Test Bank - Advanced Pediatric Assessment, 3rd Edition (Chiocca, 2020), Chapter 1-26 | All Chapters

TESTBANK
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AdvancedPediatricAssessment,3rdEdition
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(Ellen M. Chiocca) All Chapters1 - 26
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,
,Chapter 1. Child Health Assessment: An Overview
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ӄ MULTIPLE CHOICE ӄ




1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations.
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ӄ Which current trend in the pediatric setting should the nurse expect to find?
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a. Increased hospitalization of children ӄ ӄ ӄ




b. Decreased number of uninsured children ӄ ӄ ӄ ӄ




c. An increase in ambulatory care
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d. Decreased use of managed ӄ ӄ ӄ




care ANSWER: C
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One effect of managed care is that pediatric healthcare delivery has shifted dramatically from
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the acute care setting to the ambulatory setting. The number of hospital beds being used has
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ӄ decreased as more care is provided in outpatient and home settings. The number of uninsured
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ӄ children in the United States continues to grow. One of the biggest changes in healthcare has
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ӄ 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
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ӄ program that assists with supplemental food supplies. Which program should the nurse refer this
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ӄ family to? ӄ




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
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, ANSWER: D ӄ




WIC is a federal program that provides supplemental food supplies to low-income women who
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ӄ are pregnant or breast-feeding and to their children until the age of 5 years. Medicaid and the
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ӄ Medicaid Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program provides
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ӄ for well-child examinations and related treatment of medical problems. Children in the WIC
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ӄ program are often referred for immunizations, but that is not the primary focus of the program.
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ӄ Public Law 99-457 provides financial incentives to states to establish comprehensive early
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ӄ intervention services for infants and toddlers with, or at risk for, developmental disabilities.
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Medicare is the program for Senior Citizens. ӄ ӄ ӄ ӄ ӄ ӄ




ӄ DIF: Cognitive Level: Application REF: dm 7
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ӄ OBJ: Nursing Process Step: Implementation
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ӄ 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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ӄ before:
a. treatment for drug abuse. ӄ ӄ ӄ




b. treatment for sexually transmitted diseases (STDs). ӄ ӄ ӄ ӄ ӄ




c. obtaining birth control. ӄ ӄ




d. surgery. ӄ




ӄ ANSWER: D ӄ




An emancipated minor is a minor child who has the legal competence of an adult. Legal counsel
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ӄ may be consulted to verify the status of the emancipated minor for consent purposes. Most states
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ӄ allow minors to obtain treatment for drug or alcohol abuse and STDs and allow access to birth
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ӄ control without parental consent.
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DIF: Cognitive Level: Application REF: dm 12
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OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
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