TEST BANK
u
Advanced Pediatric Assessment, 3rd Edition(
u u u u u
Ellen M. Chiocca) All Chapters 1 - 26
u u u u u u u
,
,Chapteru1.uChilduHealthuAssessment:uAnuOverviewu
MULTIPLEuCHOICE
1. Aunurseuisureviewinguchangesuinuhealthcareudeliveryuandufundinguforupediatricupopulations.u
Whichucurrentutrenduinutheupediatricusettingushouldutheunurseuexpectutoufind?
a. Increaseduhospitalizationuofuchildren
b. Decreasedunumberuofuuninsureduchildren
c. Anuincreaseuinuambulatoryucare
d. Decreaseduuseuofumanageducareu
ANSWER:uC
Oneueffectuofumanageducareuisuthatupediatricuhealthcareudeliveryuhasushiftedudramaticallyufromutheua
cuteucareusettingutoutheuambulatoryusetting.uTheunumberuofuhospitalubedsubeinguuseduhasudecreasedu
asumoreucareuisuprovideduinuoutpatientuanduhomeusettings.uTheunumberuofuuninsureduchildrenuinuth
euUniteduStatesucontinuesutougrow.uOneuofutheubiggestuchangesuinuhealthcareuhasubeenutheugrowthuo
fumanageducare.
DIF:uCognitiveuLevel:uComprehensionuREF:udmu3
OBJ:uNursinguProcessuStep:uPlanninguMSC:uSafeuanduEffectiveuCareuEnvironment
2. Aunurseuisureferringuaulow-
incomeufamilyuwithuthreeuchildrenuunderutheuageuofu5uyearsutouauprogramuthatuassistsuwithusuppleme
ntalufoodusupplies.uWhichuprogramushouldutheunurseureferuthisufamilyuto?
a. Medicaid
b. Medicare
c. EarlyuanduPeriodicuScreening,uDiagnostic,uanduTreatmentu(EPSDT)uprogram
d. Women,uInfants,uanduChildrenu(WIC)uprogram
, ANSWER:uD
WICuisuaufederaluprogramuthatuprovidesusupplementalufoodusuppliesutoulow-
incomeuwomenuwhouareupregnantuorubreast-
feedinguandutoutheiruchildrenuuntilutheuageuofu5uyears.uMedicaiduandutheuMedicaiduEarlyuanduPeriodi
cuScreening,uDiagnostic,uanduTreatmentu(EPSDT)uprogramuprovidesuforuwell-
childuexaminationsuandurelatedutreatmentuofumedicaluproblems.uChildrenuinutheuWICuprogramuareuo
ftenureferreduforuimmunizations,ubututhatuisunotutheuprimaryufocusuofutheuprogram.uPublicuLawu99-
457uprovidesufinancialuincentivesutoustatesutouestablishucomprehensiveuearlyuinterventionuservicesuf
oruinfantsuandutoddlersuwith,uoruaturiskufor,udevelopmentaludisabilities.
MedicareuisutheuprogramuforuSenioruCitizens.uD
IF:uCognitiveuLevel:uApplicationuREF:udmu7uO
BJ:uNursinguProcessuStep:uImplementationuMS
C:uHealthuPromotionuanduMaintenance
3. Inumostustates,uadolescentsuwhouareunotuemancipateduminorsumustuhaveuparentalupermissionub
efore:
a. treatmentuforudruguabuse.
b. treatmentuforusexuallyutransmittedudiseasesu(STDs).
c. obtainingubirthucontrol.
d. surgery.
ANSWER:uD
Anuemancipateduminoruisuauminoruchilduwhouhasutheulegalucompetenceuofuanuadult.uLegalucounseluma
yubeuconsultedutouverifyutheustatusuofutheuemancipateduminoruforuconsentupurposes.uMostustatesuallo
wuminorsutouobtainutreatmentuforudruguorualcoholuabuseuanduSTDsuanduallowuaccessutoubirthucontrolu
withoutuparentaluconsent.
