TEST BANK
Advanced Pediatric Assessment,
3rd Edition
(Ellen M. Chiocca) All Chapters 1
- 26
,
,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: wPlanning wMSC: wSafe wand wEffective wCare wEnvironment
2. A wnurse wis wreferring wa wlow-income wfamily wwith wthree wchildren wunder wthe wage wof w5
wyears wto wa w program wthat wassists wwith wsupplemental wfood wsupplies. wWhich wprogram
wshould wthe wnurse wrefer wthis w family wto?
a. Medicaid
b. Medicare
c. Early wand wPeriodic wScreening, wDiagnostic, wand wTreatment w(EPSDT) wprogram
d. Women, wInfants, wand wChildren w(WIC) wprogram
, ANSWER: wD
WIC wis wa wfederal wprogram wthat wprovides wsupplemental wfood wsupplies wto wlow-income
wwomen wwho w are wpregnant wor wbreast-feeding wand wto wtheir wchildren wuntil wthe wage wof
w5 wyears. wMedicaid wand wthe w Medicaid wEarly wand wPeriodic wScreening, wDiagnostic, wand
wTreatment w(EPSDT) wprogram wprovides w for wwell-child wexaminations wand wrelated
wtreatment wof wmedical wproblems. wChildren win wthe wWIC w program ware woften wreferred
wfor wimmunizations, wbut wthat wis wnot wthe wprimary wfocus wof wthe wprogram. w Public wLaw
w99-457 wprovides wfinancial wincentives wto wstates wto westablish wcomprehensive wearly
w intervention wservices wfor winfants wand wtoddlers wwith, wor wat wrisk wfor, wdevelopmental
wdisabilities.
Medicare wis wthe wprogram wfor wSenior
wCitizens. w DIF: wCognitive wLevel: wApplication
wREF: wdm w7 w OBJ: wNursing wProcess wStep:
wImplementation w MSC: wHealth wPromotion
wand wMaintenance
3. In wmost wstates, wadolescents wwho ware wnot wemancipated wminors wmust whave wparental
wpermission w before:
a. treatment wfor wdrug wabuse.
b. treatment wfor wsexually wtransmitted wdiseases w(STDs).
c. obtaining wbirth wcontrol.
d. surgery. w
wANSWER:
wD
An wemancipated wminor wis wa wminor wchild wwho whas wthe wlegal wcompetence wof wan wadult.
wLegal wcounsel w may wbe wconsulted wto wverify wthe wstatus wof wthe wemancipated wminor wfor
wconsent wpurposes. wMost wstates w allow wminors wto wobtain wtreatment wfor wdrug wor walcohol
wabuse wand wSTDs wand wallow waccess wto wbirth w control wwithout wparental wconsent.
DIF: wCognitive wLevel: wApplication wREF: wdm w12
OBJ: wNursing wProcess wStep: wPlanning wMSC: wSafe wand wEffective wCare wEnvironment
Advanced Pediatric Assessment,
3rd Edition
(Ellen M. Chiocca) All Chapters 1
- 26
,
,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: wPlanning wMSC: wSafe wand wEffective wCare wEnvironment
2. A wnurse wis wreferring wa wlow-income wfamily wwith wthree wchildren wunder wthe wage wof w5
wyears wto wa w program wthat wassists wwith wsupplemental wfood wsupplies. wWhich wprogram
wshould wthe wnurse wrefer wthis w family wto?
a. Medicaid
b. Medicare
c. Early wand wPeriodic wScreening, wDiagnostic, wand wTreatment w(EPSDT) wprogram
d. Women, wInfants, wand wChildren w(WIC) wprogram
, ANSWER: wD
WIC wis wa wfederal wprogram wthat wprovides wsupplemental wfood wsupplies wto wlow-income
wwomen wwho w are wpregnant wor wbreast-feeding wand wto wtheir wchildren wuntil wthe wage wof
w5 wyears. wMedicaid wand wthe w Medicaid wEarly wand wPeriodic wScreening, wDiagnostic, wand
wTreatment w(EPSDT) wprogram wprovides w for wwell-child wexaminations wand wrelated
wtreatment wof wmedical wproblems. wChildren win wthe wWIC w program ware woften wreferred
wfor wimmunizations, wbut wthat wis wnot wthe wprimary wfocus wof wthe wprogram. w Public wLaw
w99-457 wprovides wfinancial wincentives wto wstates wto westablish wcomprehensive wearly
w intervention wservices wfor winfants wand wtoddlers wwith, wor wat wrisk wfor, wdevelopmental
wdisabilities.
Medicare wis wthe wprogram wfor wSenior
wCitizens. w DIF: wCognitive wLevel: wApplication
wREF: wdm w7 w OBJ: wNursing wProcess wStep:
wImplementation w MSC: wHealth wPromotion
wand wMaintenance
3. In wmost wstates, wadolescents wwho ware wnot wemancipated wminors wmust whave wparental
wpermission w before:
a. treatment wfor wdrug wabuse.
b. treatment wfor wsexually wtransmitted wdiseases w(STDs).
c. obtaining wbirth wcontrol.
d. surgery. w
wANSWER:
wD
An wemancipated wminor wis wa wminor wchild wwho whas wthe wlegal wcompetence wof wan wadult.
wLegal wcounsel w may wbe wconsulted wto wverify wthe wstatus wof wthe wemancipated wminor wfor
wconsent wpurposes. wMost wstates w allow wminors wto wobtain wtreatment wfor wdrug wor walcohol
wabuse wand wSTDs wand wallow waccess wto wbirth w control wwithout wparental wconsent.
DIF: wCognitive wLevel: wApplication wREF: wdm w12
OBJ: wNursing wProcess wStep: wPlanning wMSC: wSafe wand wEffective wCare wEnvironment
