TEST BANK Advanced Pediatric Assessment,
3rd Edition (Ellen M. Chiocca)
All Chapters 1 - 26
,
,Chapter Y61. Y6Child Y6Health Y6Assessment: Y6An Y6Overview
MULTIPLE Y6CHOICE
1. Y6A Y6nurse Y6is Y6reviewing Y6changes Y6in Y6healthcare Y6delivery Y6and Y6funding Y6for Y6pediatric
populations.
Y6
Which Y6current Y6trend Y6in Y6the Y6pediatric Y6setting Y6should Y6the Y6nurse Y6expect Y6to Y6find?
a. Y6Increased Y6hospitalization Y6of Y6children
b. Y6Decreased Y6number Y6of Y6uninsured Y6children
c. Y6An Y6increase Y6in Y6ambulatory Y6care
d. Y6Decreased Y6use Y6of Y6managed Y6care
ANSWER: Y6C
One Y6effect Y6of Y6managed Y6care Y6is Y6that Y6pediatric Y6healthcare Y6delivery Y6has Y6shifted Y6dramatically
from Y6the
Y6
acute Y6care Y6setting Y6to Y6the Y6ambulatory Y6setting. Y6The Y6number Y6of Y6hospital Y6beds Y6being Y6used
has
Y6
decreased Y6as Y6more Y6care Y6is Y6provided Y6in Y6outpatient Y6and Y6home Y6settings. Y6The Y6number Y6of
uninsured
Y6
children Y6in Y6the Y6United Y6States Y6continues Y6to Y6grow. Y6One Y6of Y6the Y6biggest Y6changes Y6in
healthcare Y6has
Y6
been Y6the Y6growth Y6of Y6managed Y6care.
DIF: Y6Cognitive Y6Level: Y6Comprehension Y6REF: Y6dm Y63
OBJ: Y6Nursing Y6Process Y6Step: Y6Planning Y6MSC: Y6Safe Y6and Y6Effective Y6Care Y6Environment
2. Y6A Y6nurse Y6is Y6referring Y6a Y6low-income Y6family Y6with Y6three Y6children Y6under Y6the Y6age Y6of Y65
years Y6to Y6a
Y6
program Y6that Y6assists Y6with Y6supplemental Y6food Y6supplies. Y6Which Y6program Y6should Y6the Y6nurse
refer Y6this
Y6
family Y6to?
a. Y6Medicaid
b. Y6Medicare
c. Y6Early Y6and Y6Periodic Y6Screening, Y6Diagnostic, Y6and Y6Treatment Y6(EPSDT) Y6program
, d. Y6Women, Y6Infants, Y6and Y6Children Y6(WIC) Y6program
ANSWER: Y6D
WIC Y6is Y6a Y6federal Y6program Y6that Y6provides Y6supplemental Y6food Y6supplies Y6to Y6low-income
women Y6who
Y6
are Y6pregnant Y6or Y6breast-feeding Y6and Y6to Y6their Y6children Y6until Y6the Y6age Y6of Y65 Y6years. Y6Medicaid
and Y6the
Y6
Medicaid Y6Early Y6and Y6Periodic Y6Screening, Y6Diagnostic, Y6and Y6Treatment Y6(EPSDT) Y6program
provides
Y6
for Y6well-child Y6examinations Y6and Y6related Y6treatment Y6of Y6medical Y6problems. Y6Children Y6in Y6the
WIC
Y6
program Y6are Y6often Y6referred Y6for Y6immunizations, Y6but Y6that Y6is Y6not Y6the Y6primary Y6focus Y6of
the Y6program.
Y6
Public Y6Law Y699-457 Y6provides Y6financial Y6incentives Y6to Y6states Y6to Y6establish Y6comprehensive
early
Y6
intervention Y6services Y6for Y6infants Y6and Y6toddlers Y6with, Y6or Y6at Y6risk Y6for, Y6developmental
disabilities.
Y6
Medicare Y6is Y6the Y6program Y6for Y6Senior Y6Citizens.
