TEST BANK
Advanced Pediatric Assessment, 3rd Edition
by Ellen M. Chiocca All Chapters 1-26
,
,Chapterc1.cChildcHealthcAssessment:cAncOverview
MULTIPLEcCHOICE
1.cAcnurseciscreviewingcchangescinchealthcarecdeliverycandcfundingcforcpediatriccpopulations.
Whichccurrentctrendcincthecpediatriccsettingcshouldcthecnursecexpectctocfind?
a.cIncreasedchospitalizationcofcchildren
b.cDecreasedcnumbercofcuninsuredcchildren
c.cAncincreasecincambulatoryccare
d.cDecreasedcusecofcmanagedccare
ANSWER:cC
Oneceffectcofcmanagedccareciscthatcpediatricchealthcarecdeliverychascshiftedcdramaticallycfromcthe
acuteccarecsettingctocthecambulatorycsetting.cThecnumbercofchospitalcbedscbeingcusedchas
decreasedcascmoreccareciscprovidedcincoutpatientcandchomecsettings.cThecnumbercofcuninsured
childrencincthecUnitedcStatesccontinuesctocgrow.cOnecofcthecbiggestcchangescinchealthcarechas
beencthecgrowthcofcmanagedccare.
DIF:cCognitivecLevel:cComprehensioncREF:cdmc3
OBJ:cNursingcProcesscStep:cPlanningcMSC:cSafecandcEffectivecCarecEnvironment
2.cAcnurseciscreferringcaclow-incomecfamilycwithcthreecchildrencundercthecagecofc5cyearsctoca
programcthatcassistscwithcsupplementalcfoodcsupplies.cWhichcprogramcshouldcthecnursecrefercthis
familycto?
a.cMedicaid
b.cMedicare
c.cEarlycandcPeriodiccScreening,cDiagnostic,candcTreatmentc(EPSDT)cprogram
d.cWomen,cInfants,candcChildrenc(WIC)cprogram
, ANSWER:cD
WICciscacfederalcprogramcthatcprovidescsupplementalcfoodcsuppliesctoclow-incomecwomencwho
arecpregnantcorcbreast-feedingcandctoctheircchildrencuntilcthecagecofc5cyears.cMedicaidcandcthe
MedicaidcEarlycandcPeriodiccScreening,cDiagnostic,candcTreatmentc(EPSDT)cprogramcprovides
forcwell-childcexaminationscandcrelatedctreatmentcofcmedicalcproblems.cChildrencincthecWIC
programcarecoftencreferredcforcimmunizations,cbutcthatciscnotcthecprimarycfocuscofcthecprogram.
PubliccLawc99-457cprovidescfinancialcincentivesctocstatesctocestablishccomprehensivecearly
interventioncservicescforcinfantscandctoddlerscwith,corcatcriskcfor,cdevelopmentalcdisabilities.
MedicareciscthecprogramcforcSeniorcCitizens.
DIF:cCognitivecLevel:cApplicationcREF:cdmc7
OBJ:cNursingcProcesscStep:cImplementation
MSC:cHealthcPromotioncandcMaintenance
3.cIncmostcstates,cadolescentscwhocarecnotcemancipatedcminorscmustchavecparentalcpermission
before:
a.ctreatmentcforcdrugcabuse.
b.ctreatmentcforcsexuallyctransmittedcdiseasesc(STDs).
c.cobtainingcbirthccontrol.
d.csurgery.
ANSWER:cD
Ancemancipatedcminorciscacminorcchildcwhochasctheclegalccompetencecofcancadult.cLegalccounsel
maycbecconsultedctocverifycthecstatuscofcthecemancipatedcminorcforcconsentcpurposes.cMostcstates
allowcminorsctocobtainctreatmentcforcdrugcorcalcoholcabusecandcSTDscandcallowcaccessctocbirth
controlcwithoutcparentalcconsent.
