TESTBANK
t
Advanced Pediatric Assessment, 3rd Edition
t t t t
(Ellen M. Chiocca) All Chapters1 - 26
t t t t t t t
,
,Chapter t1. tChild tHealth tAssessment: tAn tOverview
t MULTIPLE tCHOICE
1. A tnurse tis treviewing tchanges tin thealthcare tdelivery tand tfunding tfor tpediatric
t populations. t Which tcurrent ttrend tin tthe tpediatric tsetting tshould tthe tnurse texpect tto
t find?
a. Increased thospitalization tof tchildren
b. Decreased tnumber tof tuninsured tchildren
c. An tincrease tin tambulatory tcare
d. Decreased tuse tof tmanaged
t care t tANSWER: tC
One teffect tof tmanaged tcare tis tthat tpediatric thealthcare tdelivery thas tshifted tdramatically
t from tthe t acute tcare tsetting tto tthe tambulatory tsetting. tThe tnumber tof thospital tbeds tbeing
t used thas t decreased tas tmore tcare tis tprovided tin toutpatient tand thome tsettings. tThe tnumber
t of tuninsured t children tin tthe tUnited tStates tcontinues tto tgrow. tOne tof tthe tbiggest tchanges tin
t healthcare thas t been tthe tgrowth tof tmanaged tcare.
DIF: tCognitive tLevel: tComprehension tREF: tdm t3
OBJ: tNursing tProcess tStep: tPlanning tMSC: tSafe tand tEffective tCare tEnvironment
2. A tnurse tis treferring ta tlow-income tfamily twith tthree tchildren tunder tthe tage tof t5 tyears tto ta
t program tthat tassists twith tsupplemental tfood tsupplies. tWhich tprogram tshould tthe tnurse trefer
t this t family tto?
a. Medicaid
b. Medicare
c. Early tand tPeriodic tScreening, tDiagnostic, tand tTreatment t(EPSDT) tprogram
d. Women, tInfants, tand tChildren t(WIC) tprogram
, ANSWER: tD
WIC tis ta tfederal tprogram tthat tprovides tsupplemental tfood tsupplies tto tlow-income twomen
t who t are tpregnant tor tbreast-feeding tand tto ttheir tchildren tuntil tthe tage tof t5 tyears.
t Medicaid tand tthe t Medicaid tEarly tand tPeriodic tScreening, tDiagnostic, tand tTreatment
t (EPSDT) tprogram tprovides t for twell-child texaminations tand trelated ttreatment tof tmedical
t problems. tChildren tin tthe tWIC t program tare toften treferred tfor timmunizations, tbut tthat tis
t not tthe tprimary tfocus tof tthe tprogram. t Public tLaw t99-457 tprovides tfinancial tincentives tto
t states tto testablish tcomprehensive tearly t intervention tservices tfor tinfants tand ttoddlers twith,
t or tat trisk tfor, tdevelopmental tdisabilities.
Medicare tis tthe tprogram tfor tSenior tCitizens.
t DIF: tCognitive tLevel: tApplication tREF: tdm t7
t OBJ: tNursing tProcess tStep: tImplementation
t MSC: tHealth tPromotion tand tMaintenance
3. In tmost tstates, tadolescents twho tare tnot temancipated tminors tmust thave tparental
t permission t before:
a. treatment tfor tdrug tabuse.
b. treatment tfor tsexually ttransmitted tdiseases t(STDs).
c. obtaining tbirth tcontrol.
d. surgery. t
t ANSWER: tD
An temancipated tminor tis ta tminor tchild twho thas tthe tlegal tcompetence tof tan tadult. tLegal
t counsel t may tbe tconsulted tto tverify tthe tstatus tof tthe temancipated tminor tfor tconsent
t purposes. tMost tstates t allow tminors tto tobtain ttreatment tfor tdrug tor talcohol tabuse tand tSTDs
t and tallow taccess tto tbirth t control twithout tparental tconsent.
DIF: tCognitive tLevel: tApplication tREF: tdm t12
OBJ: tNursing tProcess tStep: tPlanning tMSC: tSafe tand tEffective tCare tEnvironment
t
Advanced Pediatric Assessment, 3rd Edition
t t t t
(Ellen M. Chiocca) All Chapters1 - 26
t t t t t t t
,
,Chapter t1. tChild tHealth tAssessment: tAn tOverview
t MULTIPLE tCHOICE
1. A tnurse tis treviewing tchanges tin thealthcare tdelivery tand tfunding tfor tpediatric
t populations. t Which tcurrent ttrend tin tthe tpediatric tsetting tshould tthe tnurse texpect tto
t find?
a. Increased thospitalization tof tchildren
b. Decreased tnumber tof tuninsured tchildren
c. An tincrease tin tambulatory tcare
d. Decreased tuse tof tmanaged
t care t tANSWER: tC
One teffect tof tmanaged tcare tis tthat tpediatric thealthcare tdelivery thas tshifted tdramatically
t from tthe t acute tcare tsetting tto tthe tambulatory tsetting. tThe tnumber tof thospital tbeds tbeing
t used thas t decreased tas tmore tcare tis tprovided tin toutpatient tand thome tsettings. tThe tnumber
t of tuninsured t children tin tthe tUnited tStates tcontinues tto tgrow. tOne tof tthe tbiggest tchanges tin
t healthcare thas t been tthe tgrowth tof tmanaged tcare.
DIF: tCognitive tLevel: tComprehension tREF: tdm t3
OBJ: tNursing tProcess tStep: tPlanning tMSC: tSafe tand tEffective tCare tEnvironment
2. A tnurse tis treferring ta tlow-income tfamily twith tthree tchildren tunder tthe tage tof t5 tyears tto ta
t program tthat tassists twith tsupplemental tfood tsupplies. tWhich tprogram tshould tthe tnurse trefer
t this t family tto?
a. Medicaid
b. Medicare
c. Early tand tPeriodic tScreening, tDiagnostic, tand tTreatment t(EPSDT) tprogram
d. Women, tInfants, tand tChildren t(WIC) tprogram
, ANSWER: tD
WIC tis ta tfederal tprogram tthat tprovides tsupplemental tfood tsupplies tto tlow-income twomen
t who t are tpregnant tor tbreast-feeding tand tto ttheir tchildren tuntil tthe tage tof t5 tyears.
t Medicaid tand tthe t Medicaid tEarly tand tPeriodic tScreening, tDiagnostic, tand tTreatment
t (EPSDT) tprogram tprovides t for twell-child texaminations tand trelated ttreatment tof tmedical
t problems. tChildren tin tthe tWIC t program tare toften treferred tfor timmunizations, tbut tthat tis
t not tthe tprimary tfocus tof tthe tprogram. t Public tLaw t99-457 tprovides tfinancial tincentives tto
t states tto testablish tcomprehensive tearly t intervention tservices tfor tinfants tand ttoddlers twith,
t or tat trisk tfor, tdevelopmental tdisabilities.
Medicare tis tthe tprogram tfor tSenior tCitizens.
t DIF: tCognitive tLevel: tApplication tREF: tdm t7
t OBJ: tNursing tProcess tStep: tImplementation
t MSC: tHealth tPromotion tand tMaintenance
3. In tmost tstates, tadolescents twho tare tnot temancipated tminors tmust thave tparental
t permission t before:
a. treatment tfor tdrug tabuse.
b. treatment tfor tsexually ttransmitted tdiseases t(STDs).
c. obtaining tbirth tcontrol.
d. surgery. t
t ANSWER: tD
An temancipated tminor tis ta tminor tchild twho thas tthe tlegal tcompetence tof tan tadult. tLegal
t counsel t may tbe tconsulted tto tverify tthe tstatus tof tthe temancipated tminor tfor tconsent
t purposes. tMost tstates t allow tminors tto tobtain ttreatment tfor tdrug tor talcohol tabuse tand tSTDs
t and tallow taccess tto tbirth t control twithout tparental tconsent.
DIF: tCognitive tLevel: tApplication tREF: tdm t12
OBJ: tNursing tProcess tStep: tPlanning tMSC: tSafe tand tEffective tCare tEnvironment
