TESTBANK
AdvancedPediatricAssessment,3rdEdition(Ellen
M.Chiocca)allChapters1-26
,
,Chapter 1. Child Health Assessment: An Overview
MULTIPLE CHOICE
1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations. Wh
ich 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 useHof managed car
e 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 decr
eased as more care is provided in outpatient and home settings. The number of uninsured chil
dren in the United States continues to grow. One of the biggest changes in healthcare has bee
n the growth of managed care.
DIF: Cognitive Level: Comprehension REF: dm 3
OBJ: Nursing Process Step: PlanningHMSC: SafeHand Effective Care Environment
2. A nurse is referring a low-
income family with three children under the age of 5 years to a program that assists with suppl
emental food supplies. Which program should the nurse refer this family to?
a. Medicaid
b. Medicare
c. Early and PeriodicHScreening, Diagnostic, and Treatment (EPSDT) program
d. Women, Infants, and Children (WIC)Hprogram
, ANSWER: D
WIC is a federal program that provides supplemental food supplies to low-
income women who are pregnant or breast-
feeding and to their children until the age of 5 years. Medicaid and the Medicaid Early and Per
iodic Screening, Diagnostic, and Treatment (EPSDT) program provides for well-
child examinations and related treatment of medical problems. Children in the WIC program a
re often referred for immunizations, but that is not the primary focus of the program. Public La
w 99-
457 provides financial incentives to states to establish comprehensive early intervention service
s for infants and toddlers with, or at risk for, developmental disabilities.
Medicare is the program for Senior Citizens
. DIF: Cognitive Level: Application REF: dm
7 OBJ: Nursing Process Step: Implementati
on MSC: Health Promotion and Maintenan
ce
3. In most states, adolescents who are not emancipated minors must have parental permissio
n before:
a. treatment for drug abuse.
b. treatment for sexually transmitted diseases (STDs).
c. obtaining birth control.
d. surgery.
ANSWER: D
An emancipated minor is a minor child who has the legal competence of an adult. Legal couns
el may be consulted to verify the status of the emancipated minor for consent purposes. Most st
ates allow minors to obtain treatment for drug or alcohol abuse and STDs and allow access to
birth control without parental consent.
DIF: Cognitive Level: Application REF: dm 12
OBJ: Nursing Process Step: PlanningHMSC: SafeHandHEffective Care Environment
AdvancedPediatricAssessment,3rdEdition(Ellen
M.Chiocca)allChapters1-26
,
,Chapter 1. Child Health Assessment: An Overview
MULTIPLE CHOICE
1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations. Wh
ich 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 useHof managed car
e 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 decr
eased as more care is provided in outpatient and home settings. The number of uninsured chil
dren in the United States continues to grow. One of the biggest changes in healthcare has bee
n the growth of managed care.
DIF: Cognitive Level: Comprehension REF: dm 3
OBJ: Nursing Process Step: PlanningHMSC: SafeHand Effective Care Environment
2. A nurse is referring a low-
income family with three children under the age of 5 years to a program that assists with suppl
emental food supplies. Which program should the nurse refer this family to?
a. Medicaid
b. Medicare
c. Early and PeriodicHScreening, Diagnostic, and Treatment (EPSDT) program
d. Women, Infants, and Children (WIC)Hprogram
, ANSWER: D
WIC is a federal program that provides supplemental food supplies to low-
income women who are pregnant or breast-
feeding and to their children until the age of 5 years. Medicaid and the Medicaid Early and Per
iodic Screening, Diagnostic, and Treatment (EPSDT) program provides for well-
child examinations and related treatment of medical problems. Children in the WIC program a
re often referred for immunizations, but that is not the primary focus of the program. Public La
w 99-
457 provides financial incentives to states to establish comprehensive early intervention service
s for infants and toddlers with, or at risk for, developmental disabilities.
Medicare is the program for Senior Citizens
. DIF: Cognitive Level: Application REF: dm
7 OBJ: Nursing Process Step: Implementati
on MSC: Health Promotion and Maintenan
ce
3. In most states, adolescents who are not emancipated minors must have parental permissio
n before:
a. treatment for drug abuse.
b. treatment for sexually transmitted diseases (STDs).
c. obtaining birth control.
d. surgery.
ANSWER: D
An emancipated minor is a minor child who has the legal competence of an adult. Legal couns
el may be consulted to verify the status of the emancipated minor for consent purposes. Most st
ates allow minors to obtain treatment for drug or alcohol abuse and STDs and allow access to
birth control without parental consent.
DIF: Cognitive Level: Application REF: dm 12
OBJ: Nursing Process Step: PlanningHMSC: SafeHandHEffective Care Environment
