TEST BANK
Advanced Pediatric Assessment, 3rd Edition
(Ellen M. Chiocca) All Chapters 1 - 26
,
,Chapterc1.cChildcHealthcAssessment:cAncOverviewc
MULTIPLEcCHOICE
1. Acnurseciscreviewingcchangescinchealthcarecdeliverycandcfundingcforcpediatriccpopulations.c
Whichccurrentctrendcincthecpediatriccsettingcshouldcthecnursecexpectctocfind?
a. Increasedchospitalizationcofcchildren
b. Decreasedcnumbercofcuninsuredcchildren
c. Ancincreasecincambulatoryccare
d. Decreasedcusecofcmanagedccar
eccANSWER:cC
Oneceffectcofcmanagedccareciscthatcpediatricchealthcarecdeliverychascshiftedcdramaticallycfromcth
ec acuteccarecsettingctocthecambulatorycsetting.cThecnumbercofchospitalcbedscbeingcusedchasc decrea
sedcascmoreccareciscprovidedcincoutpatientcandchomecsettings.cThecnumbercofcuninsuredc childrencinct
hecUnitedcStatesccontinuesctocgrow.cOnecofcthecbiggestcchangescinchealthcarechasc beencthecgrowthc
ofcmanagedccare.
DIF:cCognitivecLevel:cComprehensioncREF:cdmc3
OBJ:cNursingcProcesscStep:cPlanningcMSC:cSafecandcEffectivecCarecEnvironment
2. Acnurseciscreferringcaclow-
incomecfamilycwithcthreecchildrencundercthecagecofc5cyearsctocac programcthatcassistscwithcsuppleme
ntalcfoodcsupplies.cWhichcprogramcshouldcthecnursecrefercthisc familycto?
a. Medicaid
b. Medicare
c. EarlycandcPeriodiccScreening,cDiagnostic,candcTreatmentc(EPSDT)cprogram
d. Women,cInfants,candcChildrenc(WIC)cprogram
, ANSWER:cD
WICciscacfederalcprogramcthatcprovidescsupplementalcfoodcsuppliesctoclow-
incomecwomencwhoc arecpregnantcorcbreast-
feedingcandctoctheircchildrencuntilcthecagecofc5cyears.cMedicaidcandcthec MedicaidcEarlycandcPeriod
iccScreening,cDiagnostic,candcTreatmentc(EPSDT)cprogramcprovidesc forcwell-
childcexaminationscandcrelatedctreatmentcofcmedicalcproblems.cChildrencincthecWICc programcarec
oftencreferredcforcimmunizations,cbutcthatciscnotcthecprimarycfocuscofcthecprogram.c PubliccLawc99-
457cprovidescfinancialcincentivesctocstatesctocestablishccomprehensivecearlyc interventioncservicescf
orcinfantscandctoddlerscwith,corcatcriskcfor,cdevelopmentalcdisabilities.
MedicareciscthecprogramcforcSeniorcCitizens.c DIF:c
CognitivecLevel:cApplicationcREF:cdmc7c OBJ:cNurs
ingcProcesscStep:cImplementationc MSC:cHealthcPr
omotioncandcMaintenance
3. Incmostcstates,cadolescentscwhocarecnotcemancipatedcminorscmustchavecparentalcpermissionc b
efore:
a. treatmentcforcdrugcabuse.
b. treatmentcforcsexuallyctransmittedcdiseasesc(STDs).
c. obtainingcbirthccontrol.
d. surgery.ccA
NSWER:cD
Ancemancipatedcminorciscacminorcchildcwhochasctheclegalccompetencecofcancadult.cLegalccounselc ma
ycbecconsultedctocverifycthecstatuscofcthecemancipatedcminorcforcconsentcpurposes.cMostcstatesc allo
wcminorsctocobtainctreatmentcforcdrugcorcalcoholcabusecandcSTDscandcallowcaccessctocbirthc controlc
withoutcparentalcconsent.