DIF:uCognitiveuLevel:uApplicationuREF:udmu12
OBJ:uNursinguProcessuStep:uPlanninguMSC:uSafeuanduEffectiveuCareuEnvironment
u
Advanced Pediatric Assessment, 3rd Edition(
u u u u u
Ellen M. Chiocca) All Chapters 1 - 26
u u u u u u u
,
,Chapteru1.uChilduHealthuAssessment:uAnuOverviewu
MULTIPLEuCHOICE
1. Aunurseuisureviewinguchangesuinuhealthcareudeliveryuandufundinguforupediatricupopulations.u
Whichucurrentutrenduinutheupediatricusettingushouldutheunurseuexpectutoufind?
a. Increaseduhospitalizationuofuchildren
b. Decreasedunumberuofuuninsureduchildren
c. Anuincreaseuinuambulatoryucare
d. Decreaseduuseuofumanageducareu
ANSWER:uC
Oneueffectuofumanageducareuisuthatupediatricuhealthcareudeliveryuhasushiftedudramaticallyufromutheua
cuteucareusettingutoutheuambulatoryusetting.uTheunumberuofuhospitalubedsubeinguuseduhasudecreasedu
asumoreucareuisuprovideduinuoutpatientuanduhomeusettings.uTheunumberuofuuninsureduchildrenuinuth
euUniteduStatesucontinuesutougrow.uOneuofutheubiggestuchangesuinuhealthcareuhasubeenutheugrowthuo
fumanageducare.
DIF:uCognitiveuLevel:uComprehensionuREF:udmu3
OBJ:uNursinguProcessuStep:uPlanninguMSC:uSafeuanduEffectiveuCareuEnvironment
2. Aunurseuisureferringuaulow-
incomeufamilyuwithuthreeuchildrenuunderutheuageuofu5uyearsutouauprogramuthatuassistsuwithusuppleme
ntalufoodusupplies.uWhichuprogramushouldutheunurseureferuthisufamilyuto?
a. Medicaid
b. Medicare
c. EarlyuanduPeriodicuScreening,uDiagnostic,uanduTreatmentu(EPSDT)uprogram
d. Women,uInfants,uanduChildrenu(WIC)uprogram
, ANSWER:uD
WICuisuaufederaluprogramuthatuprovidesusupplementalufoodusuppliesutoulow-
incomeuwomenuwhouareupregnantuorubreast-
feedinguandutoutheiruchildrenuuntilutheuageuofu5uyears.uMedicaiduandutheuMedicaiduEarlyuanduPeriodi
cuScreening,uDiagnostic,uanduTreatmentu(EPSDT)uprogramuprovidesuforuwell-
childuexaminationsuandurelatedutreatmentuofumedicaluproblems.uChildrenuinutheuWICuprogramuareuo
ftenureferreduforuimmunizations,ubututhatuisunotutheuprimaryufocusuofutheuprogram.uPublicuLawu99-
457uprovidesufinancialuincentivesutoustatesutouestablishucomprehensiveuearlyuinterventionuservicesuf
oruinfantsuandutoddlersuwith,uoruaturiskufor,udevelopmentaludisabilities.
MedicareuisutheuprogramuforuSenioruCitizens.uD
IF:uCognitiveuLevel:uApplicationuREF:udmu7uO
BJ:uNursinguProcessuStep:uImplementationuMS
C:uHealthuPromotionuanduMaintenance
3. Inumostustates,uadolescentsuwhouareunotuemancipateduminorsumustuhaveuparentalupermissionub
efore:
a. treatmentuforudruguabuse.
b. treatmentuforusexuallyutransmittedudiseasesu(STDs).
c. obtainingubirthucontrol.
d. surgery.
ANSWER:uD
Anuemancipateduminoruisuauminoruchilduwhouhasutheulegalucompetenceuofuanuadult.uLegalucounseluma
yubeuconsultedutouverifyutheustatusuofutheuemancipateduminoruforuconsentupurposes.uMostustatesuallo
wuminorsutouobtainutreatmentuforudruguorualcoholuabuseuanduSTDsuanduallowuaccessutoubirthucontrolu
withoutuparentaluconsent.
DIF:uCognitiveuLevel:uApplicationuREF:udmu12
OBJ:uNursinguProcessuStep:uPlanninguMSC:uSafeuanduEffectiveuCareuEnvironment
