Advanced Pediatric Assessment (3rd Edition, Ellen M. Chiocca) – Complete Test Bank (Chapters 1–26)

TEST BANK Advanced Pediatric Assessment, 3rd
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j Edition (Ellen M. Chiocca)
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j All Chapters 1 - 26
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,
,Chapter 1. Child Health Assessment: An Overview
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MULTIPLE CHOICE j




1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations.
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Which current trend in the pediatric setting should the nurse expect to find?
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a. Increased hospitalization of children
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b. Decreased number of uninsured children
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c. An increase in ambulatory care
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d. Decreased use of managed care
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ANSWER: C j




One effect of managed care is that pediatric healthcare delivery has shifted dramatically from the
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acute care setting to the ambulatory setting. The number of hospital beds being used has
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decreased as more care is provided in outpatient and home settings. The number of uninsured
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children in the United States continues to grow. One of the biggest changes in healthcare has
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been the growth of managed care.
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DIF: Cognitive Level: Comprehension REF: dm 3
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OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
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2. A nurse is referring a low-income family with three children under the age of 5 years to a
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program that assists with supplemental food supplies. Which program should the nurse refer this
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family to? j




a. Medicaid
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b. Medicare
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c. Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program
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d. Women, Infants, and Children (WIC) program
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, ANSWER: D j




WIC is a federal program that provides supplemental food supplies to low-income women who
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are pregnant or breast-feeding and to their children until the age of 5 years. Medicaid and the
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Medicaid Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program provides
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for well-child examinations and related treatment of medical problems. Children in the WIC
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program are often referred for immunizations, but that is not the primary focus of the program.
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Public Law 99-457 provides financial incentives to states to establish comprehensive early
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intervention services for infants and toddlers with, or at risk for, developmental disabilities. j j j j j j j j j j j j




Medicare is the program for Senior Citizens. j j j j j j




DIF: Cognitive Level: Application REF: dm 7
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OBJ: Nursing Process Step: Implementation
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MSC: Health Promotion and Maintenance j j j j




3. In most states, adolescents who are not emancipated minors must have parental permission
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before:
a. treatment for drug abuse.
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b. treatment for sexually transmitted diseases (STDs).
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c. obtaining birth control.
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d. surgery.
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ANSWER: D j




An emancipated minor is a minor child who has the legal competence of an adult. Legal counsel
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may be consulted to verify the status of the emancipated minor for consent purposes. Most states
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allow minors to obtain treatment for drug or alcohol abuse and STDs and allow access to birth
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control without parental consent. j j j




DIF: Cognitive Level: Application REF: dm 12
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OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
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