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Advanced Pediatric Assessment, 3rd Edition
(Ellen M. Chiocca) All Chapters 1 - 26
,
,Chapter 1. Child Health Assessment: An Overview
MULTIPLE CHOICE
1. A vnurse vis vreviewing vchanges vin vhealthcare vdelivery vand vfunding vfor vpediatric
vpopulations. v Which vcurrent vtrend vin vthe vpediatric vsetting vshould vthe vnurse vexpect vto
vfind?
a. Increased vhospitalization vof vchildren
b. Decreased vnumber vof vuninsured vchildren
c. An vincrease vin vambulatory vcare
d. Decreased vuse vof vmanaged
vcare v vANSWER: vC
One veffect vof vmanaged vcare vis vthat vpediatric vhealthcare vdelivery vhas vshifted
vdramatically vfrom vthe v acute vcare vsetting vto vthe vambulatory vsetting. vThe vnumber vof
vhospital vbeds vbeing vused vhas v decreased vas vmore vcare vis vprovided vin voutpatient vand
vhome vsettings. vThe vnumber vof vuninsured v children vin vthe vUnited vStates vcontinues vto vgrow.
vOne vof vthe vbiggest vchanges vin vhealthcare vhas v been vthe vgrowth vof vmanaged vcare.
DIF: vCognitive vLevel: vComprehension vREF: vdm v3
OBJ: vNursing vProcess vStep: vPlanning vMSC: vSafe vand vEffective vCare vEnvironment
2. A vnurse vis vreferring va vlow-income vfamily vwith vthree vchildren vunder vthe vage vof v5 vyears
vto va v program vthat vassists vwith vsupplemental vfood vsupplies. vWhich vprogram vshould vthe
vnurse vrefer vthis v family vto?
a. Medicaid
b. Medicare
c. Early vand vPeriodic vScreening, vDiagnostic, vand vTreatment v(EPSDT) vprogram
d. Women, vInfants, vand vChildren v(WIC) vprogram
, ANSWER: vD
WIC vis va vfederal vprogram vthat vprovides vsupplemental vfood vsupplies vto vlow-income
vwomen vwho v are vpregnant vor vbreast-feeding vand vto vtheir vchildren vuntil vthe vage vof v5
vyears. vMedicaid vand vthe v Medicaid vEarly vand vPeriodic vScreening, vDiagnostic, vand
vTreatment v(EPSDT) vprogram vprovides v for vwell-child vexaminations vand vrelated vtreatment
vof vmedical vproblems. vChildren vin vthe vWIC v program vare voften vreferred vfor
vimmunizations, vbut vthat vis vnot vthe vprimary vfocus vof vthe vprogram. v Public vLaw v99-457
vprovides vfinancial vincentives vto vstates vto vestablish vcomprehensive vearly v intervention
vservices vfor vinfants vand vtoddlers vwith, vor vat vrisk vfor, vdevelopmental vdisabilities.
Medicare vis vthe vprogram vfor vSenior vCitizens.
v DIF: vCognitive vLevel: vApplication vREF: vdm v7
v OBJ: vNursing vProcess vStep: vImplementation
v MSC: vHealth vPromotion vand vMaintenance
3. In vmost vstates, vadolescents vwho vare vnot vemancipated vminors vmust vhave vparental
vpermission v before:
a. treatment vfor vdrug vabuse.
b. treatment vfor vsexually vtransmitted vdiseases v(STDs).
c. obtaining vbirth vcontrol.
d. surgery. v
vANSWER: vD
An vemancipated vminor vis va vminor vchild vwho vhas vthe vlegal vcompetence vof van vadult. vLegal
vcounsel v may vbe vconsulted vto vverify vthe vstatus vof vthe vemancipated vminor vfor vconsent
vpurposes. vMost vstates v allow vminors vto vobtain vtreatment vfor vdrug vor valcohol vabuse vand
vSTDs vand vallow vaccess vto vbirth v control vwithout vparental vconsent.
