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: 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: iD
WIC iis ia ifederal iprogram ithat iprovides isupplemental ifood isupplies ito ilow-income iwomen iwho
are ipregnant ior ibreast-feeding iand ito itheir ichildren iuntil ithe iage iof i5 iyears. iMedicaid iand ithe
Medicaid iEarly iand iPeriodic iScreening, iDiagnostic, iand iTreatment i(EPSDT) iprogram iprovides
for iwell-child iexaminations iand irelated itreatment iof imedical iproblems. iChildren iin ithe iWIC
program iare ioften ireferred ifor iimmunizations, ibut ithat iis inot ithe iprimary ifocus iof ithe iprogram.
Public iLaw i99-457 iprovides ifinancial iincentives ito istates ito iestablish icomprehensive iearly
intervention iservices ifor iinfants iand itoddlers iwith, ior iat irisk ifor, idevelopmental idisabilities.
Medicare iis ithe iprogram ifor iSenior iCitizens.
DIF: iCognitive iLevel: iApplication iREF: idm i7
OBJ: iNursing iProcess iStep: iImplementation
MSC: iHealth iPromotion iand iMaintenance
3. iIn imost istates, iadolescents iwho iare inot iemancipated iminors imust ihave iparental ipermission
before:
a. itreatment ifor idrug iabuse.
b. itreatment ifor isexually itransmitted idiseases i(STDs).
c. iobtaining ibirth icontrol.
d. isurgery.
ANSWER: iD
An iemancipated iminor iis ia iminor ichild iwho ihas ithe ilegal icompetence iof ian iadult. iLegal icounsel
may ibe iconsulted ito iverify ithe istatus iof ithe iemancipated iminor ifor iconsent ipurposes. iMost istates
allow iminors ito iobtain itreatment ifor idrug ior ialcohol iabuse iand iSTDs iand iallow iaccess ito ibirth
control iwithout iparental iconsent.
DIF: iCognitive iLevel: iApplication iREF: idm i12
OBJ: iNursing iProcess iStep: iPlanning iMSC: iSafe iand iEffective iCare iEnvironment
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: 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: iD
WIC iis ia ifederal iprogram ithat iprovides isupplemental ifood isupplies ito ilow-income iwomen iwho
are ipregnant ior ibreast-feeding iand ito itheir ichildren iuntil ithe iage iof i5 iyears. iMedicaid iand ithe
Medicaid iEarly iand iPeriodic iScreening, iDiagnostic, iand iTreatment i(EPSDT) iprogram iprovides
for iwell-child iexaminations iand irelated itreatment iof imedical iproblems. iChildren iin ithe iWIC
program iare ioften ireferred ifor iimmunizations, ibut ithat iis inot ithe iprimary ifocus iof ithe iprogram.
Public iLaw i99-457 iprovides ifinancial iincentives ito istates ito iestablish icomprehensive iearly
intervention iservices ifor iinfants iand itoddlers iwith, ior iat irisk ifor, idevelopmental idisabilities.
Medicare iis ithe iprogram ifor iSenior iCitizens.
DIF: iCognitive iLevel: iApplication iREF: idm i7
OBJ: iNursing iProcess iStep: iImplementation
MSC: iHealth iPromotion iand iMaintenance
3. iIn imost istates, iadolescents iwho iare inot iemancipated iminors imust ihave iparental ipermission
before:
a. itreatment ifor idrug iabuse.
b. itreatment ifor isexually itransmitted idiseases i(STDs).
c. iobtaining ibirth icontrol.
d. isurgery.
ANSWER: iD
An iemancipated iminor iis ia iminor ichild iwho ihas ithe ilegal icompetence iof ian iadult. iLegal icounsel
may ibe iconsulted ito iverify ithe istatus iof ithe iemancipated iminor ifor iconsent ipurposes. iMost istates
allow iminors ito iobtain itreatment ifor idrug ior ialcohol iabuse iand iSTDs iand iallow iaccess ito ibirth
control iwithout iparental iconsent.
DIF: iCognitive iLevel: iApplication iREF: idm i12
OBJ: iNursing iProcess iStep: iPlanning iMSC: iSafe iand iEffective iCare iEnvironment
