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 is provided in outpatient and home settings. The number of
uninsured children in the dUnited dStates dcontinues dto dgrow. dOne dof dthe dbiggest dchanges
din dhealthcare dhas d been dthe dgrowth dof dmanaged dcare.
DIF: dCognitive dLevel: dComprehension dREF: ddm d3
OBJ: dNursing dProcess dStep: dPlanning dMSC: dSafe dand dEffective dCare dEnvironment
2. A dnurse dis dreferring da dlow-income dfamily dwith dthree dchildren dunder dthe dage dof d5
dyears dto da d program dthat dassists dwith dsupplemental dfood dsupplies. dWhich dprogram
dshould dthe dnurse drefer dthis d family dto?
a. Medicaid
b. Medicare
c. Early dand dPeriodic dScreening, dDiagnostic, dand dTreatment d(EPSDT) dprogram
d. Women, dInfants, dand dChildren d(WIC) dprogram
, ANSWER: dD
WIC dis da dfederal dprogram dthat dprovides dsupplemental dfood dsupplies dto dlow-income
dwomen dwho d are dpregnant dor dbreast-feeding dand dto dtheir dchildren duntil dthe dage dof d5
dyears. dMedicaid dand dthe d Medicaid dEarly dand dPeriodic dScreening, dDiagnostic, dand
dTreatment d(EPSDT) dprogram dprovides d for dwell-child dexaminations dand drelated
dtreatment dof dmedical dproblems. dChildren din dthe dWIC d program dare doften dreferred dfor
dimmunizations, dbut dthat dis dnot dthe dprimary dfocus dof dthe dprogram. d Public dLaw d99-457
dprovides dfinancial dincentives dto dstates dto destablish dcomprehensive dearly d intervention
dservices dfor dinfants dand dtoddlers dwith, dor dat drisk dfor, ddevelopmental ddisabilities.
Medicare dis dthe dprogram dfor dSenior
dCitizens. d DIF: dCognitive dLevel: dApplication
dREF: ddm d7 d OBJ: dNursing dProcess dStep:
dImplementation d MSC: dHealth dPromotion dand
dMaintenance
3. In dmost dstates, dadolescents dwho dare dnot demancipated dminors dmust dhave dparental
dpermission d before:
a. treatment dfor ddrug dabuse.
b. treatment dfor dsexually dtransmitted ddiseases d(STDs).
c. obtaining dbirth dcontrol.
d. surgery. d
dANSWER:
dD
An demancipated dminor dis da dminor dchild dwho dhas dthe dlegal dcompetence dof dan dadult.
dLegal dcounsel d may dbe dconsulted dto dverify dthe dstatus dof dthe demancipated dminor dfor
dconsent dpurposes. dMost dstates d allow dminors dto dobtain dtreatment dfor ddrug dor dalcohol
dabuse dand dSTDs dand dallow daccess dto dbirth d control dwithout dparental dconsent.
DIF: dCognitive dLevel: dApplication dREF: ddm d12
OBJ: dNursing dProcess dStep: dPlanning dMSC: dSafe dand dEffective dCare dEnvironment
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 is provided in outpatient and home settings. The number of
uninsured children in the dUnited dStates dcontinues dto dgrow. dOne dof dthe dbiggest dchanges
din dhealthcare dhas d been dthe dgrowth dof dmanaged dcare.
DIF: dCognitive dLevel: dComprehension dREF: ddm d3
OBJ: dNursing dProcess dStep: dPlanning dMSC: dSafe dand dEffective dCare dEnvironment
2. A dnurse dis dreferring da dlow-income dfamily dwith dthree dchildren dunder dthe dage dof d5
dyears dto da d program dthat dassists dwith dsupplemental dfood dsupplies. dWhich dprogram
dshould dthe dnurse drefer dthis d family dto?
a. Medicaid
b. Medicare
c. Early dand dPeriodic dScreening, dDiagnostic, dand dTreatment d(EPSDT) dprogram
d. Women, dInfants, dand dChildren d(WIC) dprogram
, ANSWER: dD
WIC dis da dfederal dprogram dthat dprovides dsupplemental dfood dsupplies dto dlow-income
dwomen dwho d are dpregnant dor dbreast-feeding dand dto dtheir dchildren duntil dthe dage dof d5
dyears. dMedicaid dand dthe d Medicaid dEarly dand dPeriodic dScreening, dDiagnostic, dand
dTreatment d(EPSDT) dprogram dprovides d for dwell-child dexaminations dand drelated
dtreatment dof dmedical dproblems. dChildren din dthe dWIC d program dare doften dreferred dfor
dimmunizations, dbut dthat dis dnot dthe dprimary dfocus dof dthe dprogram. d Public dLaw d99-457
dprovides dfinancial dincentives dto dstates dto destablish dcomprehensive dearly d intervention
dservices dfor dinfants dand dtoddlers dwith, dor dat drisk dfor, ddevelopmental ddisabilities.
Medicare dis dthe dprogram dfor dSenior
dCitizens. d DIF: dCognitive dLevel: dApplication
dREF: ddm d7 d OBJ: dNursing dProcess dStep:
dImplementation d MSC: dHealth dPromotion dand
dMaintenance
3. In dmost dstates, dadolescents dwho dare dnot demancipated dminors dmust dhave dparental
dpermission d before:
a. treatment dfor ddrug dabuse.
b. treatment dfor dsexually dtransmitted ddiseases d(STDs).
c. obtaining dbirth dcontrol.
d. surgery. d
dANSWER:
dD
An demancipated dminor dis da dminor dchild dwho dhas dthe dlegal dcompetence dof dan dadult.
dLegal dcounsel d may dbe dconsulted dto dverify dthe dstatus dof dthe demancipated dminor dfor
dconsent dpurposes. dMost dstates d allow dminors dto dobtain dtreatment dfor ddrug dor dalcohol
dabuse dand dSTDs dand dallow daccess dto dbirth d control dwithout dparental dconsent.
DIF: dCognitive dLevel: dApplication dREF: ddm d12
OBJ: dNursing dProcess dStep: dPlanning dMSC: dSafe dand dEffective dCare dEnvironment
