TEST BANK s1
Advanced Pediatric Assessment, 3rd Edition (Ellen
s1 s1 s1 s1 s1
M. Chiocca) All Chapters1 - 26
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,
,Chapter 1. Child Health Assessment: An Overview
s1 s1 s1 s1 s1 s1
s1 MULTIPLE CHOICE s1
1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations.
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
s1 Which current trend in the pediatric setting should the nurse expect to find?
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a. Increased hospitalization of children s1 s1 s1
b. Decreased number of uninsured children s1 s1 s1 s1
c. An increase in ambulatory care
s1 s1 s1 s1
d. Decreased use of managed s1 s1 s1
care ANSWER: C
s1 s1 s1
One effect of managed care is that pediatric healthcare delivery has shifted dramatically from
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
s1 the acute care setting to the ambulatory setting. The number of hospital beds being used has
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
s1 decreased as more care is provided in outpatient and home settings. The number of
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
uninsured children in the United States continues to grow. One of the biggest changes in
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
healthcare has been the growth of managed care.
s1 s1 s1 s1 s1 s1 s1 s1
DIF: Cognitive Level: Comprehension REF: dm 3
s1 s1 s1 s1 s1 s1
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
2. A nurse is referring a low-income family with three children under the age of 5 years to a
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
s1 program that assists with supplemental food supplies. Which program should the nurse refer
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this family to?
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a. Medicaid
b. Medicare
c. Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program
s1 s1 s1 s1 s1 s1 s1 s1
d. Women, Infants, and Children (WIC) program
s1 s1 s1 s1 s1
, ANSWER: D s1
WIC is a federal program that provides supplemental food supplies to low-income women who
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
s1 are pregnant or breast-feeding and to their children until the age of 5 years. Medicaid and the
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
s1 Medicaid Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program provides
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
s1 for well-child examinations and related treatment of medical problems. Children in the WIC
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
s1 program are often referred for immunizations, but that is not the primary focus of the program.
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
s1 Public Law 99-457 provides financial incentives to states to establish comprehensive early
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
s1 intervention services for infants and toddlers with, or at risk for, developmental disabilities.
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
Medicare is the program for Senior s1 s1 s1 s1 s1
Citizens. DIF: Cognitive Level: Application
s1 s1 s1 s1 s1
REF: dm 7 OBJ: Nursing Process Step:
s1 s1 s1 s1 s1 s1 s1
s1 Implementation MSC: Health Promotion s1 s1 s1
s1 and Maintenance
s1
3. In most states, adolescents who are not emancipated minors must have parental
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
permission before:
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a. treatment for drug abuse. s1 s1 s1
b. treatment for sexually transmitted diseases (STDs). s1 s1 s1 s1 s1
c. obtaining birth control. s1 s1
d. surgery.
ANSWER: D s1
An emancipated minor is a minor child who has the legal competence of an adult. Legal counsel
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
s1 may be consulted to verify the status of the emancipated minor for consent purposes. Most
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
states allow minors to obtain treatment for drug or alcohol abuse and STDs and allow access
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
to birth control without parental consent.
s1 s1 s1 s1 s1 s1
DIF: Cognitive Level: Application REF: dm 12
s1 s1 s1 s1 s1 s1
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
Advanced Pediatric Assessment, 3rd Edition (Ellen
s1 s1 s1 s1 s1
M. Chiocca) All Chapters1 - 26
s1 s1 s1 s1 s1 s1 s1
,
,Chapter 1. Child Health Assessment: An Overview
s1 s1 s1 s1 s1 s1
s1 MULTIPLE CHOICE s1
1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations.
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
s1 Which current trend in the pediatric setting should the nurse expect to find?
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
a. Increased hospitalization of children s1 s1 s1
b. Decreased number of uninsured children s1 s1 s1 s1
c. An increase in ambulatory care
s1 s1 s1 s1
d. Decreased use of managed s1 s1 s1
care ANSWER: C
s1 s1 s1
One effect of managed care is that pediatric healthcare delivery has shifted dramatically from
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
s1 the acute care setting to the ambulatory setting. The number of hospital beds being used has
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
s1 decreased as more care is provided in outpatient and home settings. The number of
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
uninsured children in the United States continues to grow. One of the biggest changes in
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
healthcare has been the growth of managed care.
s1 s1 s1 s1 s1 s1 s1 s1
DIF: Cognitive Level: Comprehension REF: dm 3
s1 s1 s1 s1 s1 s1
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
2. A nurse is referring a low-income family with three children under the age of 5 years to a
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
s1 program that assists with supplemental food supplies. Which program should the nurse refer
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
this family to?
s1 s1 s1
a. Medicaid
b. Medicare
c. Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program
s1 s1 s1 s1 s1 s1 s1 s1
d. Women, Infants, and Children (WIC) program
s1 s1 s1 s1 s1
, ANSWER: D s1
WIC is a federal program that provides supplemental food supplies to low-income women who
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
s1 are pregnant or breast-feeding and to their children until the age of 5 years. Medicaid and the
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
s1 Medicaid Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program provides
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
s1 for well-child examinations and related treatment of medical problems. Children in the WIC
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
s1 program are often referred for immunizations, but that is not the primary focus of the program.
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
s1 Public Law 99-457 provides financial incentives to states to establish comprehensive early
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
s1 intervention services for infants and toddlers with, or at risk for, developmental disabilities.
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
Medicare is the program for Senior s1 s1 s1 s1 s1
Citizens. DIF: Cognitive Level: Application
s1 s1 s1 s1 s1
REF: dm 7 OBJ: Nursing Process Step:
s1 s1 s1 s1 s1 s1 s1
s1 Implementation MSC: Health Promotion s1 s1 s1
s1 and Maintenance
s1
3. In most states, adolescents who are not emancipated minors must have parental
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
permission before:
s1 s1
a. treatment for drug abuse. s1 s1 s1
b. treatment for sexually transmitted diseases (STDs). s1 s1 s1 s1 s1
c. obtaining birth control. s1 s1
d. surgery.
ANSWER: D s1
An emancipated minor is a minor child who has the legal competence of an adult. Legal counsel
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
s1 may be consulted to verify the status of the emancipated minor for consent purposes. Most
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
states allow minors to obtain treatment for drug or alcohol abuse and STDs and allow access
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
to birth control without parental consent.
s1 s1 s1 s1 s1 s1
DIF: Cognitive Level: Application REF: dm 12
s1 s1 s1 s1 s1 s1
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
