AdvancedPediatricAssessment,3rdEdition(Ellen
M.Chiocca)allChapters1-26
,
,Chapterj1.jChildjHealthjAssessment:jAnjOverviewj
MULTIPLEjCHOICE
1.jAjnursejisjreviewingjchangesjinjhealthcarejdeliveryjandjfundingjforjpediatricjpopulations.jWhjichjc
urrentjtrendjinjthejpediatricjsettingjshouldjthejnursejexpectjtojfind?
a. Increasedjhospitalizationjofjchildren
b. Decreasedjnumberjofjuninsuredjchildren
c. Anjincreasejinjambulatoryjcare
d. DecreasedjuseHofjmanagedjcarje
ANSWER:jC
j
Onejeffectjofjmanagedjcarejisjthatjpediatricjhealthcarejdeliveryjhasjshiftedjdramaticallyjfromjthejacut
ejcarejsettingjtojthejambulatoryjsetting.jThejnumberjofjhospitaljbedsjbeingjusedjhasjdecrjeasedjasjm
orejcarejisjprovidedjinjoutpatientjandjhomejsettings.jThejnumberjofjuninsuredjchiljdrenjinjthejUnite
djStatesjcontinuesjtojgrow.jOnejofjthejbiggestjchangesjinjhealthcarejhasj beejnjthejgrowthjofjmanag
edjcare.
DIF:jCognitivejLevel:jComprehensionjREF:jdmj3
OBJ:jNursingjProcessjStep:jPlanningHMSC:jSafeHandjEffectivejCarejEnvironment
2. Ajnursejisjreferringjajlow-
incomejfamilyjwithjthreejchildrenjunderjthejagejofj5jyearsjtojajprogramjthatjassistsjwithjsuppljement
aljfoodjsupplies.jWhichjprogramjshouldjthejnursejreferjthisjfamilyjto?
a. Medicaid
b. Medicare
c. EarlyjandjPeriodicHScreening,jDiagnostic,jandjTreatmentj(EPSDT)jprogram
d. Women,jInfants,jandjChildrenj(WIC)Hprogram
, ANSWER:jD
WICjisjajfederaljprogramjthatjprovidesjsupplementaljfoodjsuppliesjtojlow-
incomejwomenjwhojarejpregnantjorjbreast-
j
feedingjandjtojtheirjchildrenjuntiljthejagejofj5jyears.jMedicaidjandjthejMedicaidjEarlyjandjPerjiodicj
Screening,jDiagnostic,jandjTreatmentj(EPSDT)jprogramjprovidesjforjwell-
childjexaminationsjandjrelatedjtreatmentjofjmedicaljproblems.jChildrenjinjthejWICjprogramjajrejof
tenjreferredjforjimmunizations,jbutjthatjisjnotjthejprimaryjfocusjofjthejprogram.jPublicjLajwj99-
457jprovidesjfinancialjincentivesjtojstatesjtojestablishjcomprehensivejearlyjinterventionjservicejsjfo
rjinfantsjandjtoddlersjwith,jorjatjriskjfor,jdevelopmentaljdisabilities.
MedicarejisjthejprogramjforjSeniorjCitizens
.jDIF:jCognitivejLevel:jApplicationjREF:jdmj7j
OBJ:jNursingjProcessjStep:jImplementatijonj
MSC:jHealthjPromotionjandjMaintenanjce
3. Injmostjstates,jadolescentsjwhojarejnotjemancipatedjminorsjmustjhavejparentaljpermissiojnjbe
fore:
a. treatmentjforjdrugjabuse.
b. treatmentjforjsexuallyjtransmittedjdiseasesj(STDs).
c. obtainingjbirthjcontrol.
d. surgery.jA
NSWER:jD
Anjemancipatedjminorjisjajminorjchildjwhojhasjthejlegaljcompetencejofjanjadult.jLegaljcounsjeljma
yjbejconsultedjtojverifyjthejstatusjofjthejemancipatedjminorjforjconsentjpurposes.jMostjstjatesjallowj
minorsjtojobtainjtreatmentjforjdrugjorjalcoholjabusejandjSTDsjandjallowjaccessjtojbirthjcontroljwit
houtjparentaljconsent.
DIF:jCognitivejLevel:jApplicationjREF:jdmj12
OBJ:jNursingjProcessjStep:jPlanningHMSC:jSafeHandHEffectivejCarejEnvironment