T
Advanced Pediatric Assessment, 3rd Edition(
T T T T T
Ellen M. Chiocca) All Chapters 1 - 26
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,
,ChapterT1.TChildTHealthTAssessment:TAnTOverviewT
MULTIPLETCHOICE
1. ATnurseTisTreviewingTchangesTinThealthcareTdeliveryTandTfundingTforTpediatricTpopulations
.TWhichTcurrentTtrendTinTtheTpediatricTsettingTshouldTtheTnurseTexpectTtoTfind?
a. IncreasedThospitalizationTofTchildren
b. DecreasedTnumberTofTuninsuredTchildren
c. AnTincreaseTinTambulatoryTcare
d. DecreasedTuseTofTmanagedTcar
eTANSWER:TC
OneTeffectTofTmanagedTcareTisTthatTpediatricThealthcareTdeliveryThasTshiftedTdramaticallyTfromTth
eTacuteTcareTsettingTtoTtheTambulatoryTsetting.TTheTnumberTofThospitalTbedsTbeingTusedThasTdecre
asedTasTmoreTcareTisTprovidedTinToutpatientTandThomeTsettings.TTheTnumberTofTuninsuredTchildre
nTinTtheTUnitedTStatesTcontinuesTtoTgrow.TOneTofTtheTbiggestTchangesTinThealthcareThasTbeenTtheT
growthTofTmanagedTcare.
DIF:TCognitiveTLevel:TComprehensionTREF:TdmT3
OBJ:TNursingTProcessTStep:TPlanningTMSC:TSafeTandTEffectiveTCareTEnvironment
2. ATnurseTisTreferringTaTlow-
incomeTfamilyTwithTthreeTchildrenTunderTtheTageTofT5TyearsTtoTaTprogramTthatTassistsTwithTsupple
mentalTfoodTsupplies.TWhichTprogramTshouldTtheTnurseTreferTthisTfamilyTto?
a. Medicaid
b. Medicare
c. EarlyTandTPeriodicTScreening,TDiagnostic,TandTTreatmentT(EPSDT)Tprogram
d. Women,TInfants,TandTChildrenT(WIC)Tprogram
, ANSWER:TD
WICTisTaTfederalTprogramTthatTprovidesTsupplementalTfoodTsuppliesTtoTlow-
incomeTwomenTwhoTareTpregnantTorTbreast-
feedingTandTtoTtheirTchildrenTuntilTtheTageTofT5Tyears.TMedicaidTandTtheTMedicaidTEarlyTandTPerio
dicTScreening,TDiagnostic,TandTTreatmentT(EPSDT)TprogramTprovidesTforTwell-
childTexaminationsTandTrelatedTtreatmentTofTmedicalTproblems.TChildrenTinTtheTWICTprogramTare
oftenTreferredTforTimmunizations,TbutTthatTisTnotTtheTprimaryTfocusTofTtheTprogram.TPublicTLawT9
T
9-
457TprovidesTfinancialTincentivesTtoTstatesTtoTestablishTcomprehensiveTearlyTinterventionTservicesT
forTinfantsTandTtoddlersTwith,TorTatTriskTfor,TdevelopmentalTdisabilities.
MedicareTisTtheTprogramTforTSeniorTCitizens.T
DIF:TCognitiveTLevel:TApplicationTREF:TdmT7T
OBJ:TNursingTProcessTStep:TImplementationT
MSC:THealthTPromotionTandTMaintenance
3. InTmostTstates,TadolescentsTwhoTareTnotTemancipatedTminorsTmustThaveTparentalTpermissio
nTbefore:
a. treatmentTforTdrugTabuse.
b. treatmentTforTsexuallyTtransmittedTdiseasesT(STDs).
c. obtainingTbirthTcontrol.
d. surgery.
ANSWER:TD
AnTemancipatedTminorTisTaTminorTchildTwhoThasTtheTlegalTcompetenceTofTanTadult.TLegalTcounselT
mayTbeTconsultedTtoTverifyTtheTstatusTofTtheTemancipatedTminorTforTconsentTpurposes.TMostTstate
sTallowTminorsTtoTobtainTtreatmentTforTdrugTorTalcoholTabuseTandTSTDsTandTallowTaccessTtoTbirthT
controlTwithoutTparentalTconsent.
DIF:TCognitiveTLevel:TApplicationTREF:TdmT12
OBJ:TNursingTProcessTStep:TPlanningTMSC:TSafeTandTEffectiveTCareTEnvironment