Test Bank - Advanced Pediatric Assessment, 3rd Edition (Chiocca, 2020), Chapter 1-26 | All Chapters

TEST BANKnb




AdvancedPediatricAssessment,3rdEdition (Ellen
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M. Chiocca) All Chapters1 - 26
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,
,Chapter1.ChildHealthAssessment:AnOverview
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MULTIPLECHOICE
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1. Anurseisreviewingchangesinhealthcaredeliveryandfundingforpediatricpopulations.Which
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currenttrendinthepediatricsettingshouldthenurseexpecttofind?
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a. Increasedhospitalizationofchildren b b b




b. Decreasednumberofuninsuredchildren b b b




c. Anincreaseinambulatorycare
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d. Decreaseduseofmanaged care n




ANSWER: C
n b




Oneeffectofmanaged careisthatpediatrichealthcaredeliveryhas shifteddramaticallyfromthe acute
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b caresetting totheambulatory setting. Thenumberofhospital bedsbeing usedhas decreasedasmore
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careisprovidedinoutpatientandhomesettings.Thenumberofuninsured childreninthe United
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States continues to grow.One of thebiggest changesinhealthcare has been thegrowth of managed
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care.
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DIF:CognitiveLevel:ComprehensionREF:dm3
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OBJ:NursingProcessStep:PlanningMSC:SafeandEffectiveCareEnvironment
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2. Anurseisreferringalow-incomefamilywiththreechildrenundertheageof5 yearstoa program b b




b that assistswithsupplementalfoodsupplies.Which program shouldthenursereferthisfamily to?
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a. Medicaid
b. Medicare
c. EarlyandPeriodicScreening,Diagnostic,andTreatment(EPSDT)program
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d. Women,Infants,andChildren(WIC)program
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, ANSWER:D b




WICisa federalprogram that providessupplemental food supplies tolow-income women whoare
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b pregnantorbreast-feedingand totheirchildren untiltheage of5years.Medicaidand theMedicaid b b n b




b EarlyandPeriodicScreening,Diagnostic,andTreatment (EPSDT)programprovidesforwell-child n b




b examinationsandrelatedtreatmentofmedicalproblems.ChildrenintheWIC programareoften b




b referred forimmunizations,but that isnotthe primaryfocusoftheprogram.PublicLaw99-457
n n n n b b b




b provides financial incentivestostates toestablish comprehensive earlyinterventionservicesfor b b n b n b




b infantsand toddlerswith,oratriskfor,developmentaldisabilities.
n




Medicare isthe program for Senior Citizens. b b b b b




b DIF: Cognitive Level:Application REF: dm 7
b b n b b




b OBJ: Nursing Process Step: Implementation
b b b b




MSC:HealthPromotionand Maintenance
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3. Inmoststates,adolescentswhoarenotemancipatedminorsmusthaveparentalpermission
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before:
b




a. treatmentfordrug abuse. n




b. treatment forsexuallytransmitted diseases (STDs). n n




c. obtainingbirthcontrol.
d. surgery.
b ANSWER:D b




An emancipatedminorisa minorchildwhohasthelegalcompetenceofan adult.Legalcounsel may
n n n b




b be consulted to verify thestatusoftheemancipatedminorforconsentpurposes. Most states allow
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minorstoobtaintreatment fordrug oralcohol abuseand STDsand allowaccesstobirth control
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b withoutparentalconsent. b b




DIF:CognitiveLevel:Application REF:dm12
b b b n b b




OBJ:NursingProcessStep:PlanningMSC:SafeandEffectiveCareEnvironment
b b b b b b b b b b