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Test Bank for Davis Advantage for Pediatric Nursing: Critical Components of Nursing Care, 3rd Edition by Kathryn Rudd All Chapters (1-22)|
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Pediatric nursing the critical components
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Pediatric Nursing The Critical Components
Test Bank for Davis Advantage for Pediatric Nursing: Critical Components of Nursing Care, 3rd Edition by Kathryn Rudd All Chapters (1-22)|
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NURS 3425 Pediatric Nursing The Critical Components of Nursing Care 3nd Edition
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RuddTest Bank (1)
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Pediatric Nursing The Critical Components of Nursing Care 3nd Edition Rudd Test
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BankChapter 1. Issues and Trends in Pediatric Nursing
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MULTIPLE CHOICE ll
1. A nurse is reviewing changes in healthcare delivery and funding for pediatric
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populations.Which current trend in the pediatric setting should the nurse expect to find?
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a. Increased hospitalization of children ll l ll
b. Decreased number of uninsured children ll ll ll ll
c. An increase in ambulatory care ll ll l l
d. Decreased use of managed care ll ll ll ll
ANS: C ll
One effect of managed care is that pediatric healthcare delivery has shifted dramatically from
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theacute care setting to the ambulatory setting. The number of hospital beds being used has
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ll decreased as more care is provided in outpatient and home settings. The number of uninsured
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ll children in the United States continues to grow. One of the biggest changes in healthcare has been
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the growth of managed care.
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DIF: Cognitive Level: Comprehension REF: p. 3
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OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
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2. A nurse is referring a low-income family with three children under the age of 5 years to a
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ll program that assists withsupplemental food supplies. Which program should the nurse refer
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ll thisfamily to?
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a. Medicaid
b. Medicare
c. Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program
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d. Women, Infants, and Children (WIC) program ll ll ll l ll
,NURS 3425 Pediatric Nursing The Critical Components of Nursing Care 3nd Edition
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RuddTest Bank (1)
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ANS: D ll
WIC is a federal program that provides supplemental food supplies to low-income women
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ll whoare pregnant or breast-feeding and to their children until the age of 5 years. Medicaid and
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ll the Medicaid Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program
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ll providesfor well-child examinations and related treatment of medical problems. Children in the
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ll WIC program are often referred for immunizations, but that is not the primary focus of the
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ll program.Public Law 99-457 provides financial incentives to states to establish comprehensive
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ll early intervention services for infants and toddlers with, or at risk for, developmental disabilities.
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Medicare ll is the
ll ll program for
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ll Citizens. DIF: Cognitive Level: Application l ll ll ll
ll REF: p. 7 OBJ: Nursing Process Step: ll ll l ll ll ll
ll Implementation MSC: Health Promotion and ll ll l l
ll Maintenance
3. In most states, adolescents who are not emancipated minors must have parental
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ll permissionbefore: l
a. treatment for drug abuse. ll ll ll
b. treatment for sexuallytransmitted diseases (STDs). ll ll l ll ll
c. obtaining birthcontrol. ll l
d. surgery.
ANS: D ll
An emancipated minor is a minor child who has the legal competence of an adult. Legal
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ll counselmay be consulted to verify the status of the emancipated minor for consent purposes. Most
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statesallow minors to obtain treatment for drug or alcohol abuse and STDs and allow access to
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ll birth control without parental consent.
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DIF: Cognitive Level: Application REF: p. 12
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OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
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,NURS 3425 Pediatric Nursing The Critical Components of Nursing Care 3nd Edition
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RuddTest Bank (1)
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4. Anurse is completing a clinical pathway for a child admitted to the hospital with
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pneumonia.Which characteristic of a clinical pathway is correct?
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a. Developed and implemented by nurses ll ll ll ll
b. Used primarily inthe pediatric setting ll ll l ll ll
c. Specific time lines for sequencing interventions ll ll ll l ll
d. One of the steps in the nursing processll ll ll ll l ll ll
ANS: C ll
Clinical pathways measure outcomes of client care and are developed by multiple healthcare
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ll professionals. Each pathwayoutlines specific time lines for sequencing interventions and ll l l ll ll ll ll ll ll ll
ll reflectsinterdisciplinary interventions. Clinical pathways are used in multiple settings and for
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ll clients throughout the life span. The steps of the nursing process are assessment, diagnosis,
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ll planning, implementation, and evaluation. ll ll ll
DIF: Cognitive Level: Comprehension REF: p. 6
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OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
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5. Whenplanning a parenting class, the nurse should explain that the leading cause of death
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ll inchildren 1 to 4 years of age in the United States is:
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a. premature birth. ll
b. congenital anomalies. l
c. accidental death. l
d. respiratorytract illness. l ll
ANS: C ll
Accidents are the leading cause of death in children ages 1 to 19 years. Disorders of short
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ll gestation and unspecified low birth weight make up one of the leading causes of death in
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ll neonates. One of the leading causes of infant death after the first month of life is
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ll congenitalanomalies. Respiratory tract illnesses are a major cause of morbidity in children.
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, NURS 3425 Pediatric Nursing The Critical Components of Nursing Care 3nd Edition
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RuddTest Bank (1)
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DIF: Cognitive Level: Application REF: p.
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ll 9 OBJ:
l ll Nursing llProcess ll Step:
ll Implementation MSC: Safe and Effective ll ll ll ll
Care Environment
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6. Whichstatement is true regarding the quality assurance or incident report?
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a. The report assures the legal department that there is no problem.
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b. Reports are a permanent part of the clients chart. ll ll ll ll ll ll ll ll
c. The nurses notes should contain the following: Incident report filed and
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copyplaced in chart.
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d. This report is a form of documentation of an event that may result in legal action.
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ANS: D ll
An incident report is a warning to the legal department to be prepared for potential legal action;it
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ll is not a part of the clients chart or nurse documentation.
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DIF: Cognitive Level: Knowledge REF: p.
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ll 14OBJ: Nursing Process Step:
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ll Implementation MSC: Safe and Effective ll ll ll ll
Care Environment
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7. Which client situation fails to meet the first requirement of informed consent?
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a. The parent does not understand the physicians explanations.
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b. The physician gives the parent only a partial list of possible side effects
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andcomplications.
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c. No parent is available and the physician asks the adolescent to sign the
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consentform. ll l
d. The infants teenage mother signs a consent form because her parent tells her to.
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ANS: C ll