TEST BANK Advanced Pediatric Assessment,
3rd Edition (Ellen M. Chiocca)
All Chapters 1 - 26
,
,Chapter 1. Child Health Assessment: An Overview
MULTIPLE CHOICE
1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations.
Which current trend in the pediatric setting should the nurse expect to find?
a. Increased hospitalization of children
b. Decreased number of uninsured children
c. An increase in ambulatory care
d. Decreased use of managed care
ANSWER: C
One effect of managed care is that pediatric healthcare delivery has shifted dramatically from the
acute care setting to the ambulatory setting. The number of hospital beds being used has
decreased as more care ais aprovided ain aoutpatient aand ahome asettings. aThe anumber aof auninsured
children ain athe aUnited aStates acontinues ato agrow. aOne aof athe abiggest achanges ain ahealthcare ahas
been athe agrowth aof amanaged acare.
DIF: aCognitive aLevel: aComprehension aREF: adm a3
OBJ: aNursing aProcess aStep: aPlanning aMSC: aSafe aand aEffective aCare aEnvironment
2. aA anurse ais areferring aa alow-income afamily awith athree achildren aunder athe aage aof a5 ayears ato aa
program athat aassists awith asupplemental afood asupplies. aWhich aprogram ashould athe anurse arefer
athis
family ato?
a. aMedicaid
b. aMedicare
c. aEarly aand aPeriodic aScreening, aDiagnostic, aand aTreatment a(EPSDT) aprogram
d. aWomen, aInfants, aand aChildren a(WIC) aprogram
, ANSWER: aD
WIC ais aa afederal aprogram athat aprovides asupplemental afood asupplies ato alow-income awomen
awho
are apregnant aor abreast-feeding aand ato atheir achildren auntil athe aage aof a5 ayears. aMedicaid aand athe
Medicaid aEarly aand aPeriodic aScreening, aDiagnostic, aand aTreatment a(EPSDT) aprogram aprovides
for awell-child aexaminations aand arelated atreatment aof amedical aproblems. aChildren ain athe aWIC
program aare aoften areferred afor aimmunizations, abut athat ais anot athe aprimary afocus aof athe
aprogram.
Public aLaw a99-457 aprovides afinancial aincentives ato astates ato aestablish acomprehensive aearly
intervention aservices afor ainfants aand atoddlers awith, aor aat arisk afor, adevelopmental adisabilities.
Medicare ais athe aprogram afor aSenior aCitizens.
DIF: aCognitive aLevel: aApplication aREF: adm a7
OBJ: aNursing aProcess aStep: aImplementation
MSC: aHealth aPromotion aand aMaintenance
3. aIn amost astates, aadolescents awho aare anot aemancipated aminors amust ahave aparental apermission
before:
a. atreatment afor adrug aabuse.
b. atreatment afor asexually atransmitted adiseases a(STDs).
c. aobtaining abirth acontrol.
d. asurgery.
ANSWER: aD
An aemancipated aminor ais aa aminor achild awho ahas athe alegal acompetence aof aan aadult. aLegal
acounsel
may abe aconsulted ato averify athe astatus aof athe aemancipated aminor afor aconsent apurposes. aMost
astates
allow aminors ato aobtain atreatment afor adrug aor aalcohol aabuse aand aSTDs aand aallow aaccess ato
abirth
3rd Edition (Ellen M. Chiocca)
All Chapters 1 - 26
,
,Chapter 1. Child Health Assessment: An Overview
MULTIPLE CHOICE
1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations.
Which current trend in the pediatric setting should the nurse expect to find?
a. Increased hospitalization of children
b. Decreased number of uninsured children
c. An increase in ambulatory care
d. Decreased use of managed care
ANSWER: C
One effect of managed care is that pediatric healthcare delivery has shifted dramatically from the
acute care setting to the ambulatory setting. The number of hospital beds being used has
decreased as more care ais aprovided ain aoutpatient aand ahome asettings. aThe anumber aof auninsured
children ain athe aUnited aStates acontinues ato agrow. aOne aof athe abiggest achanges ain ahealthcare ahas
been athe agrowth aof amanaged acare.
DIF: aCognitive aLevel: aComprehension aREF: adm a3
OBJ: aNursing aProcess aStep: aPlanning aMSC: aSafe aand aEffective aCare aEnvironment
2. aA anurse ais areferring aa alow-income afamily awith athree achildren aunder athe aage aof a5 ayears ato aa
program athat aassists awith asupplemental afood asupplies. aWhich aprogram ashould athe anurse arefer
athis
family ato?
a. aMedicaid
b. aMedicare
c. aEarly aand aPeriodic aScreening, aDiagnostic, aand aTreatment a(EPSDT) aprogram
d. aWomen, aInfants, aand aChildren a(WIC) aprogram
, ANSWER: aD
WIC ais aa afederal aprogram athat aprovides asupplemental afood asupplies ato alow-income awomen
awho
are apregnant aor abreast-feeding aand ato atheir achildren auntil athe aage aof a5 ayears. aMedicaid aand athe
Medicaid aEarly aand aPeriodic aScreening, aDiagnostic, aand aTreatment a(EPSDT) aprogram aprovides
for awell-child aexaminations aand arelated atreatment aof amedical aproblems. aChildren ain athe aWIC
program aare aoften areferred afor aimmunizations, abut athat ais anot athe aprimary afocus aof athe
aprogram.
Public aLaw a99-457 aprovides afinancial aincentives ato astates ato aestablish acomprehensive aearly
intervention aservices afor ainfants aand atoddlers awith, aor aat arisk afor, adevelopmental adisabilities.
Medicare ais athe aprogram afor aSenior aCitizens.
DIF: aCognitive aLevel: aApplication aREF: adm a7
OBJ: aNursing aProcess aStep: aImplementation
MSC: aHealth aPromotion aand aMaintenance
3. aIn amost astates, aadolescents awho aare anot aemancipated aminors amust ahave aparental apermission
before:
a. atreatment afor adrug aabuse.
b. atreatment afor asexually atransmitted adiseases a(STDs).
c. aobtaining abirth acontrol.
d. asurgery.
ANSWER: aD
An aemancipated aminor ais aa aminor achild awho ahas athe alegal acompetence aof aan aadult. aLegal
acounsel
may abe aconsulted ato averify athe astatus aof athe aemancipated aminor afor aconsent apurposes. aMost
astates
allow aminors ato aobtain atreatment afor adrug aor aalcohol aabuse aand aSTDs aand aallow aaccess ato
abirth