DIF:cCognitivecLevel:cApplicationcREF:cdmc12
OBJ:cNursingcProcesscStep:cPlanningcMSC:cSafecandcEffectivecCarecEnvironment
Advanced Pediatric Assessment, 3rd Edition
(Ellen M. Chiocca) All Chapters 1 - 26
,
,Chapterc1.cChildcHealthcAssessment:cAncOverviewc
MULTIPLEcCHOICE
1. Acnurseciscreviewingcchangescinchealthcarecdeliverycandcfundingcforcpediatriccpopulations.c
Whichccurrentctrendcincthecpediatriccsettingcshouldcthecnursecexpectctocfind?
a. Increasedchospitalizationcofcchildren
b. Decreasedcnumbercofcuninsuredcchildren
c. Ancincreasecincambulatoryccare
d. Decreasedcusecofcmanagedccar
eccANSWER:cC
Oneceffectcofcmanagedccareciscthatcpediatricchealthcarecdeliverychascshiftedcdramaticallycfromcth
ec acuteccarecsettingctocthecambulatorycsetting.cThecnumbercofchospitalcbedscbeingcusedchasc decrea
sedcascmoreccareciscprovidedcincoutpatientcandchomecsettings.cThecnumbercofcuninsuredc childrencinct
hecUnitedcStatesccontinuesctocgrow.cOnecofcthecbiggestcchangescinchealthcarechasc beencthecgrowthc
ofcmanagedccare.
DIF:cCognitivecLevel:cComprehensioncREF:cdmc3
OBJ:cNursingcProcesscStep:cPlanningcMSC:cSafecandcEffectivecCarecEnvironment
2. Acnurseciscreferringcaclow-
incomecfamilycwithcthreecchildrencundercthecagecofc5cyearsctocac programcthatcassistscwithcsuppleme
ntalcfoodcsupplies.cWhichcprogramcshouldcthecnursecrefercthisc familycto?
a. Medicaid
b. Medicare
c. EarlycandcPeriodiccScreening,cDiagnostic,candcTreatmentc(EPSDT)cprogram
d. Women,cInfants,candcChildrenc(WIC)cprogram
, ANSWER:cD
WICciscacfederalcprogramcthatcprovidescsupplementalcfoodcsuppliesctoclow-
incomecwomencwhoc arecpregnantcorcbreast-
feedingcandctoctheircchildrencuntilcthecagecofc5cyears.cMedicaidcandcthec MedicaidcEarlycandcPeriod
iccScreening,cDiagnostic,candcTreatmentc(EPSDT)cprogramcprovidesc forcwell-
childcexaminationscandcrelatedctreatmentcofcmedicalcproblems.cChildrencincthecWICc programcarec
oftencreferredcforcimmunizations,cbutcthatciscnotcthecprimarycfocuscofcthecprogram.c PubliccLawc99-
457cprovidescfinancialcincentivesctocstatesctocestablishccomprehensivecearlyc interventioncservicescf
orcinfantscandctoddlerscwith,corcatcriskcfor,cdevelopmentalcdisabilities.
MedicareciscthecprogramcforcSeniorcCitizens.c DIF:c
CognitivecLevel:cApplicationcREF:cdmc7c OBJ:cNurs
ingcProcesscStep:cImplementationc MSC:cHealthcPr
omotioncandcMaintenance
3. Incmostcstates,cadolescentscwhocarecnotcemancipatedcminorscmustchavecparentalcpermissionc b
efore:
a. treatmentcforcdrugcabuse.
b. treatmentcforcsexuallyctransmittedcdiseasesc(STDs).
c. obtainingcbirthccontrol.
d. surgery.ccA
NSWER:cD
Ancemancipatedcminorciscacminorcchildcwhochasctheclegalccompetencecofcancadult.cLegalccounselc ma
ycbecconsultedctocverifycthecstatuscofcthecemancipatedcminorcforcconsentcpurposes.cMostcstatesc allo
wcminorsctocobtainctreatmentcforcdrugcorcalcoholcabusecandcSTDscandcallowcaccessctocbirthc controlc
withoutcparentalcconsent.
DIF:cCognitivecLevel:cApplicationcREF:cdmc12
OBJ:cNursingcProcesscStep:cPlanningcMSC:cSafecandcEffectivecCarecEnvironment
