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| Edition (Ellen M. Chiocca)
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| All Chapters 1 - 26
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,Chapter |1. |Child |Health |Assessment: |An |Overview
MULTIPLE |CHOICE
1. |A |nurse |is |reviewing |changes |in |healthcare |delivery |and |funding |for |pediatric |populations.
Which |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 |use |of |managed |care
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
decreased |as |more |care |is |provided |in |outpatient |and |home |settings. |The |number |of |uninsured
children |in |the |United |States |continues |to |grow. |One |of |the |biggest |changes |in |healthcare |has
been |the |growth |of |managed |care.
DIF: |Cognitive |Level: |Comprehension |REF: |dm |3
OBJ: |Nursing |Process |Step: |Planning |MSC: |Safe |and |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 |supplemental |food |supplies. |Which |program |should |the |nurse |refer |this
family |to?
a. |Medicaid
b. |Medicare
c. |Early |and |Periodic |Screening, |Diagnostic, |and |Treatment |(EPSDT) |program
d. |Women, |Infants, |and |Children |(WIC) |program
, 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 |Periodic |Screening, |Diagnostic, |and |Treatment |(EPSDT) |program |provides
for |well-child |examinations |and |related |treatment |of |medical |problems. |Children |in |the |WIC
program |are |often |referred |for |immunizations, |but |that |is |not |the |primary |focus |of |the |program.
Public |Law |99-457 |provides |financial |incentives |to |states |to |establish |comprehensive |early
intervention |services |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: |Implementation
MSC: |Health |Promotion |and |Maintenance
3. |In |most |states, |adolescents |who |are |not |emancipated |minors |must |have |parental |permission
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 |counsel
may |be |consulted |to |verify |the |status |of |the |emancipated |minor |for |consent |purposes. |Most |states
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: |Planning |MSC: |Safe |and |Effective |Care |Environment