TEST BANK Advanced Pediatric Assessment,
3rd Edition (Ellen M. Chiocca)
All Chapters 1 - 26
,
,Chapter b41. b4Child b4Health b4Assessment: b4An b4Overview
MULTIPLE b4CHOICE
1. b4A b4nurse b4is b4reviewing b4changes b4in b4healthcare b4delivery b4and b4funding b4for b4pediatric
populations.
b4
Which b4current b4trend b4in b4the b4pediatric b4setting b4should b4the b4nurse b4expect b4to b4find?
a. b4Increased b4hospitalization b4of b4children
b. b4Decreased b4number b4of b4uninsured b4children
c. b4An b4increase b4in b4ambulatory b4care
d. b4Decreased b4use b4of b4managed b4care
ANSWER: b4C
One b4effect b4of b4managed b4care b4is b4that b4pediatric b4healthcare b4delivery b4has b4shifted b4dramatically
from b4the
b4
acute b4care b4setting b4to b4the b4ambulatory b4setting. b4The b4number b4of b4hospital b4beds b4being b4used
has
b4
decreased b4as b4more b4care b4is b4provided b4in b4outpatient b4and b4home b4settings. b4The b4number b4of
uninsured
b4
children b4in b4the b4United b4States b4continues b4to b4grow. b4One b4of b4the b4biggest b4changes b4in
healthcare b4has
b4
been b4the b4growth b4of b4managed b4care.
DIF: b4Cognitive b4Level: b4Comprehension b4REF: b4dm b43
OBJ: b4Nursing b4Process b4Step: b4Planning b4MSC: b4Safe b4and b4Effective b4Care b4Environment
2. b4A b4nurse b4is b4referring b4a b4low-income b4family b4with b4three b4children b4under b4the b4age b4of b45
years b4to b4a
b4
program b4that b4assists b4with b4supplemental b4food b4supplies. b4Which b4program b4should b4the b4nurse
refer b4this
b4
family b4to?
a. b4Medicaid
b. b4Medicare
c. b4Early b4and b4Periodic b4Screening, b4Diagnostic, b4and b4Treatment b4(EPSDT) b4program
, d. b4Women, b4Infants, b4and b4Children b4(WIC) b4program
ANSWER: b4D
WIC b4is b4a b4federal b4program b4that b4provides b4supplemental b4food b4supplies b4to b4low-income
women b4who
b4
are b4pregnant b4or b4breast-feeding b4and b4to b4their b4children b4until b4the b4age b4of b45 b4years. b4Medicaid
and b4the
b4
Medicaid b4Early b4and b4Periodic b4Screening, b4Diagnostic, b4and b4Treatment b4(EPSDT) b4program
provides
b4
for b4well-child b4examinations b4and b4related b4treatment b4of b4medical b4problems. b4Children b4in b4the
WIC
b4
program b4are b4often b4referred b4for b4immunizations, b4but b4that b4is b4not b4the b4primary b4focus b4of b4the
program.
b4
Public b4Law b499-457 b4provides b4financial b4incentives b4to b4states b4to b4establish b4comprehensive b4early
intervention b4services b4for b4infants b4and b4toddlers b4with, b4or b4at b4risk b4for, b4developmental
disabilities.
b4
Medicare b4is b4the b4program b4for b4Senior b4Citizens.
DIF: b4Cognitive b4Level: b4Application b4REF: b4dm b47
OBJ: b4Nursing b4Process b4Step: b4Implementation
MSC: b4Health b4Promotion b4and b4Maintenance
3. b4In b4most b4states, b4adolescents b4who b4are b4not b4emancipated b4minors b4must b4have b4parental
permission
b4
before:
a. b4treatment b4for b4drug b4abuse.
3rd Edition (Ellen M. Chiocca)
All Chapters 1 - 26
,
,Chapter b41. b4Child b4Health b4Assessment: b4An b4Overview
MULTIPLE b4CHOICE
1. b4A b4nurse b4is b4reviewing b4changes b4in b4healthcare b4delivery b4and b4funding b4for b4pediatric
populations.
b4
Which b4current b4trend b4in b4the b4pediatric b4setting b4should b4the b4nurse b4expect b4to b4find?
a. b4Increased b4hospitalization b4of b4children
b. b4Decreased b4number b4of b4uninsured b4children
c. b4An b4increase b4in b4ambulatory b4care
d. b4Decreased b4use b4of b4managed b4care
ANSWER: b4C
One b4effect b4of b4managed b4care b4is b4that b4pediatric b4healthcare b4delivery b4has b4shifted b4dramatically
from b4the
b4
acute b4care b4setting b4to b4the b4ambulatory b4setting. b4The b4number b4of b4hospital b4beds b4being b4used
has
b4
decreased b4as b4more b4care b4is b4provided b4in b4outpatient b4and b4home b4settings. b4The b4number b4of
uninsured
b4
children b4in b4the b4United b4States b4continues b4to b4grow. b4One b4of b4the b4biggest b4changes b4in
healthcare b4has
b4
been b4the b4growth b4of b4managed b4care.
DIF: b4Cognitive b4Level: b4Comprehension b4REF: b4dm b43
OBJ: b4Nursing b4Process b4Step: b4Planning b4MSC: b4Safe b4and b4Effective b4Care b4Environment
2. b4A b4nurse b4is b4referring b4a b4low-income b4family b4with b4three b4children b4under b4the b4age b4of b45
years b4to b4a
b4
program b4that b4assists b4with b4supplemental b4food b4supplies. b4Which b4program b4should b4the b4nurse
refer b4this
b4
family b4to?
a. b4Medicaid
b. b4Medicare
c. b4Early b4and b4Periodic b4Screening, b4Diagnostic, b4and b4Treatment b4(EPSDT) b4program
, d. b4Women, b4Infants, b4and b4Children b4(WIC) b4program
ANSWER: b4D
WIC b4is b4a b4federal b4program b4that b4provides b4supplemental b4food b4supplies b4to b4low-income
women b4who
b4
are b4pregnant b4or b4breast-feeding b4and b4to b4their b4children b4until b4the b4age b4of b45 b4years. b4Medicaid
and b4the
b4
Medicaid b4Early b4and b4Periodic b4Screening, b4Diagnostic, b4and b4Treatment b4(EPSDT) b4program
provides
b4
for b4well-child b4examinations b4and b4related b4treatment b4of b4medical b4problems. b4Children b4in b4the
WIC
b4
program b4are b4often b4referred b4for b4immunizations, b4but b4that b4is b4not b4the b4primary b4focus b4of b4the
program.
b4
Public b4Law b499-457 b4provides b4financial b4incentives b4to b4states b4to b4establish b4comprehensive b4early
intervention b4services b4for b4infants b4and b4toddlers b4with, b4or b4at b4risk b4for, b4developmental
disabilities.
b4
Medicare b4is b4the b4program b4for b4Senior b4Citizens.
DIF: b4Cognitive b4Level: b4Application b4REF: b4dm b47
OBJ: b4Nursing b4Process b4Step: b4Implementation
MSC: b4Health b4Promotion b4and b4Maintenance
3. b4In b4most b4states, b4adolescents b4who b4are b4not b4emancipated b4minors b4must b4have b4parental
permission
b4
before:
a. b4treatment b4for b4drug b4abuse.
