TEST BANK FOR ADVANCED PEDIATRIC ASSESSMENT 3RD EDITION
BY ELLEN M. CHIOCCA, PHD, CPNP, RNC-NIC 9780826150110
CHAPTER 1-26 COMPLETE GUIDE
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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
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, 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
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