Test Bank for Advanced Pediatric Assessment (3rd Edition) by Ellen M. Chiocca – Complete Chapter Exams & Answer Keys​

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

,
,Chapter 1. Child Health Assessment: An Overview
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MULTIPLECHOICE i




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




b. Decreased numberofuninsured children i i i i




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




ANSWER: C i




One effect of managed care is that pediatric healthcare delivery has shifted dramatically from the
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acute care setting to the ambulatory setting. The number of hospital beds being used has decreased as
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more care is provided in outpatient and home settings. The number of uninsured
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United States continues to grow. One of the biggest changes inhealthcare has been the growth of
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managed care. i




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 program
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that assists with supplemental foodsupplies. Which program should the nurse refer this familyto?
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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 i i i i i

, ANSWER: D i




WIC is a federal programthat provides supplemental food supplies to low-income women who are
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pregnant or breast-feeding and to their children until the age of 5 years. Medicaid and the Medicaid
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Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program provides
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examinations and related treatment of medical problems. Children in the WIC program are often i i i i i i i i i i i i i i




referred for immunizations, but that is not the primary focus of the program. Public Law 99-457
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provides financial incentives to states to establish comprehensive early
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infants and toddlers with, or at risk for, developmental disabilities.
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Medicare is the program for Senior Citizens. DIF: i i i i i i i i




Cognitive Level: Application REF: dm 7 OBJ: i i i i i i i




Nursing Process Step: Implementation MSC: i i i i i




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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before:
a. treatmentfordrug abuse. i i i




b. treatmentforsexually transmitted diseases(STDs). i i i i i




c. obtaining birth control. i i




d. surgery. i i




ANSWER: D i




An emancipated minor is a minor child who has the legal competence of an adult. Legal counsel may
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be consulted to verify the status of the emancipated minor for consent purposes. Most states allow
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minors to obtain treatment for drug or alcohol abuse and STDs and allow access to birth control
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without parental consent. i i




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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