusedmhasmd
ecreasedmasmmoremcaremismprovidedminmoutpatientmandmhomemsettings.mThemnumbermofmuninsuredm
childrenminmthemUnitedmStatesmcontinuesmtomgrow.mOnemofmthembiggestmchangesminmhealthcaremhasm
beenmthem growthmofmmanagedm care.
DIF:mCognitivemLevel:mComprehensionmREF:mp.m3
OBJ:mNursingmProcessmStep:mPlanningmMSC:mSafemandmEffectivemCaremEnvironment
2. Amnursemismreferringmamlow-
incomemfamilymwithmthreemchildrenmundermthemagemofm5myearsmtomamprogrammthatmassistsmwithmsup
plementalmfoodmsupplies.mWhichmprogrammshouldmthemnursemrefermthismfamilymto?
a.mMedicaidmb
.m Medicare
c.mEarlymandmPeriodicmScreening,mDiagnostic,mandmTreatmentm(EPSDT)mprogra
mmd.m Women,mInfants,mandmChildrenm(WIC)mprogram
,Pediatric Nursing The Critical Component
m m m m
s of Nursing Care 2nd EditionRudd Test Ba
m m m m m m m m
nk
ANS:mD
WICmismamfederalmprogrammthatmprovidesmsupplementalmfoodmsuppliesmtomlow-
incomemwomenmwhomarempregnantmormbreast-
feedingmandmtomtheirmchildrenmuntilmthemagemofm5myears.mMedicaidmandmthemMedicaidmEarlymandm
PeriodicmScreening,mDiagnostic,mandmTreatmentm(EPSDT)mprogrammprovidesmformwell-
childmexaminationsmandmrelatedmtreatmentmofmmedicalmproblems.mChildrenminmthemWICmprogram
m aremoftenmreferredmformimmunizations,mbutmthatmismnotmthemprimarymfocusmofmthemprogram.mPubli
cmLawm99-
457mprovidesmfinancialmincentivesmtomstatesmtomestablishmcomprehensivemearlyminterventionmservi
cesmforminfantsmandmtoddlersmwith,mormatmriskmfor,mdevelopmentalmdisabilities.
MedicaremismthemprogrammformSeniormCitizens.
DIF:mCognitivemLevel:mApplicationmREF:mp.m7
OBJ:m Nursingm Processm Step:m Implementation
MSC:mHealthmPromotionmandmMaintenance
3. Inmmostmstates,madolescentsmwhomaremnotmemancipatedmminorsmmustmhavemparentalmpermissi
onmbefore:
a. treatmentmformdrugmabuse.
b. treatmentmformsexuallymtransmittedmdiseasesm(STDs
).mc.m obtainingmbirthmcontrol.
d.m surgery.
ANS:mD
Anmemancipatedmminormismamminormchildmwhomhasmthemlegalmcompetencemofmanmadult.mLegalmcoun
selmmaymbemconsultedmtomverifymthemstatusmofmthememancipatedmminormformconsentmpurposes.mMostm
statesmallowmminorsmtomobtainmtreatmentmformdrugmormalcoholmabusemandmSTDsmandmallowmaccessmt
ombirthmcontrolmwithoutmparentalmconsent.
DIF:mCognitivemLevel:mApplicationmREF:mp.m12
,Pediatric Nursing The Critical Component
m m m m
s of Nursing Care 2nd EditionRudd Test Ba
m m m m m m m m
nk
OBJ:mNursingmProcessmStep:mPlanningmMSC:mSafemandmEffectivemCaremEnvironment
, Pediatric Nursing The Critical Component
m m m m
s of Nursing Care 2nd EditionRudd Test Ba
m m m m m m m m
nk
4. Amnursemismcompletingmamclinicalmpathwaymformamchildmadmittedmtomthemhospitalmwithmpneumo
nia.mWhichmcharacteristicmofmamclinicalmpathwaymismcorrect?
a.m Developedmandmimplementedmbymnurses
m b.m Usedmprimarilyminmthempediatricmsettin
g
c.m Specificmtimemlinesmformsequencingminterventions
m d.m Onemofmthemstepsminmthemnursingmprocess
ANS:mC
Clinicalmpathwaysmmeasuremoutcomesmofmclientmcaremandmaremdevelopedmbymmultiplemhealthcarempro
fessionals.mEachmpathwaymoutlinesmspecificmtimemlinesmformsequencingminterventionsmandmreflectsminte
rdisciplinaryminterventions.mClinicalmpathwaysmaremusedminmmultiplemsettingsmandmformclientsmthroug
houtmthemlifemspan.mThemstepsmofmthemnursingmprocessmaremassessment,mdiagnosis,mplanning,mimplem
entation,mandmevaluation.
DIF:mCognitivemLevel:mComprehensionmREF:mp.m6
OBJ:mNursingmProcessmStep:mPlanningmMSC:mSafemandmEffectivemCaremEnvironment
5. Whenmplanningmamparentingmclass,mthemnursemshouldmexplainmthatmthemleadingmcausemofmdeath
m inmchildrenm1mtom4m yearsmofmageminmthemUnitedmStatesmis:
a. prematurembirth.
b. congenitalmanomalies.
c. accidentalmdeath.
d. respiratorymtractmillness.
ANS:mC
Accidentsmaremthemleadingmcausemofmdeathminmchildrenmagesm1mtom19myears.mDisordersmofmsho
rtmgestationmandmunspecifiedmlowmbirthmweightmmakemupmonemofmthemleadingmcausesmofmdeat
hminmneonates.mOnemofmthemleadingmcausesmofminfantmdeathmaftermthemfirstmmonthmofmlifemismco
ngenitalmanomalies.mRespiratorymtractm illnessesmaremammajorm causemofmmorbidityminmchildren.
