m m m m m m m
Care 2nd Edition Rudd Test Bank (1)
m m m m m m
PediatricmNursingmThemCriticalmComponentsmof mNursingmCarem2ndmEditionmRuddmTestmBan
kmChapterm1.mIssuesmand mTrendsminmPediatricmNursing
MULTIPLEmCHOICE
1. A mnursemismreviewingmchangesminmhealthcaremdelivery mand mfundingmformpediatricmpopulatio
ns.mWhichmcurrent mtrend minmthempediatricmsettingmshould mthemnursemexpect mtomfind?
a. Increased mhospitalizationmof mchildren
b. Decreased mnumbermof muninsured mchildren
c. Anmincreaseminmambulatorymcare
d. Decreased musemof mmanaged mcare
ANS:mC
Onemeffect mof mmanaged mcaremismthat mpediatricmhealthcaremdeliverymhasmshifted mdramaticallymfrommt
hemacutemcaremsettingmtomthemambulatorymsetting.mThemnumbermof mhospitalmbedsmbeingmused mhasmde
creased masmmoremcaremismprovided minmoutpatient mand mhomemsettings.mThemnumbermof muninsured mch
ildrenminmthemUnited mStatesmcontinuesmtomgrow.mOnemof mthembiggest mchangesminmhealthcaremhasmbe
enmthemgrowthmof mmanaged mcare.
DIF:mCognitivemLevel:mComprehensionmREF:mp.m3
OBJ:mNursingmProcessmStep:mPlanningmMSC:mSafemand mEffectivemCaremEnvironment
2. A mnursemismreferringmamlow-
incomemfamilymwithmthreemchildrenmundermthemagemof m5myearsmtomamprogrammthat massistsmwithmsup
plementalmfood msupplies.mWhichmprogrammshould mthemnursemrefermthismfamilymto?
a. Medicaid
b. Medicare
c. Earlymand mPeriodicmScreening,mDiagnostic,mand mTreatment m(EPSDT)mprogram
d. Women,mInfants,mand mChildrenm(WIC)mprogram
,Pediatric Nursing The Critical Components of Nursing
m m m m m m m
Care 2nd Edition Rudd Test Bank (1)
m m m m m m
ANS:mD
WICmismamfederalmprogrammthat mprovidesmsupplementalmfood msuppliesmtomlow-
incomemwomenmwhomarempregnant mormbreast-
feedingmand mtomtheirmchildrenmuntilmthemagemof m5myears.mMedicaid mand mthemMedicaid mEarlymand m
PeriodicmScreening,mDiagnostic,mand mTreatment m(EPSDT)mprogrammprovidesmformwell-
child mexaminationsmand mrelated mtreatment mof mmedicalmproblems.mChildrenminmthemWICmprogram
aremoftenmreferred mformimmunizations,mbut mthat mismnot mthemprimarymfocusmof mthemprogram.mPubli
m
cmLaw m99-
457mprovidesmfinancialmincentivesmtomstatesmtomestablishmcomprehensivemearlym interventionmservi
cesmforminfantsmand mtoddlersmwith,mormat mriskmfor,mdevelopmentalmdisabilities.
MedicaremismthemprogrammformSeniormCitizen
s.mDIF:mCognitivemLevel:mApplicationmREF:m
p.m7mOBJ:mNursingmProcessmStep:mImplement
ationmMSC:mHealthmPromotionmand mMainten
ance
3. Inmmost mstates,madolescentsmwhomaremnot memancipated mminorsmmust mhavemparentalmpermissi
onmbefore:
a. treatment mformdrugmabuse.
b. treatment mformsexuallymtransmitted mdiseasesm(STDs).
c. obtainingmbirthmcontrol.
d. surgery.
ANS:mD
Anmemancipated mminormismamminormchild mwhomhasmthemlegalmcompetencemof manmadult.mLegalmcouns
elmmaymbemconsulted mtomverifymthemstatusmof mthememancipated mminormformconsent mpurposes.mMost msta
tesmallow mminorsmtomobtainmtreatment mformdrugmormalcoholmabusemand mSTDsmand mallow maccessmtombir
,Pediatric Nursing The Critical Components of Nursing
m m m m m m m
Care 2nd Edition Rudd Test Bank (1)
m m m m m m
thmcontrolmwithout mparentalmconsent.
DIF:mCognitivemLevel:mApplicationmREF:mp.m12
OBJ:mNursingmProcessmStep:mPlanningmMSC:mSafemand mEffectivemCaremEnvironment
, Pediatric Nursing The Critical Components of Nursing
m m m m m m m
Care 2nd Edition Rudd Test Bank (1)
m m m m m m
4. A mnursemismcompletingmamclinicalmpathwaymformamchild madmitted mtomthemhospitalmwithmpneumo
nia.mWhichmcharacteristicmof mamclinicalmpathwaymismcorrect?
a. Developed mand mimplemented mbymnurses
b. Used mprimarilyminmthempediatricmsetting
c. Specificmtimemlinesmformsequencingminterventions
d. Onemof mthemstepsminmthemnursingmprocess
ANS:mC
Clinicalmpathwaysmmeasuremoutcomesmof mclient mcaremand maremdeveloped mbymmultiplemhealthcarempr
ofessionals.mEachmpathwaymoutlinesmspecificmtimemlinesmformsequencingminterventionsmand mreflectsmi
nterdisciplinaryminterventions.mClinicalmpathwaysmaremused minmmultiplem settingsmand mformclientsmthr
oughout mthemlifemspan.mThemstepsmof mthemnursingmprocessmaremassessment,mdiagnosis,mplanning,m imp
lementation,mand mevaluation.
DIF:mCognitivemLevel:mComprehensionmREF:mp.m6
OBJ:mNursingmProcessmStep:mPlanningmMSC:mSafemand mEffectivemCaremEnvironment
5. Whenmplanningmamparentingmclass,mthemnursemshould mexplainmthat mthemleadingmcausemof mdeath
inmchildrenm1mtom4myearsmof mageminmthemUnited mStatesmis:
m
a. prematurembirth.
b. congenitalmanomalies.
c. accidentalmdeath.
d. respiratorymtract millness.
ANS:mC
Accidentsmaremthemleadingmcausemof mdeathminmchildrenmagesm1mtom19myears.mDisordersmof mshort mges
tationmand munspecified mlow mbirthmweight mmakemupmonemof mthemleadingmcausesmof mdeathminmneonate
s.mOnemof mthemleadingmcausesmof minfant mdeathmaftermthemfirst mmonthmof mlifemismcongenitalmanomalies
.mRespiratorymtract millnessesmaremam major mcausemof mmorbidityminmchildren.