DIF:cCognitivecLevel:cApplicationcREF:cdmc12
OBJ:cNursingcProcesscStep:cPlanningcMSC:cSafecandcEffectivecCarecEnvironment
Advanced Pediatric Assessment, 3rd Edition
by Ellen M. Chiocca All Chapters 1-26
,
,Chapterc1.cChildcHealthcAssessment:cAncOverview
MULTIPLEcCHOICE
1.cAcnurseciscreviewingcchangescinchealthcarecdeliverycandcfundingcforcpediatriccpopulations.
Whichccurrentctrendcincthecpediatriccsettingcshouldcthecnursecexpectctocfind?
a.cIncreasedchospitalizationcofcchildren
b.cDecreasedcnumbercofcuninsuredcchildren
c.cAncincreasecincambulatoryccare
d.cDecreasedcusecofcmanagedccare
ANSWER:cC
Oneceffectcofcmanagedccareciscthatcpediatricchealthcarecdeliverychascshiftedcdramaticallycfromcthe
acuteccarecsettingctocthecambulatorycsetting.cThecnumbercofchospitalcbedscbeingcusedchas
decreasedcascmoreccareciscprovidedcincoutpatientcandchomecsettings.cThecnumbercofcuninsured
childrencincthecUnitedcStatesccontinuesctocgrow.cOnecofcthecbiggestcchangescinchealthcarechas
beencthecgrowthcofcmanagedccare.
DIF:cCognitivecLevel:cComprehensioncREF:cdmc3
OBJ:cNursingcProcesscStep:cPlanningcMSC:cSafecandcEffectivecCarecEnvironment
2.cAcnurseciscreferringcaclow-incomecfamilycwithcthreecchildrencundercthecagecofc5cyearsctoca
programcthatcassistscwithcsupplementalcfoodcsupplies.cWhichcprogramcshouldcthecnursecrefercthis
familycto?
a.cMedicaid
b.cMedicare
c.cEarlycandcPeriodiccScreening,cDiagnostic,candcTreatmentc(EPSDT)cprogram
d.cWomen,cInfants,candcChildrenc(WIC)cprogram
, ANSWER:cD
WICciscacfederalcprogramcthatcprovidescsupplementalcfoodcsuppliesctoclow-incomecwomencwho
arecpregnantcorcbreast-feedingcandctoctheircchildrencuntilcthecagecofc5cyears.cMedicaidcandcthe
MedicaidcEarlycandcPeriodiccScreening,cDiagnostic,candcTreatmentc(EPSDT)cprogramcprovides
forcwell-childcexaminationscandcrelatedctreatmentcofcmedicalcproblems.cChildrencincthecWIC
programcarecoftencreferredcforcimmunizations,cbutcthatciscnotcthecprimarycfocuscofcthecprogram.
PubliccLawc99-457cprovidescfinancialcincentivesctocstatesctocestablishccomprehensivecearly
interventioncservicescforcinfantscandctoddlerscwith,corcatcriskcfor,cdevelopmentalcdisabilities.
MedicareciscthecprogramcforcSeniorcCitizens.
DIF:cCognitivecLevel:cApplicationcREF:cdmc7
OBJ:cNursingcProcesscStep:cImplementation
MSC:cHealthcPromotioncandcMaintenance
3.cIncmostcstates,cadolescentscwhocarecnotcemancipatedcminorscmustchavecparentalcpermission
before:
a.ctreatmentcforcdrugcabuse.
b.ctreatmentcforcsexuallyctransmittedcdiseasesc(STDs).
c.cobtainingcbirthccontrol.
d.csurgery.
ANSWER:cD
Ancemancipatedcminorciscacminorcchildcwhochasctheclegalccompetencecofcancadult.cLegalccounsel
maycbecconsultedctocverifycthecstatuscofcthecemancipatedcminorcforcconsentcpurposes.cMostcstates
allowcminorsctocobtainctreatmentcforcdrugcorcalcoholcabusecandcSTDscandcallowcaccessctocbirth
controlcwithoutcparentalcconsent.
DIF:cCognitivecLevel:cApplicationcREF:cdmc12
OBJ:cNursingcProcesscStep:cPlanningcMSC:cSafecandcEffectivecCarecEnvironment
