Test Bank For Advanced Pediatric Assessment 3rd Edition by Ellen M. Chiocca, PhD, CPNP, RNC-NIC 9780826150110 Chapter 1-26 Complete Guide.

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AdvancedPediatricAssessment,3rdEdition (Ellen
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M. Chiocca) All Chapters1 - 26
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,
,Chapter 1. Child Health Assessment: An Overview
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1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations. Which
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current trend in the pediatric setting should the nurse expect to find?
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a. Increased hospitalization of children jj jj jj




b. Decreased number of uninsured children jj jj jj jj




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




jj ANSWER: C jj




One effect of managed care is that pediatric healthcare delivery has shifted dramatically from the
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jj acute care setting to the ambulatory setting. The number of hospital beds being used has
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jj decreased as more care is provided in outpatient and home settings. The number of uninsured
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jj children in the United States continues to grow. One of the biggest changes in healthcare has
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jj been the growth of managed care.
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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 food supplies. Which program should the nurse refer this family to?
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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 jj jj jj jj jj

, ANSWER: D jj




WIC is a federal program that 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
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jj Medicaid Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program provides for
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well-child examinations and related treatment of medical problems. Children in the WIC program
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are often referred for immunizations, but that is not the primary focus of the program. Public Law
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99-457 provides financial incentives to states to establish comprehensive early intervention
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services for infants and toddlers with, or at risk for, developmental disabilities.
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Medicare is the program for Senior Citizens. jj jj jj jj jj jj




jj DIF: Cognitive Level: Application REF: dm 7
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jj OBJ: Nursing Process Step: Implementation
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jj MSC: 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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jj before:
a. treatment for drug abuse. j j j




b. treatment for sexually transmitted diseases (STDs). jj jj jj jj jj




c. obtaining birth control. jj jj




d. surgery.
ANSWER: D jj




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