3rd Edition (Ellen M. Chiocca)
All Chapters 1 - 26
,
,Chapterxr1.xrChildxrHealthxrAssessment:xrAnxrOverview
MULTIPLExrCHOICE
1.xrAxrnursexrisxrreviewingxrchangesxrinxrhealthcarexrdeliveryxrandxrfundingxrforxrpediatricxrpopulations.
Whichxrcurrentxrtrendxrinxrthexrpediatricxrsettingxrshouldxrthexrnursexrexpectxrtoxrfind?
a.xrIncreasedxrhospitalizationxrofxrchildren
b.xrDecreasedxrnumberxrofxruninsuredxrchildren
c.xrAnxrincreasexrinxrambulatoryxrcare
d.xrDecreasedxrusexrofxrmanagedxrcare
ANSWER:xrC
Onexreffectxrofxrmanagedxrcarexrisxrthatxrpediatricxrhealthcarexrdeliveryxrhasxrshiftedxrdramaticallyxrfromxrth
e
acutexrcarexrsettingxrtoxrthexrambulatoryxrsetting.xrThexrnumberxrofxrhospitalxrbedsxrbeingxrusedxrhas
decreasedxrasxrmorexrcarexrisxrprovidedxrinxroutpatientxrandxrhomexrsettings.xrThexrnumberxrofxruninsured
childrenxrinxrthexrUnitedxrStatesxrcontinuesxrtoxrgrow.xrOnexrofxrthexrbiggestxrchangesxrinxrhealthcarexrhas
beenxrthexrgrowthxrofxrmanagedxrcare.
DIF:xrCognitivexrLevel:xrComprehensionxrREF:xrdmxr3
OBJ:xrNursingxrProcessxrStep:xrPlanningxrMSC:xrSafexrandxrEffectivexrCarexrEnvironment
2.xrAxrnursexrisxrreferringxraxrlow-incomexrfamilyxrwithxrthreexrchildrenxrunderxrthexragexrofxr5xryearsxrtoxra
programxrthatxrassistsxrwithxrsupplementalxrfoodxrsupplies.xrWhichxrprogramxrshouldxrthexrnursexrreferxrth
is
familyxrto?
a.xrMedicaid
b.xrMedicare
c.xrEarlyxrandxrPeriodicxrScreening,xrDiagnostic,xrandxrTreatmentxr(EPSDT)xrprogram
d.xrWomen,xrInfants,xrandxrChildrenxr(WIC)xrprogram
, ANSWER:xrD
WICxrisxraxrfederalxrprogramxrthatxrprovidesxrsupplementalxrfoodxrsuppliesxrtoxrlow-incomexrwomenxrwho
arexrpregnantxrorxrbreast-feedingxrandxrtoxrtheirxrchildrenxruntilxrthexragexrofxr5xryears.xrMedicaidxrandxrthe
MedicaidxrEarlyxrandxrPeriodicxrScreening,xrDiagnostic,xrandxrTreatmentxr(EPSDT)xrprogramxrprovides
forxrwell-childxrexaminationsxrandxrrelatedxrtreatmentxrofxrmedicalxrproblems.xrChildrenxrinxrthexrWIC
programxrarexroftenxrreferredxrforxrimmunizations,xrbutxrthatxrisxrnotxrthexrprimaryxrfocusxrofxrthexrprogra
m.
PublicxrLawxr99-457xrprovidesxrfinancialxrincentivesxrtoxrstatesxrtoxrestablishxrcomprehensivexrearly
interventionxrservicesxrforxrinfantsxrandxrtoddlersxrwith,xrorxratxrriskxrfor,xrdevelopmentalxrdisabilities.
MedicarexrisxrthexrprogramxrforxrSeniorxrCitizens.
DIF:xrCognitivexrLevel:xrApplicationxrREF:xrdmxr7
OBJ:xrNursingxrProcessxrStep:xrImplementation
MSC:xrHealthxrPromotionxrandxrMaintenance
3.xrInxrmostxrstates,xradolescentsxrwhoxrarexrnotxremancipatedxrminorsxrmustxrhavexrparentalxrpermission
before:
a.xrtreatmentxrforxrdrugxrabuse.
b.xrtreatmentxrforxrsexuallyxrtransmittedxrdiseasesxr(STDs).
c.xrobtainingxrbirthxrcontrol.
d.xrsurgery.
ANSWER:xrD
Anxremancipatedxrminorxrisxraxrminorxrchildxrwhoxrhasxrthexrlegalxrcompetencexrofxranxradult.xrLegalxrcouns
el
mayxrbexrconsultedxrtoxrverifyxrthexrstatusxrofxrthexremancipatedxrminorxrforxrconsentxrpurposes.xrMostxrsta
tes
allowxrminorsxrtoxrobtainxrtreatmentxrforxrdrugxrorxralcoholxrabusexrandxrSTDsxrandxrallowxraccessxrtoxrbirt
h
controlxrwithoutxrparentalxrconsent.