DIF: Y6Cognitive Y6Level: Y6Application Y6REF: Y6dm Y67
OBJ: Y6Nursing Y6Process Y6Step: Y6Implementation
MSC: Y6Health Y6Promotion Y6and Y6Maintenance
3. Y6In Y6most Y6states, Y6adolescents Y6who Y6are Y6not Y6emancipated Y6minors Y6must Y6have Y6parental
permission
Y6
before:
3rd Edition (Ellen M. Chiocca)
All Chapters 1 - 26
,
,Chapter Y61. Y6Child Y6Health Y6Assessment: Y6An Y6Overview
MULTIPLE Y6CHOICE
1. Y6A Y6nurse Y6is Y6reviewing Y6changes Y6in Y6healthcare Y6delivery Y6and Y6funding Y6for Y6pediatric
populations.
Y6
Which Y6current Y6trend Y6in Y6the Y6pediatric Y6setting Y6should Y6the Y6nurse Y6expect Y6to Y6find?
a. Y6Increased Y6hospitalization Y6of Y6children
b. Y6Decreased Y6number Y6of Y6uninsured Y6children
c. Y6An Y6increase Y6in Y6ambulatory Y6care
d. Y6Decreased Y6use Y6of Y6managed Y6care
ANSWER: Y6C
One Y6effect Y6of Y6managed Y6care Y6is Y6that Y6pediatric Y6healthcare Y6delivery Y6has Y6shifted Y6dramatically
from Y6the
Y6
acute Y6care Y6setting Y6to Y6the Y6ambulatory Y6setting. Y6The Y6number Y6of Y6hospital Y6beds Y6being Y6used
has
Y6
decreased Y6as Y6more Y6care Y6is Y6provided Y6in Y6outpatient Y6and Y6home Y6settings. Y6The Y6number Y6of
uninsured
Y6
children Y6in Y6the Y6United Y6States Y6continues Y6to Y6grow. Y6One Y6of Y6the Y6biggest Y6changes Y6in
healthcare Y6has
Y6
been Y6the Y6growth Y6of Y6managed Y6care.
DIF: Y6Cognitive Y6Level: Y6Comprehension Y6REF: Y6dm Y63
OBJ: Y6Nursing Y6Process Y6Step: Y6Planning Y6MSC: Y6Safe Y6and Y6Effective Y6Care Y6Environment
2. Y6A Y6nurse Y6is Y6referring Y6a Y6low-income Y6family Y6with Y6three Y6children Y6under Y6the Y6age Y6of Y65
years Y6to Y6a
Y6
program Y6that Y6assists Y6with Y6supplemental Y6food Y6supplies. Y6Which Y6program Y6should Y6the Y6nurse
refer Y6this
Y6
family Y6to?
a. Y6Medicaid
b. Y6Medicare
c. Y6Early Y6and Y6Periodic Y6Screening, Y6Diagnostic, Y6and Y6Treatment Y6(EPSDT) Y6program
, d. Y6Women, Y6Infants, Y6and Y6Children Y6(WIC) Y6program
ANSWER: Y6D
WIC Y6is Y6a Y6federal Y6program Y6that Y6provides Y6supplemental Y6food Y6supplies Y6to Y6low-income
women Y6who
Y6
are Y6pregnant Y6or Y6breast-feeding Y6and Y6to Y6their Y6children Y6until Y6the Y6age Y6of Y65 Y6years. Y6Medicaid
and Y6the
Y6
Medicaid Y6Early Y6and Y6Periodic Y6Screening, Y6Diagnostic, Y6and Y6Treatment Y6(EPSDT) Y6program
provides
Y6
for Y6well-child Y6examinations Y6and Y6related Y6treatment Y6of Y6medical Y6problems. Y6Children Y6in Y6the
WIC
Y6
program Y6are Y6often Y6referred Y6for Y6immunizations, Y6but Y6that Y6is Y6not Y6the Y6primary Y6focus Y6of
the Y6program.
Y6
Public Y6Law Y699-457 Y6provides Y6financial Y6incentives Y6to Y6states Y6to Y6establish Y6comprehensive
early
Y6
intervention Y6services Y6for Y6infants Y6and Y6toddlers Y6with, Y6or Y6at Y6risk Y6for, Y6developmental
disabilities.
Y6
Medicare Y6is Y6the Y6program Y6for Y6Senior Y6Citizens.
DIF: Y6Cognitive Y6Level: Y6Application Y6REF: Y6dm Y67
OBJ: Y6Nursing Y6Process Y6Step: Y6Implementation
MSC: Y6Health Y6Promotion Y6and Y6Maintenance
3. Y6In Y6most Y6states, Y6adolescents Y6who Y6are Y6not Y6emancipated Y6minors Y6must Y6have Y6parental
permission
Y6
before:
