TEST BANK Advanced Pediatric Assessment, 3rd
s s s s s
s Edition (Ellen M. Chiocca)
s s s
s All Chapters 1 - 26
s s s s
,
,Chapter s1. sChild sHealth sAssessment: sAn sOverview
MULTIPLE sCHOICE
1. sA snurse sis sreviewing schanges sin shealthcare sdelivery sand sfunding sfor spediatric spopulations.
Which scurrent strend sin sthe spediatric ssetting sshould sthe snurse sexpect sto sfind?
a. sIncreased shospitalization sof schildren
b. sDecreased snumber sof suninsured schildren
c. sAn sincrease sin sambulatory scare
d. sDecreased suse sof smanaged scare
ANSWER: sC
One seffect sof smanaged scare sis sthat spediatric shealthcare sdelivery shas sshifted sdramatically sfrom sthe
acute scare ssetting sto sthe sambulatory ssetting. sThe snumber sof shospital sbeds sbeing sused shas
decreased sas smore scare sis sprovided sin soutpatient sand shome ssettings. sThe snumber sof suninsured
children sin sthe sUnited sStates scontinues sto sgrow. sOne sof sthe sbiggest schanges sin shealthcare shas
been sthe sgrowth sof smanaged scare.
DIF: sCognitive sLevel: sComprehension sREF: sdm s3
OBJ: sNursing sProcess sStep: sPlanning sMSC: sSafe sand sEffective sCare sEnvironment
2. sA snurse sis sreferring sa slow-income sfamily swith sthree schildren sunder sthe sage sof s5 syears sto sa
program sthat sassists swith ssupplemental sfood ssupplies. sWhich sprogram sshould sthe snurse srefer sthis
family sto?
a. sMedicaid
b. sMedicare
c. sEarly sand sPeriodic sScreening, sDiagnostic, sand sTreatment s(EPSDT) sprogram
d. sWomen, sInfants, sand sChildren s(WIC) sprogram
, ANSWER: sD
WIC sis sa sfederal sprogram sthat sprovides ssupplemental sfood ssupplies sto slow-income swomen swho
are spregnant sor sbreast-feeding sand sto stheir schildren suntil sthe sage sof s5 syears. sMedicaid sand sthe
Medicaid sEarly sand sPeriodic sScreening, sDiagnostic, sand sTreatment s(EPSDT) sprogram sprovides
for swell-child sexaminations sand srelated streatment sof smedical sproblems. sChildren sin sthe sWIC
program sare soften sreferred sfor simmunizations, sbut sthat sis snot sthe sprimary sfocus sof sthe sprogram.
Public sLaw s99-457 sprovides sfinancial sincentives sto sstates sto sestablish scomprehensive searly
intervention sservices sfor sinfants sand stoddlers swith, sor sat srisk sfor, sdevelopmental sdisabilities.
Medicare sis sthe sprogram sfor sSenior sCitizens.
DIF: sCognitive sLevel: sApplication sREF: sdm s7
OBJ: sNursing sProcess sStep: sImplementation
MSC: sHealth sPromotion sand sMaintenance
3. sIn smost sstates, sadolescents swho sare snot semancipated sminors smust shave sparental spermission
before:
a. streatment sfor sdrug sabuse.
b. streatment sfor ssexually stransmitted sdiseases s(STDs).
c. sobtaining sbirth scontrol.
d. ssurgery.
ANSWER: sD
An semancipated sminor sis sa sminor schild swho shas sthe slegal scompetence sof san sadult. sLegal scounsel
may sbe sconsulted sto sverify sthe sstatus sof sthe semancipated sminor sfor sconsent spurposes. sMost
s states
allow sminors sto sobtain streatment sfor sdrug sor salcohol sabuse sand sSTDs sand sallow saccess sto sbirth
control swithout sparental sconsent.
