Test- bank for pediatric -nursing the critical compo
nents of nursing care= 2nd edition 2023 rudd
PEDIATRIC NURSING THE CRITICAL
COMPONENTS OF= NURSING
... [Show More] CARE
=2nd EDITION
RUDD
TEST BANK
Chapter 1. Issues and Trends in Pediatric Nursing
MULTIPLE CHOICE
1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations.
Which current trend in the pediatric setting should the nurse expect to find?
a. Increased hospitalization of children
b. Decreased number of uninsured children
c. An increase in ambulatory care
d. Decreased use of managed care
ANS: C
One effect of managed care is that pediatric healthcare delivery has shifted dramatically from the
acute care setting to the ambulatory setting. The number of hospital beds being used has
decreased as more care is provided in outpatient and home settings. The number of uninsured
children in the United States continues to grow. One of the biggest changes in healthcare has
been the growth of managed care.
DIF: Cognitive Level: Comprehension REF: p. 3
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
2. A nurse is referring a low-income family with three children under the age of 5 years to a
program that assists with supplemental food supplies. Which program should the nurse refer this
family to?
a. Medicaid
b. Medicare
c. Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program
d. Women, Infants, and Children (WIC) program
ANS: D
WIC is a federal program that provides supplemental food supplies to low-income
women whoare pregnant or breast-feeding and to their children until the age of 5
years. Medicaid and the Medicaid Early and Periodic Screening, Diagnostic, and
Treatment (EPSDT) program providesfor well-child examinations and related
treatment of medical problems. Children in the WIC program are often referred for
immunizations, but that is not the primary focus of the program.Public Law 99-457
provides financial incentives to states to establish comprehensive early intervention
services for infants and toddlers with, or at risk for, developmental disabilities.
Medicare is the program for Senior
Citizens. DIF: Cognitive Level:
Application REF: p. 7 OBJ: Nursing
Process Step: Implementation MSC:
Health Promotion and Maintenance
3. In most states, adolescents who are not emancipated minors must have parental
permissionbefore:
a. treatment for drug abuse.
b. treatment for sexually transmitted diseases (STDs).
c. obtaining birth control.
d. surgery.
ANS: D
An emancipated minor is a minor child who has the legal competence of an adult. Legal
counselmay be consulted to verify the status of the emancipated minor for consent
purposes. Most statesallow minors to obtain treatment for drug or alcohol abuse and
STDs and allow access to birth control without parental consent.
DIF: Cognitive Level: Application REF: p. 12
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
4. A nurse is completing a clinical pathway for a child admitted to the hospital with
pneumonia.Which characteristic of a clinical pathway is correct?
a. Developed and implemented by nurses
b. Used primarily in the pediatric setting
c. Specific time lines for sequencing interventions
d. One of the steps in the nursing process
ANS: C
Clinical pathways measure outcomes of client care and are developed by multiple
healthcare professionals. Each pathway outlines specific time lines for sequencing
interventions and reflectsinterdisciplinary interventions. Clinical pathways are used in
multiple settings and for clients throughout the life span. The steps of the nursing
process are assessment, diagnosis, planning, implementation, and evaluation.
DIF: Cognitive Level: Comprehension REF: p. 6
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
5. When planning a parenting class, the nurse should explain that the leading cause
of death inchildren 1 to 4 years of age in the United States is:
a. premature birth.
b. congenital anomalies.
c. accidental death.
d. respiratory tract illness.
ANS: C [Show Less]