,Pediatric Nursing The Critical Components of Nursing Care 3rd Edition Rudd Test Bank (ALL
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zx COMPLETE CHAPTERS) zx
Chapter 1. Issues and Trends in Pediatric Nursing
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MULTIPLE CHOICE zx
1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations.Which
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zx current trend in the pediatric setting should the nurse expect to find?
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a. Increased hospitalization of children zx zx zx
b. Decreased number of uninsured children zx zx zx zx
c. An increase in ambulatory care
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d. Decreased use of managed care zx zx zx zx
ANS: C zx
One effect of managed care is that pediatric healthcare delivery has shifted dramatically from theacute car
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e setting to the ambulatory setting. The number of hospital beds being used has decreased as more care i
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s provided in outpatient and home settings. The number of uninsured children in the United States continu
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es to grow. One of the biggest changes in healthcare has been the growth of managed care.
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DIF: Cognitive Level: Comprehension REF: p. 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-
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income family with three children under the age of 5 years to a program that assists with supplemental f
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ood supplies. Which program should the nurse refer thisfamily to?
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a. Medicaid
b. Medicare
c. Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program
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d. Women, Infants, and Children (WIC) program zx zx zx zx zx
, ANS: D zx
WIC is a federal program that provides supplemental food supplies to low-
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income women whoare pregnant or breast-
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feeding and to their children until the age of 5 years. Medicaid and the Medicaid Early and Periodic Scr
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eening, Diagnostic, and Treatment (EPSDT) program providesfor well-
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child examinations and related treatment of medical problems. Children in the WIC program are often
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referred for immunizations, but that is not the primary focus of the program.Public Law 99-
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457 provides financial incentives to states to establish comprehensive early intervention services for i
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nfants and toddlers with, or at risk for, developmental disabilities.
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Medicare is the program for Senior Citizens. DIF:
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Cognitive Level: Application REF: p. 7 OBJ:
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Nursing Process Step: Implementation MSC:
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Health Promotion and Maintenance
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3. In most states, adolescents who are not emancipated minors must have parental permissionbefore:
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a. treatment for drug abuse. zx zx zx
b. treatment for sexually transmitted diseases (STDs). zx zx zx zx zx
c. obtaining birth control. zx zx
d. surgery.
ANS: D zx
An emancipated minor is a minor child who has the legal competence of an adult. Legal counselmay be c
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onsulted to verify the status of the emancipated minor for consent purposes. Most statesallow minors to o
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btain treatment for drug or alcohol abuse and STDs and allow access to birth control without parental con
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sent.
DIF: Cognitive Level: Application REF: p. 12
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OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
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