TEST BANK Advanced Pediatric Assessment,
3rd Edition (Ellen M. Chiocca)
All Chapters 1 - 26
,
,Chapter 1. Child Health Assessment: An Overview
i i i i i i i
MULTIPLECHOICE i
1. A nurse is reviewing changes in healthcare delivery and funding for pediatric
qiq qiq qiq qi q qi q qiq qi q qiq qiq qi q qiq qiq
populations. q i q Which current trend in the pediatric setting should the nurse expect
qi q qi q qi q qiq qiq qiq qi q qiq qi q qi q qi q
to find?
qi q
a. Increased hospitalization of children qi q qiq qi q
b. Decreased number of uninsured children qi q qi q qiq qi q
c. An increase in ambulatory care
qiq qiq qiq qiq
d. Decreased use of managed qi q q iq qiq qiq
care qiq qiq ANSWER: C qiq
One effect of managed care is that pediatric healthcare delivery has shifted dramatically
qi q qiq qiq qi q qi q qiq qiq qiq qi q qiq qiq qiq qi q
from the qiq q i q acute care setting to the ambulatory setting. The number of hospital beds
qiq qiq qi q qiq qi q qiq qiq qiq qi q qiq qiq qiq
being used has qiq qiq q i q decreased as more care is provided in outpatient and home settings.
qi q qi q qiq qiq qiq qiq qi q qiq qiq qiq qiq
The number of uninsured
qiq qi q qiq q i q children in the United States continues to grow. One of
qiq qi q qiq qi q qiq qiq qiq qiq qiq qiq
the biggest changes in healthcare has
qi q qiq qiq qi q qi q q i q been the growth of managed care.
qi q qiq qi q qiq qiq
DIF: Cognitive Level: Comprehension REF: dm 3
qi q qi q qiq qiq qiq qiq
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
qi q qi q qiq qiq qi q qiq qi q qiq qi q qiq
2. A nurse is referring a low-income family with three children under the age of 5 years
qiq qiq qi q qiq qiq qiq qiq qiq qiq qiq qiq qiq qiq qiq qiq qiq
to a
qiq q i q program that assists with supplemental food supplies. Which program should the
qi q qiq qiq qiq qi q qi q qiq qi q qi q qiq qiq
nurse refer this qiq qiq q i q family to? qiq
a. Medicaid
b. Medicare
c. Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program
qiq qiq qiq qiq qiq qi q qi q qiq
d. Women, Infants, and Children (WIC) program qi q qi q qi q qi q qi q
, ANSWER: D qiq
WIC is a federal program that provides supplemental food supplies to low-income women
qi q qi q qiq qiq qi q qiq qiq qiq qiq qiq qi q qi q qi q
who q i q are pregnant or breast-feeding and to their children until the age of 5 years.
qi q qiq qi q qiq qiq qiq qi q qi q qiq qiq qiq qiq qiq qiq
Medicaid and the qiq qiq q i q Medicaid Early and Periodic Screening, Diagnostic, and Treatment
qiq qi q qiq qi q qi q qi q qi q qiq
(EPSDT) program provides qi q qi q q i q for well-child examinations and related treatment of
qiq qi q qiq qiq qi q qiq qiq
medical problems. Children in the WIC qiq qiq qi q qiq qiq q i q program are often referred for immunizations, qiq qiq qi q qiq qiq
qi q but that is not the primary focus of the program.
qiq qiq qiq qiq qiq qiq qiq qi q qiq q i q Public Law 99-457 provides qiq qi q qiq qi q
financial incentives to states to establish comprehensive early
qi q qi q qiq qiq qiq qiq qi q q i q intervention services for qiq qiq qi q
infants and toddlers with, or at risk for, developmental disabilities.
qiq qi q qiq qi q qiq qiq qiq qiq qi q
Medicare is the program for Senior Citizens. qi q qi q qiq qiq qiq qiq q
i q DIF: Cognitive Level: Application REF: dm
qiq qi q qiq qi q qiq qi
q 7 q i q OBJ: Nursing Process Step: qi q qi q qiq qi q
Implementation q i q MSC: Health Promotion qi q qiq qi q
and Maintenance qi q
3. In most states, adolescents who are not emancipated minors must have parental
qiq qiq qi q qiq qi q qiq qi q qiq qiq qi q qiq qiq
permission q i q before:
a. treatment for drug abuse. qiq q iq qi q
b. treatment for sexually transmitted diseases (STDs). qiq qiq qi q qiq qi q
c. obtaining birth control. qiq qiq
d. surgery. qiq qiq
ANSWER: qiq
D
An emancipated minor is a minor child who has the legal competence of an adult. Legal
qiq qiq qi q qi q qi q qiq qi q qiq qiq qi q qi q qiq qiq qiq qi q qiq
counsel q i q may be consulted to verify the status of the emancipated minor for consent
qiq qiq qi q qi q qiq qi q qiq qiq qi q qi q qi q qi q qiq
purposes. Most states qi q qiq q i q allow minors to obtain treatment for drug or alcohol abuse and
qiq qiq qiq qiq qiq qiq qiq qi q qiq qi q qi
q STDs and allow access to birth
qiq qiq qi q qiq qiq q i q control without parental consent. qi q qi q qi q
DIF: Cognitive Level: Application REF: dm 12
qi q qi q qiq qi q qiq qiq
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
qi q qi q qiq qiq qi q qiq qi q qiq qi q qiq
3rd Edition (Ellen M. Chiocca)
All Chapters 1 - 26
,
,Chapter 1. Child Health Assessment: An Overview
i i i i i i i
MULTIPLECHOICE i
1. A nurse is reviewing changes in healthcare delivery and funding for pediatric
qiq qiq qiq qi q qi q qiq qi q qiq qiq qi q qiq qiq
populations. q i q Which current trend in the pediatric setting should the nurse expect
qi q qi q qi q qiq qiq qiq qi q qiq qi q qi q qi q
to find?
