Advanced Pediatric Assessment, 3rd Edition
(Ellen M. Chiocca)
All Chapters 1 - 26
,
,Chapterg1.gChildgHealthgAssessment:gAngOverview
MULTIPLEgCHOICE
1.gAgnursegisgreviewinggchangesginghealthcaregdeliverygandgfundinggforgpediatricgpopulations.
Whichgcurrentgtrendgingthegpediatricgsettinggshouldgthegnursegexpectgtogfind?
a.gIncreasedghospitalizationgofgchildren
b.gDecreasedgnumbergofguninsuredgchildren
c.gAngincreasegingambulatorygcare
d.gDecreasedgusegofgmanagedgcare
ANSWER:gC
Onegeffectgofgmanagedgcaregisgthatgpediatricghealthcaregdeliveryghasgshiftedgdramaticallygfro
mgthe
acutegcaregsettinggtogthegambulatorygsetting.gThegnumbergofghospitalgbedsgbeinggusedghas
decreasedgasgmoregcaregisgprovidedgingoutpatientgandghomegsettings.gThegnumbergofguninsur
ed
childrengingthegUnitedgStatesgcontinuesgtoggrow.gOnegofgthegbiggestgchangesginghealthcareghas
beengtheggrowthgofgmanagedgcare.
DIF:gCognitivegLevel:gComprehensiongREF:gdmg3
OBJ:gNursinggProcessgStep:gPlanninggMSC:gSafegandgEffectivegCaregEnvironment
2.gAgnursegisgreferringgaglow-incomegfamilygwithgthreegchildrengundergthegagegofg5gyearsgtoga
programgthatgassistsgwithgsupplementalgfoodgsupplies.gWhichgprogramgshouldgthegnursegrefe
rgthis
familygto?
a.gMedicaid
b.gMedicare
c.gEarlygandgPeriodicgScreening,gDiagnostic,gandgTreatmentg(EPSDT)gprogram
d.gWomen,gInfants,gandgChildreng(WIC)gprogram
, ANSWER:gD
WICgisgagfederalgprogramgthatgprovidesgsupplementalgfoodgsuppliesgtoglow-
incomegwomengwho
aregpregnantgorgbreast-
feedinggandgtogtheirgchildrenguntilgthegagegofg5gyears.gMedicaidgandgthe
MedicaidgEarlygandgPeriodicgScreening,gDiagnostic,gandgTreatmentg(EPSDT)gprogramgprovid
es
forgwell-
childgexaminationsgandgrelatedgtreatmentgofgmedicalgproblems.gChildrengingthegWIC
programgaregoftengreferredgforgimmunizations,gbutgthatgisgnotgthegprimarygfocusgofgthegprogr
am.
PublicgLawg99-457gprovidesgfinancialgincentivesgtogstatesgtogestablishgcomprehensivegearly
interventiongservicesgforginfantsgandgtoddlersgwith,gorgatgriskgfor,gdevelopmentalgdisabilities.
MedicaregisgthegprogramgforgSeniorgCitizens.
DIF:gCognitivegLevel:gApplicationgREF:gdmg7
OBJ:gNursinggProcessgStep:gImplementation
MSC:gHealthgPromotiongandgMaintenance
3.gIngmostgstates,gadolescentsgwhogaregnotgemancipatedgminorsgmustghavegparentalgpermissi
on
before:
a.gtreatmentgforgdruggabuse.