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,3rdEdition(EllenM.Chiocca)AllChapter s 1
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- 26 pf
,
,Chapter 1. Child Health Assessment: An Overview MULTIP
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LE CHOICE
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1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populatio
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ns.
Which current trend in the pediatric setting should the nurse expect to find?
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a. Increased hospitalization of children pf pf pf
b. Decreased number of uninsured children pf pf pf pf
c. An increase in ambulatory care
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d. Decreased use of managed care pf pf pf pf pf
ANSWER: C p f
One effect of managed care is that pediatric healthcare delivery has shifted dramatically fr
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om the pf
acute care setting to the ambulatory setting. The number of hospital beds being used has d
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ecreased as more care is provided in outpatient and home settings. The number of unins ur
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ed
children in the United States continues to grow. One of the biggest changes in healthcare h
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as
been the growth of managed care.
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DIF: Cognitive Level: Comprehension REF: dm 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-
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income family with three children under the age of 5 years to a
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program that assists with supplemental food supplies. Which program should the nurse re
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fer this
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family to? pf
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 pf pf pf pf pf
ANSWER: D p f
WIC is a federal program that provides supplemental food supplies to low-
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income women who pf pf
are pregnant or breast-
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feeding and to their children until the age of 5 years. Medicaid and the
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Medicaid Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program provi
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des
for well-
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child examinations and related treatment of medical problems. Children in the WIC progra
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m are often referred for immunizations, but that is not the primary focus of the pro gram.
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Public Law 99- pf pf
457 provides financial incentives to states to establish comprehensive early intervention se
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rvices for infants and toddlers with, or at risk for, developmental disabilitie s.
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Medicare is the program for Senior Citizens. DI
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F: Cognitive Level: Application REF: dm 7 OBJ:
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Nursing Process Step: Implementation MSC: He
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alth Promotion and Maintenance
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3. In most states, adolescents who are not emancipated minors must have parental permis
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sion
before: