Test Bank - Advanced Pediatric Assessment, 3rdEdition (Chiocca, 2020/21/22/23/24/25, Chapter 1-26 | All ChaptersTest Bank - Advanced Pediatric Assessment, 3rd

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AdvancedPediatricAssessment,3rdEdition (Ellen
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nM. Chiocca) All Chapters1 - 26
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,Chapter1.ChildHealthAssessment:AnO verview b b




B MULTIPLECHOICE
1. Anurseisreviewingchangesinhealthcaredeliveryandfundingforpediatricpopulations.Which
currenttrendi nthepediatricsettingshouldthenurseexpecttofind?
B b B B B BB b




a. Increasedhospitalizationo
b fchildren
b B B B B B B B B BB




b. Decreasedn b B B B B B B B B BB umberofuninsuredchildren b




c. Anincreaseinambulatorycare
b b b




d. Decreaseduseofmanagedcare B




n ANSWER:C
Oneeffectofmanaged careisthatpediatrichealthcaredeliveryhasshifteddramaticallyfromtheacute
b n b B B




B caresettingtotheambulatorysetting.Thenumberofhospitalbedsbeingusedhasdecreasedasmore
B B B B B B




careisprovidedinoutpatientandhomesettings.ThenumberofuninsuredchildrenintheUnited
B b b B




B Statescontinuestogrow.Oneofthebiggestchangesinhealthcare hasbeenthegrowthof managed B B




B care.
DIF:CognitiveLevel:ComprehensionREF:dm3 b




OBJ:NursingProcessStep:PlanningMSC:SafeandEffectiveCareEnvironment
B b b




2. Anurseisreferringalow-incomefamilywiththreechildrenundertheageof5 yearstoa program B B




that assistswithsupplementalfoodsupplies.Whichprogramshouldthenursereferthisfamilyto?
B n B B B B B




a. Medicaid
b. Medicare
c. EarlyandPeriodicScreening,D
b b b B B B B B B B B B B B B B BB iagnostic,andTreatment(EPSDT)program
b b




d. Women,Infants,andC bBBBBBBBBBBBBBB hildren(WIC)program b

, ANSWER:D
WICisafederalp B rogram thatprovidessupplementalfoodsuppliestolow-incomewomen whoare
b B B B B B B B B BB n B B B B n




B pregnantorbreast-feedingandtotheirchildrenuntil theage of5years.Medicaid andtheMedicaid B B B




B EarlyandPeriodicScreening,Diagnostic,andTreatment(EPSDT)programprovidesforwell-child b




B examinationsandrelatedtreatmentofmedicalproblems.ChildrenintheWIC programareoften B




B referred forimmunizations,but thatisnottheprimaryfocusoftheprogram.PublicLaw99-457
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B providesfinancialincentivestostates toe stablishcomprehensiveearlyinterventionservicesfor
B B bBBBBBBBB B B




B infantsandtoddlerswith,oratriskfor,developmentaldisabilities.
Medicare isthe program for Senior Citizens.
B B B B B




DIF: Cognitive Level: Application REF: dm 7
B B B B n B B




B OBJ: Nursing Process Step: Implementation
B B B B




MSC:HealthPromotionandMaintenance
B b b




3. Inmoststates,adolescentswhoarenote
b bBBBBBBBB




mancipatedminorsmusthaveparentalpermission before:
B B




a. treatmentfordrugabuse.
b. treatmentforsexuallytransmitteddiseases(STDs). B B




c. obtainingbirthcontrol.
d. surgery.
ANSWER:D b




Anemancipatedminorisaminorchildwhohasthelegalcompetenceofan adult.Legalcounselmay n




be consulted toverify thestatusoftheemancipatedminorforconsentpurposes. Most states allow
B B B B B B B




minorstoobtaintreatment fordrug oralcohol abuseand STDsand allowaccesstobirth control
B B B B B B B




withoutparentalconsent.
B b




DIF:CognitiveLevel:ApplicationREF:dm12 B b




OBJ:NursingProcessStep:PlanningMSC:SafeandE b bBBBBBBBBBBBB ffectiveCareEnvironment