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Exam (elaborations)

TEST BANK Advanced Pediatric Assessment, 3rd Edition(Ellen M. Chiocca) All Chapters 1 - 26

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Chapter 1. Child Health Assessment: An Overview MULTIPLE CHOICE 1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations. Which current trend in the pediatric setting should the nurse expect to find? a. Increased hospitalization of children b. Decreased number of uninsured children c. An increase in ambulatory care d. Decreased use of managed care ANSWER: C One effect of managed care is that pediatric healthcare delivery has shifted dramatically from the acute care setting to the ambulatory setting. The number of hospital beds being used has decreased as more care is provided in outpatient and home settings. The number of uninsured children in the United States continues to grow. One of the biggest changes in healthcare has been the growth of managed care. DIF: Cognitive Level: Comprehension REF: dm 3 OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment 2. A nurse is referring a low-income family with three children under the age of 5 years to a program that assists with supplemental food supplies. Which program should the nurse refer this family to? a. Medicaid b. Medicare c. Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program d. Women, Infants, and Children (WIC) program ANSWER: D WIC is a federal program that provides supplemental food supplies to low-income women who are pregnant or breast-feeding and to their children until the age of 5 years. Medicaid and the Medicaid Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program provides for well-child examinations and related treatment of medical problems. Children in the WIC program are often referred for immunizations, but that is not the primary focus of the program. Public Law 99-457 provides financial incentives to states to establish comprehensive early intervention services for infants and toddlers with, or at risk for, developmental disabilities. Medicare is the program for Senior Citizens. DIF: Cognitive Level: Application REF: dm 7 OBJ: Nursing Process Step: Implementation MSC: Health Promotion and Maintenance 3. In most states, adolescents who are not emancipated minors must have parental permission before: a. treatment for drug abuse. b. treatment for sexually transmitted diseases (STDs). c. obtaining birth control. d. surgery. ANSWER: D An emancipated minor is a minor child who has the legal competence of an adult. Legal counsel may be consulted to verify the status of the emancipated minor for consent purposes. Most states allow minors to obtain treatment for drug or alcohol abuse and STDs and allow access to birth control without parental consent.

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Advanced Pediatric Assessment, 3rd Edition
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Advanced Pediatric Assessment, 3rd Edition











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Institution
Advanced Pediatric Assessment, 3rd Edition
Course
Advanced Pediatric Assessment, 3rd Edition

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Uploaded on
March 11, 2025
Number of pages
31
Written in
2024/2025
Type
Exam (elaborations)
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  • 9780826150219

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Test bank advanced pediatric assessment,3rd
edition(ellen M.chocca) all chapters 1-26

,
,Chapterg1.gChildgHealthgAssessment:gAngOverviewg
MULTIPLEgCHOICE
1. Agnursegisgreviewinggchangesginghealthcaregdeliverygandgfundinggforgpediatricgpopulations
.g Whichgcurrentgtrendgingthegpediatricgsettinggshouldgthegnursegexpectgtogfind?
a. Increasedghospitalizationgofgchildren
b. Decreasedgnumbergofguninsuredgchildren
c. Angincreasegingambulatorygcare
d. Decreasedgusegofgmanagedgca
reggANSWER:gC
Onegeffectgofgmanagedgcaregisgthatgpediatricghealthcaregdeliveryghasgshiftedgdramaticallygfromg
theg acutegcaregsettinggtogthegambulatorygsetting.gThegnumbergofghospitalgbedsgbeinggusedghasg de
creasedgasgmoregcaregisgprovidedgingoutpatientgandghomegsettings.gThegnumbergofguninsuredg chil
drengingthegUnitedgStatesgcontinuesgtoggrow.gOnegofgthegbiggestgchangesginghealthcareghasg beengt
heggrowthgofgmanagedgcare.
DIF:gCognitivegLevel:gComprehensiongREF:gdmg3
OBJ:gNursinggProcessgStep:gPlanninggMSC:gSafegandgEffectivegCaregEnvironment
2. Agnursegisgreferringgaglow-
incomegfamilygwithgthreegchildrengundergthegagegofg5gyearsgtogag programgthatgassistsgwithgsupple
mentalgfoodgsupplies.gWhichgprogramgshouldgthegnursegrefergthisg familygto?
a. Medicaid
b. Medicare
c. EarlygandgPeriodicgScreening,gDiagnostic,gandgTreatmentg(EPSDT)gprogram
d. Women,gInfants,gandgChildreng(WIC)gprogram

, ANSWER:gD
WICgisgagfederalgprogramgthatgprovidesgsupplementalgfoodgsuppliesgtoglow-
incomegwomengwhog aregpregnantgorgbreast-
feedinggandgtogtheirgchildrenguntilgthegagegofg5gyears.gMedicaidgandgtheg MedicaidgEarlygandgPer
iodicgScreening,gDiagnostic,gandgTreatmentg(EPSDT)gprogramgprovidesg forgwell-
childgexaminationsgandgrelatedgtreatmentgofgmedicalgproblems.gChildrengingthegWICg programgar
egoftengreferredgforgimmunizations,gbutgthatgisgnotgthegprimarygfocusgofgthegprogram.g PublicgLawg
99-
457gprovidesgfinancialgincentivesgtogstatesgtogestablishgcomprehensivegearlyg interventiongservices
forginfantsgandgtoddlersgwith,gorgatgriskgfor,gdevelopmentalgdisabilities.
g


MedicaregisgthegprogramgforgSeniorgCitizens.g DI
F:gCognitivegLevel:gApplicationgREF:gdmg7g OBJ:g
NursinggProcessgStep:gImplementationg MSC:gHea
lthgPromotiongandgMaintenance
3. Ingmostgstates,gadolescentsgwhogaregnotgemancipatedgminorsgmustghavegparentalgpermission
g before:
a. treatmentgforgdruggabuse.
b. treatmentgforgsexuallygtransmittedgdiseasesg(STDs).
c. obtaininggbirthgcontrol.
d. surgery.ggA
NSWER:gD
Angemancipatedgminorgisgagminorgchildgwhoghasgtheglegalgcompetencegofgangadult.gLegalgcounselg
maygbegconsultedgtogverifygthegstatusgofgthegemancipatedgminorgforgconsentgpurposes.gMostgstates
g allowgminorsgtogobtaingtreatmentgforgdruggorgalcoholgabusegandgSTDsgandgallowgaccessgtogbirthg
controlgwithoutgparentalgconsent.
DIF:gCognitivegLevel:gApplicationgREF:gdmg12
OBJ:gNursinggProcessgStep:gPlanninggMSC:gSafegandgEffectivegCaregEnvironment

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