TEST BANK
nb
AdvancedPediatricAssessment,3rdEdition (Ellen
n n n n
,
,Chapter1.ChildHealthAssessment:AnO verview b
MULTIPLECHOICE
1. Anurseisreviewingchangesinhealthcaredeliveryandfundingforpediatricpopulations.Which
currenttrend i nthepediatricsettingshouldthenurseexpecttofind?
b B b
a. Increasedhospitalizationo
b b B BB fchildren
b. Decreasedn bB BB umberofuninsuredchildren b
c. Anincreaseinambulatorycare
b b
d. Decreaseduseofmanagedcare
B
ANSWER:C
n
Oneeffectofmanaged careisthatpediatrichealthcaredeliveryhasshifteddramaticallyfromtheacute
b
caresettingtotheambulatorysetting.Thenumberofhospitalbedsbeingusedhasdecreasedasmore B B
careisprovidedinoutpatientandhomesettings.ThenumberofuninsuredchildrenintheUnited
b
Statescontinuestogrow.Oneofthebiggestchangesinhealthcarehasbeenthegrowthof managed
care.
DIF:CognitiveLevel:ComprehensionREF:dm3 b
OBJ:NursingProcessStep:PlanningMSC:SafeandEffectiveCareEnvironment
b
2. Anurseisreferringalow-incomefamilywiththreechildrenundertheageof5 yearstoa program
that assistswithsupplementalfoodsupplies.Whichprogramshouldthenursereferthisfamilyto?
B
a. Medicaid
b. Medicare
c. EarlyandPeriodicScreening,D bB B B B iagnostic,andTreatment(EPSDT)program
d. Women,Infants,andC b B B BB hildren(WIC)program b
, ANSWER:D
WICis afederal p rogramthatprovidessupplementalfoodsuppliestolow-incomewomen whoare
b B BB B B n
pregnantorbreast-feedingandtotheirchildrenuntil theage of5years.Medicaid andtheMedicaid
Early and Periodic Screening, Diagnostic,andTreatment(EPSDT)programprovidesforwell-child
examinationsandrelatedtreatmentofmedicalproblems.ChildrenintheWIC programareoften
referred forimmunizations,butthatisnottheprimaryfocusoftheprogram.PublicLaw99-457
n
providesfinancialincentivestostates to e stablishcomprehensiveearlyinterventionservices for
b B BB B
infantsandtoddlerswith,oratriskfor,developmentaldisabilities.
Medicare isthe program for Senior Citizens.
DIF: Cognitive Level: Application REF: dm 7
OBJ: Nursing Process Step: Implementation
MSC:HealthPromotionandMaintenance
3. Inmoststates,adolescentswhoarenote
b bB B
mancipatedminorsmusthaveparentalpermission before:
a. treatmentfordrugabuse.
b. treatmentforsexuallytransmitteddiseases(STDs).
B
c. obtainingbirthcontrol.
d. surgery.
ANSWER:D b
Anemancipatedminorisaminorchildwhohasthelegalcompetenceofanadult.Legalcounselmay
be consulted toverify thestatusoftheemancipatedminorforconsentpurposes. Most states allow
minorstoobtaintreatment fordrug oralcohol abuseand STDsand allowaccesstobirth control
withoutparentalconsent.
DIF:CognitiveLevel:ApplicationREF:dm12 b
OBJ:NursingProcess Step:PlanningMSC:Safeand E ffectiveCareEnvironment
b b B BB B
nb
AdvancedPediatricAssessment,3rdEdition (Ellen
n n n n
,
,Chapter1.ChildHealthAssessment:AnO verview b
MULTIPLECHOICE
1. Anurseisreviewingchangesinhealthcaredeliveryandfundingforpediatricpopulations.Which
currenttrend i nthepediatricsettingshouldthenurseexpecttofind?
b B b
a. Increasedhospitalizationo
b b B BB fchildren
b. Decreasedn bB BB umberofuninsuredchildren b
c. Anincreaseinambulatorycare
b b
d. Decreaseduseofmanagedcare
B
ANSWER:C
n
Oneeffectofmanaged careisthatpediatrichealthcaredeliveryhasshifteddramaticallyfromtheacute
b
caresettingtotheambulatorysetting.Thenumberofhospitalbedsbeingusedhasdecreasedasmore B B
careisprovidedinoutpatientandhomesettings.ThenumberofuninsuredchildrenintheUnited
b
Statescontinuestogrow.Oneofthebiggestchangesinhealthcarehasbeenthegrowthof managed
care.
DIF:CognitiveLevel:ComprehensionREF:dm3 b
OBJ:NursingProcessStep:PlanningMSC:SafeandEffectiveCareEnvironment
b
2. Anurseisreferringalow-incomefamilywiththreechildrenundertheageof5 yearstoa program
that assistswithsupplementalfoodsupplies.Whichprogramshouldthenursereferthisfamilyto?
B
a. Medicaid
b. Medicare
c. EarlyandPeriodicScreening,D bB B B B iagnostic,andTreatment(EPSDT)program
d. Women,Infants,andC b B B BB hildren(WIC)program b
, ANSWER:D
WICis afederal p rogramthatprovidessupplementalfoodsuppliestolow-incomewomen whoare
b B BB B B n
pregnantorbreast-feedingandtotheirchildrenuntil theage of5years.Medicaid andtheMedicaid
Early and Periodic Screening, Diagnostic,andTreatment(EPSDT)programprovidesforwell-child
examinationsandrelatedtreatmentofmedicalproblems.ChildrenintheWIC programareoften
referred forimmunizations,butthatisnottheprimaryfocusoftheprogram.PublicLaw99-457
n
providesfinancialincentivestostates to e stablishcomprehensiveearlyinterventionservices for
b B BB B
infantsandtoddlerswith,oratriskfor,developmentaldisabilities.
Medicare isthe program for Senior Citizens.
DIF: Cognitive Level: Application REF: dm 7
OBJ: Nursing Process Step: Implementation
MSC:HealthPromotionandMaintenance
3. Inmoststates,adolescentswhoarenote
b bB B
mancipatedminorsmusthaveparentalpermission before:
a. treatmentfordrugabuse.
b. treatmentforsexuallytransmitteddiseases(STDs).
B
c. obtainingbirthcontrol.
d. surgery.
ANSWER:D b
Anemancipatedminorisaminorchildwhohasthelegalcompetenceofanadult.Legalcounselmay
be consulted toverify thestatusoftheemancipatedminorforconsentpurposes. Most states allow
minorstoobtaintreatment fordrug oralcohol abuseand STDsand allowaccesstobirth control
withoutparentalconsent.
DIF:CognitiveLevel:ApplicationREF:dm12 b
OBJ:NursingProcess Step:PlanningMSC:Safeand E ffectiveCareEnvironment
b b B BB B
