TESTBANK
7
Advanced Pediatric Assessment, 3rd Edition
7 7 7 7
(Ellen M. Chiocca) All Chapters1 - 26
7 7 7 7 7 7 7
,
,Chapter71.7Child7Health7Assessment:7An7Overview7
MULTIPLE7CHOICE
1. A7nurse7is7reviewing7changes7in7healthcare7delivery7and7funding7for7pediatric7populations
.7 Which7current7trend7in7the7pediatric7setting7should7the7nurse7expect7to7find?
a. Increased7hospitalization7of7children
b. Decreased7number7of7uninsured7children
c. An7increase7in7ambulatory7care
d. Decreased7use7of7managed7ca
re77ANSWER:7C
One7effect7of7managed7care7is7that7pediatric7healthcare7delivery7has7shifted7dramatically7from7
the7 acute7care7setting7to7the7ambulatory7setting.7The7number7of7hospital7beds7being7used7has7 de
creased7as7more7care7is7provided7in7outpatient7and7home7settings.7The7number7of7uninsured7 chil
dren7in7the7United7States7continues7to7grow.7One7of7the7biggest7changes7in7healthcare7has7 been7t
he7growth7of7managed7care.
DIF:7Cognitive7Level:7Comprehension7REF:7dm73
OBJ:7Nursing7Process7Step:7Planning7MSC:7Safe7and7Effective7Care7Environment
2. A7nurse7is7referring7a7low-
income7family7with7three7children7under7the7age7of757years7to7a7 program7that7assists7with7supple
mental7food7supplies.7Which7program7should7the7nurse7refer7this7 family7to?
a. Medicaid
b. Medicare
c. Early7and7Periodic7Screening,7Diagnostic,7and7Treatment7(EPSDT)7program
d. Women,7Infants,7and7Children7(WIC)7program
, ANSWER:7D
WIC7is7a7federal7program7that7provides7supplemental7food7supplies7to7low-
income7women7who7 are7pregnant7or7breast-
feeding7and7to7their7children7until7the7age7of757years.7Medicaid7and7the7 Medicaid7Early7and7Per
iodic7Screening,7Diagnostic,7and7Treatment7(EPSDT)7program7provides7 for7well-
child7examinations7and7related7treatment7of7medical7problems.7Children7in7the7WIC7 program7ar
e7often7referred7for7immunizations,7but7that7is7not7the7primary7focus7of7the7program.7 Public7Law7
99-
4577provides7financial7incentives7to7states7to7establish7comprehensive7early7 intervention7services
for7infants7and7toddlers7with,7or7at7risk7for,7developmental7disabilities.
7
Medicare7is7the7program7for7Senior7Citizens.7 DI
F:7Cognitive7Level:7Application7REF:7dm777 OBJ:7
Nursing7Process7Step:7Implementation7 MSC:7Hea
lth7Promotion7and7Maintenance
3. In7most7states,7adolescents7who7are7not7emancipated7minors7must7have7parental7permission
7 before:
a. treatment7for7drug7abuse.
b. treatment7for7sexually7transmitted7diseases7(STDs).
c. obtaining7birth7control.
d. surgery.77A
NSWER:7D
An7emancipated7minor7is7a7minor7child7who7has7the7legal7competence7of7an7adult.7Legal7counsel7
may7be7consulted7to7verify7the7status7of7the7emancipated7minor7for7consent7purposes.7Most7states
7 allow7minors7to7obtain7treatment7for7drug7or7alcohol7abuse7and7STDs7and7allow7access7to7birth7
control7without7parental7consent.
DIF:7Cognitive7Level:7Application7REF:7dm712
OBJ:7Nursing7Process7Step:7Planning7MSC:7Safe7and7Effective7Care7Environment
7
Advanced Pediatric Assessment, 3rd Edition
7 7 7 7
(Ellen M. Chiocca) All Chapters1 - 26
7 7 7 7 7 7 7
,
,Chapter71.7Child7Health7Assessment:7An7Overview7
MULTIPLE7CHOICE
1. A7nurse7is7reviewing7changes7in7healthcare7delivery7and7funding7for7pediatric7populations
.7 Which7current7trend7in7the7pediatric7setting7should7the7nurse7expect7to7find?
a. Increased7hospitalization7of7children
b. Decreased7number7of7uninsured7children
c. An7increase7in7ambulatory7care
d. Decreased7use7of7managed7ca
re77ANSWER:7C
One7effect7of7managed7care7is7that7pediatric7healthcare7delivery7has7shifted7dramatically7from7
the7 acute7care7setting7to7the7ambulatory7setting.7The7number7of7hospital7beds7being7used7has7 de
creased7as7more7care7is7provided7in7outpatient7and7home7settings.7The7number7of7uninsured7 chil
dren7in7the7United7States7continues7to7grow.7One7of7the7biggest7changes7in7healthcare7has7 been7t
he7growth7of7managed7care.
DIF:7Cognitive7Level:7Comprehension7REF:7dm73
OBJ:7Nursing7Process7Step:7Planning7MSC:7Safe7and7Effective7Care7Environment
2. A7nurse7is7referring7a7low-
income7family7with7three7children7under7the7age7of757years7to7a7 program7that7assists7with7supple
mental7food7supplies.7Which7program7should7the7nurse7refer7this7 family7to?
a. Medicaid
b. Medicare
c. Early7and7Periodic7Screening,7Diagnostic,7and7Treatment7(EPSDT)7program
d. Women,7Infants,7and7Children7(WIC)7program
, ANSWER:7D
WIC7is7a7federal7program7that7provides7supplemental7food7supplies7to7low-
income7women7who7 are7pregnant7or7breast-
feeding7and7to7their7children7until7the7age7of757years.7Medicaid7and7the7 Medicaid7Early7and7Per
iodic7Screening,7Diagnostic,7and7Treatment7(EPSDT)7program7provides7 for7well-
child7examinations7and7related7treatment7of7medical7problems.7Children7in7the7WIC7 program7ar
e7often7referred7for7immunizations,7but7that7is7not7the7primary7focus7of7the7program.7 Public7Law7
99-
4577provides7financial7incentives7to7states7to7establish7comprehensive7early7 intervention7services
for7infants7and7toddlers7with,7or7at7risk7for,7developmental7disabilities.
7
Medicare7is7the7program7for7Senior7Citizens.7 DI
F:7Cognitive7Level:7Application7REF:7dm777 OBJ:7
Nursing7Process7Step:7Implementation7 MSC:7Hea
lth7Promotion7and7Maintenance
3. In7most7states,7adolescents7who7are7not7emancipated7minors7must7have7parental7permission
7 before:
a. treatment7for7drug7abuse.
b. treatment7for7sexually7transmitted7diseases7(STDs).
c. obtaining7birth7control.
d. surgery.77A
NSWER:7D
An7emancipated7minor7is7a7minor7child7who7has7the7legal7competence7of7an7adult.7Legal7counsel7
may7be7consulted7to7verify7the7status7of7the7emancipated7minor7for7consent7purposes.7Most7states
7 allow7minors7to7obtain7treatment7for7drug7or7alcohol7abuse7and7STDs7and7allow7access7to7birth7
control7without7parental7consent.
DIF:7Cognitive7Level:7Application7REF:7dm712
OBJ:7Nursing7Process7Step:7Planning7MSC:7Safe7and7Effective7Care7Environment
