Test Bank for Advanced Pediatric Assessment, 3rd Edition by Ellen M. Chiocca (Chapters 1–26)

TEST BANK Advanced Pediatric Assessment,
3rd Edition (Ellen M. Chiocca)
All Chapters 1 - 26

,
,Chapter 1. Child Health Assessment: An Overview
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MULTIPLECHOICE i




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




b. Decreased number of uninsured children qi q qi q qiq qi q




c. An increase in ambulatory care
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d. Decreased use of managed qi q q iq qiq qiq




care qiq qiq ANSWER: C qiq




One effect of managed care is that pediatric healthcare delivery has shifted dramatically
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from the qiq q i q acute care setting to the ambulatory setting. The number of hospital beds
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being used has qiq qiq q i q decreased as more care is provided in outpatient and home settings.
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The number of uninsured
qiq qi q qiq q i q children in the United States continues to grow. One of
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the biggest changes in healthcare has
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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
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to a
qiq q i q program that assists with supplemental food supplies. Which program should the
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nurse refer this qiq qiq q i q family to? qiq




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 qi q qi q qi q qi q qi q

, ANSWER: D qiq




WIC is a federal program that provides supplemental food supplies to low-income women
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who q i q are pregnant or breast-feeding and to their children until the age of 5 years.
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Medicaid and the qiq qiq q i q Medicaid Early and Periodic Screening, Diagnostic, and Treatment
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(EPSDT) program provides qi q qi q q i q for well-child examinations and related treatment of
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medical problems. Children in the WIC qiq qiq qi q qiq qiq q i q program are often referred for immunizations, qiq qiq qi q qiq qiq




qi q but that is not the primary focus of the program.
qiq qiq qiq qiq qiq qiq qiq qi q qiq q i q Public Law 99-457 provides qiq qi q qiq qi q




financial incentives to states to establish comprehensive early
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infants and toddlers with, or at risk for, developmental disabilities.
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Medicare is the program for Senior Citizens. qi q qi q qiq qiq qiq qiq q




i q DIF: Cognitive Level: Application REF: dm
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q 7 q i q OBJ: Nursing Process Step: qi q qi q qiq qi q




Implementation q i q MSC: Health Promotion qi q qiq qi q




and Maintenance qi q




3. In most states, adolescents who are not emancipated minors must have parental
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permission q i q before:
a. treatment for drug abuse. qiq q iq qi q




b. treatment for sexually transmitted diseases (STDs). qiq qiq qi q qiq qi q




c. obtaining birth control. qiq qiq




d. surgery. qiq qiq




ANSWER: qiq




D
An emancipated minor is a minor child who has the legal competence of an adult. Legal
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counsel q i q may be consulted to verify the status of the emancipated minor for consent
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purposes. Most states qi q qiq q i q allow minors to obtain treatment for drug or alcohol abuse and
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q STDs and allow access to birth
qiq qiq qi q qiq qiq q i q control without parental consent. qi q qi q qi q




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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