DIF: sCognitive sLevel: sApplication sREF: sdm s12
OBJ: sNursing sProcess sStep: sPlanning sMSC: sSafe sand sEffective sCare sEnvironment
s s s s s
s Edition (Ellen M. Chiocca)
s s s
s All Chapters 1 - 26
s s s s
,
,Chapter s1. sChild sHealth sAssessment: sAn sOverview
MULTIPLE sCHOICE
1. sA snurse sis sreviewing schanges sin shealthcare sdelivery sand sfunding sfor spediatric spopulations.
Which scurrent strend sin sthe spediatric ssetting sshould sthe snurse sexpect sto sfind?
a. sIncreased shospitalization sof schildren
b. sDecreased snumber sof suninsured schildren
c. sAn sincrease sin sambulatory scare
d. sDecreased suse sof smanaged scare
ANSWER: sC
One seffect sof smanaged scare sis sthat spediatric shealthcare sdelivery shas sshifted sdramatically sfrom sthe
acute scare ssetting sto sthe sambulatory ssetting. sThe snumber sof shospital sbeds sbeing sused shas
decreased sas smore scare sis sprovided sin soutpatient sand shome ssettings. sThe snumber sof suninsured
children sin sthe sUnited sStates scontinues sto sgrow. sOne sof sthe sbiggest schanges sin shealthcare shas
been sthe sgrowth sof smanaged scare.
DIF: sCognitive sLevel: sComprehension sREF: sdm s3
OBJ: sNursing sProcess sStep: sPlanning sMSC: sSafe sand sEffective sCare sEnvironment
2. sA snurse sis sreferring sa slow-income sfamily swith sthree schildren sunder sthe sage sof s5 syears sto sa
program sthat sassists swith ssupplemental sfood ssupplies. sWhich sprogram sshould sthe snurse srefer sthis
family sto?
a. sMedicaid
b. sMedicare
c. sEarly sand sPeriodic sScreening, sDiagnostic, sand sTreatment s(EPSDT) sprogram
d. sWomen, sInfants, sand sChildren s(WIC) sprogram
, ANSWER: sD
WIC sis sa sfederal sprogram sthat sprovides ssupplemental sfood ssupplies sto slow-income swomen swho
are spregnant sor sbreast-feeding sand sto stheir schildren suntil sthe sage sof s5 syears. sMedicaid sand sthe
Medicaid sEarly sand sPeriodic sScreening, sDiagnostic, sand sTreatment s(EPSDT) sprogram sprovides
for swell-child sexaminations sand srelated streatment sof smedical sproblems. sChildren sin sthe sWIC
program sare soften sreferred sfor simmunizations, sbut sthat sis snot sthe sprimary sfocus sof sthe sprogram.
Public sLaw s99-457 sprovides sfinancial sincentives sto sstates sto sestablish scomprehensive searly
intervention sservices sfor sinfants sand stoddlers swith, sor sat srisk sfor, sdevelopmental sdisabilities.
Medicare sis sthe sprogram sfor sSenior sCitizens.
DIF: sCognitive sLevel: sApplication sREF: sdm s7
OBJ: sNursing sProcess sStep: sImplementation
MSC: sHealth sPromotion sand sMaintenance
3. sIn smost sstates, sadolescents swho sare snot semancipated sminors smust shave sparental spermission
before:
a. streatment sfor sdrug sabuse.
b. streatment sfor ssexually stransmitted sdiseases s(STDs).
c. sobtaining sbirth scontrol.
d. ssurgery.
ANSWER: sD
An semancipated sminor sis sa sminor schild swho shas sthe slegal scompetence sof san sadult. sLegal scounsel
may sbe sconsulted sto sverify sthe sstatus sof sthe semancipated sminor sfor sconsent spurposes. sMost
s states
allow sminors sto sobtain streatment sfor sdrug sor salcohol sabuse sand sSTDs sand sallow saccess sto sbirth
control swithout sparental sconsent.
DIF: sCognitive sLevel: sApplication sREF: sdm s12
OBJ: sNursing sProcess sStep: sPlanning sMSC: sSafe sand sEffective sCare sEnvironment
