Advanced Pediatric Assessment, 3rd Edition
(Ellen M. Chiocca) All Chapters 1 - 26
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,Chapter 1. Child Health Assessment: An Overview
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ul MULTIPLE CHOICE ul
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 ul ul ul
b. Decreased number of uninsured children ul ul ul ul
c. An increase in ambulatory care
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d. Decreased use of managed care ul ul ul ul
ul ANSWER: C ul
One effect of managed care is that pediatric healthcare delivery has shifted dramatically from the
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ul acute care setting to the ambulatory setting. The number of hospital beds being used has
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ul decreased as more care is provided in outpatient and home settings. The number of uninsured
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ul children in the United States continues to grow. One of the biggest changes in healthcare has been
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ul 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 ul ul ul ul ul
, ANSWER: D ul
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 Medicaid
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Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program provides for well-child
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examinations and related treatment of medical problems. Children in the WIC program are often
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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 intervention services for
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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. ul ul ul ul ul ul
ul DIF: Cognitive Level: Application REF: dm 7
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ul OBJ: Nursing Process Step: Implementation
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ul 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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ul before:
a. treatment for drug abuse. ul ul ul
b. treatment for sexually transmitted diseases (STDs). ul ul ul ul ul
c. obtaining birth control. ul ul
d. surgery.
ANSWER: D ul
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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ul without parental consent. ul ul
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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