TEST BANK
Advanced Pediatric Assessment, 3rd Edition
(Ellen M. Chiocca) All Chapters 1 - 26
,
,Chapter541.54Child54Health54Assessment:54An54Ov
erview5 4 MULTIPLE54CHOICE
1. A54nurse54is54reviewing54changes54in54healthcare54delivery54and54funding54for54pediatr
ic54populations.5 4 Which54current54trend54in54the54pediatric54setting54should54the54nurse54
expect54to54find?
a. Increased54hospitalization54of54children
b. Decreased54number54of54uninsured54children
c. An54increase54in54ambulatory54care
d. Decreased54use54of54managed
54care5454ANSWER:54C
One54effect54of54managed54care54is54that54pediatric54healthcare54delivery54has54shifted54dra
matically54from54the5 4 acute54care54setting54to54the54ambulatory54setting.54The54number54of54
hospital54beds54being54used54has5 4 decreased54as54more54care54is54provided54in54outpatient5
4and54home54settings.54The54number54of54uninsured5 4 children54in54the54United54States54contin
ues54to54grow.54One54of54the54biggest54changes54in54healthcare54has5 4 been54the54growth54of
54managed54care.
DIF:54Cognitive54Level:54Comprehension54REF:54dm543
OBJ:54Nursing54Process54Step:54Planning54MSC:54Safe54and54Effective54Care54Environment
2. A54nurse54is54referring54a54low-
income54family54with54three54children54under54the54age54of54554years54to54a5 4 program54that
54assists54with54supplemental54food54supplies.54Which54program54should54the54nurse54refer54thi
s5 4 family54to?
a. Medicaid
b. Medicare
c. Early54and54Periodic54Screening,54Diagnostic,54and54Treatment54(EPSDT)54program
d. Women,54Infants,54and54Children54(WIC)54program
, ANSWER:54D
WIC54is54a54federal54program54that54provides54supplemental54food54supplies54to54low-
income54women54who5 4 are54pregnant54or54breast-
feeding54and54to54their54children54until54the54age54of54554years.54Medicaid54and54the5 4 Medi
caid54Early54and54Periodic54Screening,54Diagnostic,54and54Treatment54(EPSDT)54program54prov
ides5 4 for54well-
child54examinations54and54related54treatment54of54medical54problems.54Children54in54the54WI
C5 4 program54are54often54referred54for54immunizations,54but54that54is54not54the54primary54fo
cus54of54the54program.5 4 Public54Law5499-
45754provides54financial54incentives54to54states54to54establish54comprehensive54early5 4 interve
ntion54services54for54infants54and54toddlers54with,54or54at54risk54for,54developmental54disabiliti
es.
Medicare54is54the54program54for54Senior54Citiz
ens.5 4 DIF:54Cognitive54Level:54Application54REF
:54dm5475 4 OBJ:54Nursing54Process54Step:54Impl
ementation5 4 MSC:54Health54Promotion54and54
Maintenance
3. In54most54states,54adolescents54who54are54not54emancipated54minors54must54have54paren
tal54permission5 4 before:
a. treatment54for54drug54abuse.
b. treatment54for54sexually54transmitted54diseases54(STDs).
c. obtaining54birth54control.
d. surgery.545
4ANSWER:54
D
An54emancipated54minor54is54a54minor54child54who54has54the54legal54competence54of54an54ad
ult.54Legal54counsel5 4 may54be54consulted54to54verify54the54status54of54the54emancipated54min
or54for54consent54purposes.54Most54states5 4 allow54minors54to54obtain54treatment54for54drug54
or54alcohol54abuse54and54STDs54and54allow54access54to54birth5 4 control54without54parental54c
onsent.
DIF:54Cognitive54Level:54Application54REF:54dm5412
Advanced Pediatric Assessment, 3rd Edition
(Ellen M. Chiocca) All Chapters 1 - 26
,
,Chapter541.54Child54Health54Assessment:54An54Ov
erview5 4 MULTIPLE54CHOICE
1. A54nurse54is54reviewing54changes54in54healthcare54delivery54and54funding54for54pediatr
ic54populations.5 4 Which54current54trend54in54the54pediatric54setting54should54the54nurse54
expect54to54find?
a. Increased54hospitalization54of54children
b. Decreased54number54of54uninsured54children
c. An54increase54in54ambulatory54care
d. Decreased54use54of54managed
54care5454ANSWER:54C
One54effect54of54managed54care54is54that54pediatric54healthcare54delivery54has54shifted54dra
matically54from54the5 4 acute54care54setting54to54the54ambulatory54setting.54The54number54of54
hospital54beds54being54used54has5 4 decreased54as54more54care54is54provided54in54outpatient5
4and54home54settings.54The54number54of54uninsured5 4 children54in54the54United54States54contin
ues54to54grow.54One54of54the54biggest54changes54in54healthcare54has5 4 been54the54growth54of
54managed54care.
DIF:54Cognitive54Level:54Comprehension54REF:54dm543
OBJ:54Nursing54Process54Step:54Planning54MSC:54Safe54and54Effective54Care54Environment
2. A54nurse54is54referring54a54low-
income54family54with54three54children54under54the54age54of54554years54to54a5 4 program54that
54assists54with54supplemental54food54supplies.54Which54program54should54the54nurse54refer54thi
s5 4 family54to?
a. Medicaid
b. Medicare
c. Early54and54Periodic54Screening,54Diagnostic,54and54Treatment54(EPSDT)54program
d. Women,54Infants,54and54Children54(WIC)54program
, ANSWER:54D
WIC54is54a54federal54program54that54provides54supplemental54food54supplies54to54low-
income54women54who5 4 are54pregnant54or54breast-
feeding54and54to54their54children54until54the54age54of54554years.54Medicaid54and54the5 4 Medi
caid54Early54and54Periodic54Screening,54Diagnostic,54and54Treatment54(EPSDT)54program54prov
ides5 4 for54well-
child54examinations54and54related54treatment54of54medical54problems.54Children54in54the54WI
C5 4 program54are54often54referred54for54immunizations,54but54that54is54not54the54primary54fo
cus54of54the54program.5 4 Public54Law5499-
45754provides54financial54incentives54to54states54to54establish54comprehensive54early5 4 interve
ntion54services54for54infants54and54toddlers54with,54or54at54risk54for,54developmental54disabiliti
es.
Medicare54is54the54program54for54Senior54Citiz
ens.5 4 DIF:54Cognitive54Level:54Application54REF
:54dm5475 4 OBJ:54Nursing54Process54Step:54Impl
ementation5 4 MSC:54Health54Promotion54and54
Maintenance
3. In54most54states,54adolescents54who54are54not54emancipated54minors54must54have54paren
tal54permission5 4 before:
a. treatment54for54drug54abuse.
b. treatment54for54sexually54transmitted54diseases54(STDs).
c. obtaining54birth54control.
d. surgery.545
4ANSWER:54
D
An54emancipated54minor54is54a54minor54child54who54has54the54legal54competence54of54an54ad
ult.54Legal54counsel5 4 may54be54consulted54to54verify54the54status54of54the54emancipated54min
or54for54consent54purposes.54Most54states5 4 allow54minors54to54obtain54treatment54for54drug54
or54alcohol54abuse54and54STDs54and54allow54access54to54birth5 4 control54without54parental54c
onsent.
DIF:54Cognitive54Level:54Application54REF:54dm5412
