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