qi q
a. Increased hospitalization of children qi q qiq qi q
b. Decreased number of uninsured children qi q qi q qiq qi q
c. An increase in ambulatory care
qiq qiq qiq qiq
d. Decreased use of managed qi q q iq qiq qiq
care qiq qiq ANSWER: C qiq
One effect of managed care is that pediatric healthcare delivery has shifted dramatically
qi q qiq qiq qi q qi q qiq qiq qiq qi q qiq qiq qiq qi q
from the qiq q i q acute care setting to the ambulatory setting. The number of hospital beds
qiq qiq qi q qiq qi q qiq qiq qiq qi q qiq qiq qiq
being used has qiq qiq q i q decreased as more care is provided in outpatient and home settings.
qi q qi q qiq qiq qiq qiq qi q qiq qiq qiq qiq
The number of uninsured
qiq qi q qiq q i q children in the United States continues to grow. One of
qiq qi q qiq qi q qiq qiq qiq qiq qiq qiq
the biggest changes in healthcare has
qi q qiq qiq qi q qi q q i q been the growth of managed care.
qi q qiq qi q qiq qiq
DIF: Cognitive Level: Comprehension REF: dm 3
qi q qi q qiq qiq qiq qiq
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
qi q qi q qiq qiq qi q qiq qi q qiq qi q qiq
2. A nurse is referring a low-income family with three children under the age of 5 years
qiq qiq qi q qiq qiq qiq qiq qiq qiq qiq qiq qiq qiq qiq qiq qiq
to a
qiq q i q program that assists with supplemental food supplies. Which program should the
qi q qiq qiq qiq qi q qi q qiq qi q qi q qiq qiq
nurse refer this qiq qiq q i q family to? qiq
a. Medicaid
b. Medicare
c. Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program
qiq qiq qiq qiq qiq qi q qi q qiq
d. Women, Infants, and Children (WIC) program qi q qi q qi q qi q qi q
, ANSWER: D qiq
WIC is a federal program that provides supplemental food supplies to low-income women
qi q qi q qiq qiq qi q qiq qiq qiq qiq qiq qi q qi q qi q
who q i q are pregnant or breast-feeding and to their children until the age of 5 years.
qi q qiq qi q qiq qiq qiq qi q qi q qiq qiq qiq qiq qiq qiq
Medicaid and the qiq qiq q i q Medicaid Early and Periodic Screening, Diagnostic, and Treatment
qiq qi q qiq qi q qi q qi q qi q qiq
(EPSDT) program provides qi q qi q q i q for well-child examinations and related treatment of
qiq qi q qiq qiq qi q qiq qiq
medical problems. Children in the WIC qiq qiq qi q qiq qiq q i q program are often referred for immunizations, qiq qiq qi q qiq qiq
qi q but that is not the primary focus of the program.
qiq qiq qiq qiq qiq qiq qiq qi q qiq q i q Public Law 99-457 provides qiq qi q qiq qi q
financial incentives to states to establish comprehensive early
qi q qi q qiq qiq qiq qiq qi q q i q intervention services for qiq qiq qi q
infants and toddlers with, or at risk for, developmental disabilities.
qiq qi q qiq qi q qiq qiq qiq qiq qi q
Medicare is the program for Senior Citizens. qi q qi q qiq qiq qiq qiq q
i q DIF: Cognitive Level: Application REF: dm
qiq qi q qiq qi q qiq qi
q 7 q i q OBJ: Nursing Process Step: qi q qi q qiq qi q
Implementation q i q MSC: Health Promotion qi q qiq qi q
and Maintenance qi q
3. In most states, adolescents who are not emancipated minors must have parental
qiq qiq qi q qiq qi q qiq qi q qiq qiq qi q qiq qiq
permission q i q before:
a. treatment for drug abuse. qiq q iq qi q
b. treatment for sexually transmitted diseases (STDs). qiq qiq qi q qiq qi q
c. obtaining birth control. qiq qiq
d. surgery. qiq qiq
ANSWER: qiq
D
An emancipated minor is a minor child who has the legal competence of an adult. Legal
qiq qiq qi q qi q qi q qiq qi q qiq qiq qi q qi q qiq qiq qiq qi q qiq
counsel q i q may be consulted to verify the status of the emancipated minor for consent
qiq qiq qi q qi q qiq qi q qiq qiq qi q qi q qi q qi q qiq
purposes. Most states qi q qiq q i q allow minors to obtain treatment for drug or alcohol abuse and
qiq qiq qiq qiq qiq qiq qiq qi q qiq qi q qi
q STDs and allow access to birth
qiq qiq qi q qiq qiq q i q control without parental consent. qi q qi q qi q
DIF: Cognitive Level: Application REF: dm 12
qi q qi q qiq qi q qiq qiq
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
qi q qi q qiq qiq qi q qiq qi q qiq qi q qiq
