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