Test Bank: Advanced Pediatric Assessment, 3rd Edition by Chiocca - Chapters 1-26, 9780826150110 | Rationals Included

TEST BANK s1




Advanced Pediatric Assessment, 3rd Edition (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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s1 MULTIPLE CHOICE s1




1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations.
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s1 Which current trend in the pediatric setting should the nurse expect to find?
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a. Increased hospitalization of children s1 s1 s1




b. Decreased number of uninsured children s1 s1 s1 s1




c. An increase in ambulatory care
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d. Decreased use of managed s1 s1 s1




care ANSWER: C
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One effect of managed care is that pediatric healthcare delivery has shifted dramatically from
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s1 the acute care setting to the ambulatory setting. The number of hospital beds being used has
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s1 decreased as more care is provided in outpatient and home settings. The number of
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uninsured children in the United States continues to grow. One of the biggest changes in
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healthcare has 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
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s1 program that assists with supplemental food supplies. Which program should the nurse refer
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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
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, ANSWER: D s1




WIC is a federal program that provides supplemental food supplies to low-income women who
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s1 are pregnant or breast-feeding and to their children until the age of 5 years. Medicaid and the
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s1 Medicaid Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program provides
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s1 for well-child examinations and related treatment of medical problems. Children in the WIC
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s1 program are often referred for immunizations, but that is not the primary focus of the program.
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s1 Public Law 99-457 provides financial incentives to states to establish comprehensive early
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s1 intervention services for infants and toddlers with, or at risk for, developmental disabilities.
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Medicare is the program for Senior s1 s1 s1 s1 s1




Citizens. DIF: Cognitive Level: Application
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REF: dm 7 OBJ: Nursing Process Step:
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s1 Implementation MSC: Health Promotion s1 s1 s1




s1 and Maintenance
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3. In most states, adolescents who are not emancipated minors must have parental
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permission before:
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a. treatment for drug abuse. s1 s1 s1




b. treatment for sexually transmitted diseases (STDs). s1 s1 s1 s1 s1




c. obtaining birth control. s1 s1




d. surgery.
ANSWER: D s1




An emancipated minor is a minor child who has the legal competence of an adult. Legal counsel
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s1 may be consulted to verify the status of the emancipated minor for consent purposes. Most
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states allow minors to obtain treatment for drug or alcohol abuse and STDs and allow access
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to birth 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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