Assessment, 3rd Edition by Chiocca
All Chapters 1-26
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,Chapterf1.fChildfHealthfAssessment:fAnfOverview
MULTIPLEfCHOICE
1.fAfnursefisfreviewingfchangesfinfhealthcarefdeliveryfandffundingfforfpediatricfpopulations.
Whichfcurrentftrendfinfthefpediatricfsettingfshouldfthefnursefexpectftoffind?
a.fIncreasedfhospitalizationfoffchildren
b.fDecreasedfnumberfoffuninsuredfchildren
c.fAnfincreasefinfambulatoryfcare
d.fDecreasedfusefoffmanagedfcare
ANSWER:fC
Onefeffectfoffmanagedfcarefisfthatfpediatricfhealthcarefdeliveryfhasfshiftedfdramaticallyffromfthe
acutefcarefsettingftofthefambulatoryfsetting.fThefnumberfoffhospitalfbedsfbeingfusedfhas
decreasedfasfmorefcarefisfprovidedfinfoutpatientfandfhomefsettings.fThefnumberfoffuninsured
childrenfinfthefUnitedfStatesfcontinuesftofgrow.fOnefoffthefbiggestfchangesfinfhealthcarefhas
beenfthefgrowthfoffmanagedfcare.
DIF:fCognitivefLevel:fComprehensionfREF:fdmf3
OBJ:fNursingfProcessfStep:fPlanningfMSC:fSafefandfEffectivefCarefEnvironment
2.fAfnursefisfreferringfaflow-incomeffamilyfwithfthreefchildrenfunderfthefagefoff5fyearsftofa
programfthatfassistsfwithfsupplementalffoodfsupplies.fWhichfprogramfshouldfthefnursefreferfthis
familyfto?
a.fMedicaid
b.fMedicare
c.fEarlyfandfPeriodicfScreening,fDiagnostic,fandfTreatmentf(EPSDT)fprogram
d.fWomen,fInfants,fandfChildrenf(WIC)fprogram
, ANSWER:fD
WICfisfaffederalfprogramfthatfprovidesfsupplementalffoodfsuppliesftoflow-incomefwomenfwho
arefpregnantforfbreast-feedingfandftoftheirfchildrenfuntilfthefagefoff5fyears.fMedicaidfandfthe
MedicaidfEarlyfandfPeriodicfScreening,fDiagnostic,fandfTreatmentf(EPSDT)fprogramfprovides
forfwell-childfexaminationsfandfrelatedftreatmentfoffmedicalfproblems.fChildrenfinfthefWIC
programfarefoftenfreferredfforfimmunizations,fbutfthatfisfnotfthefprimaryffocusfoffthefprogram.
PublicfLawf99-457fprovidesffinancialfincentivesftofstatesftofestablishfcomprehensivefearly
interventionfservicesfforfinfantsfandftoddlersfwith,forfatfriskffor,fdevelopmentalfdisabilities.
MedicarefisfthefprogramfforfSeniorfCitizens.
DIF:fCognitivefLevel:fApplicationfREF:fdmf7
OBJ:fNursingfProcessfStep:fImplementation
MSC:fHealthfPromotionfandfMaintenance
3.fInfmostfstates,fadolescentsfwhofarefnotfemancipatedfminorsfmustfhavefparentalfpermission
before:
a.ftreatmentfforfdrugfabuse.
b.ftreatmentfforfsexuallyftransmittedfdiseasesf(STDs).
c.fobtainingfbirthfcontrol.
d.fsurgery.
ANSWER:fD
Anfemancipatedfminorfisfafminorfchildfwhofhasftheflegalfcompetencefoffanfadult.fLegalfcounsel
mayfbefconsultedftofverifyfthefstatusfoffthefemancipatedfminorfforfconsentfpurposes.fMostfstates
allowfminorsftofobtainftreatmentfforfdrugforfalcoholfabusefandfSTDsfandfallowfaccessftofbirth
controlfwithoutfparentalfconsent.
DIF:fCognitivefLevel:fApplicationfREF:fdmf12
OBJ:fNursingfProcessfStep:fPlanningfMSC:fSafefandfEffectivefCarefEnvironment
.
4.fAfnursefisfcompletingfafclinicalfpathwayfforfafchildfadmittedftofthefhospitalfwithfpneumonia.
Whichfcharacteristicfoffafclinicalfpathwayfisfcorrect?
a.fDevelopedfandfimplementedfbyfnurses