DIF: vCognitive vLevel: vApplication vREF: vdm v12
OBJ: vNursing vProcess vStep: vPlanning vMSC: vSafe vand vEffective vCare vEnvironment
Advanced Pediatric Assessment, 3rd Edition
(Ellen M. Chiocca) All Chapters 1 - 26
,
,Chapter 1. Child Health Assessment: An Overview
MULTIPLE CHOICE
1. A vnurse vis vreviewing vchanges vin vhealthcare vdelivery vand vfunding vfor vpediatric
vpopulations. v Which vcurrent vtrend vin vthe vpediatric vsetting vshould vthe vnurse vexpect vto
vfind?
a. Increased vhospitalization vof vchildren
b. Decreased vnumber vof vuninsured vchildren
c. An vincrease vin vambulatory vcare
d. Decreased vuse vof vmanaged
vcare v vANSWER: vC
One veffect vof vmanaged vcare vis vthat vpediatric vhealthcare vdelivery vhas vshifted
vdramatically vfrom vthe v acute vcare vsetting vto vthe vambulatory vsetting. vThe vnumber vof
vhospital vbeds vbeing vused vhas v decreased vas vmore vcare vis vprovided vin voutpatient vand
vhome vsettings. vThe vnumber vof vuninsured v children vin vthe vUnited vStates vcontinues vto vgrow.
vOne vof vthe vbiggest vchanges vin vhealthcare vhas v been vthe vgrowth vof vmanaged vcare.
DIF: vCognitive vLevel: vComprehension vREF: vdm v3
OBJ: vNursing vProcess vStep: vPlanning vMSC: vSafe vand vEffective vCare vEnvironment
2. A vnurse vis vreferring va vlow-income vfamily vwith vthree vchildren vunder vthe vage vof v5 vyears
vto va v program vthat vassists vwith vsupplemental vfood vsupplies. vWhich vprogram vshould vthe
vnurse vrefer vthis v family vto?
a. Medicaid
b. Medicare
c. Early vand vPeriodic vScreening, vDiagnostic, vand vTreatment v(EPSDT) vprogram
d. Women, vInfants, vand vChildren v(WIC) vprogram
, ANSWER: vD
WIC vis va vfederal vprogram vthat vprovides vsupplemental vfood vsupplies vto vlow-income
vwomen vwho v are vpregnant vor vbreast-feeding vand vto vtheir vchildren vuntil vthe vage vof v5
vyears. vMedicaid vand vthe v Medicaid vEarly vand vPeriodic vScreening, vDiagnostic, vand
vTreatment v(EPSDT) vprogram vprovides v for vwell-child vexaminations vand vrelated vtreatment
vof vmedical vproblems. vChildren vin vthe vWIC v program vare voften vreferred vfor
vimmunizations, vbut vthat vis vnot vthe vprimary vfocus vof vthe vprogram. v Public vLaw v99-457
vprovides vfinancial vincentives vto vstates vto vestablish vcomprehensive vearly v intervention
vservices vfor vinfants vand vtoddlers vwith, vor vat vrisk vfor, vdevelopmental vdisabilities.
Medicare vis vthe vprogram vfor vSenior vCitizens.
v DIF: vCognitive vLevel: vApplication vREF: vdm v7
v OBJ: vNursing vProcess vStep: vImplementation
v MSC: vHealth vPromotion vand vMaintenance
3. In vmost vstates, vadolescents vwho vare vnot vemancipated vminors vmust vhave vparental
vpermission v before:
a. treatment vfor vdrug vabuse.
b. treatment vfor vsexually vtransmitted vdiseases v(STDs).
c. obtaining vbirth vcontrol.
d. surgery. v
vANSWER: vD
An vemancipated vminor vis va vminor vchild vwho vhas vthe vlegal vcompetence vof van vadult. vLegal
vcounsel v may vbe vconsulted vto vverify vthe vstatus vof vthe vemancipated vminor vfor vconsent
vpurposes. vMost vstates v allow vminors vto vobtain vtreatment vfor vdrug vor valcohol vabuse vand
vSTDs vand vallow vaccess vto vbirth v control vwithout vparental vconsent.
DIF: vCognitive vLevel: vApplication vREF: vdm v12
OBJ: vNursing vProcess vStep: vPlanning vMSC: vSafe vand vEffective vCare vEnvironment
