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