TEST BANKc
Advanced Pediatric Assessment, 3rd Edition (Ellen
c c c c c c
M. Chiocca) All Chapters1 - 26
c c c c c c
,
,Chapterc1.cChildcHealthcAssessment:cAncOverviewc
MULTIPLEcCHOICE
1.cAcnurseciscreviewingcchangescinchealthcarecdeliverycandcfundingcforcpediatriccpopulations.cWhichc
currentctrendcincthecpediatriccsettingcshouldcthecnursecexpectctocfind?
a. Increasedchospitalizationcofcchildren
b. Decreasedcnumbercofcuninsuredcchildren
c. Ancincreasecincambulatoryccare
d. Decreasedcusecofcmanagedccarec
ANSWER:cC
Oneceffectcofcmanagedccareciscthatcpediatricchealthcarecdeliverychascshiftedcdramaticallycfromcthecacu
teccarecsettingctocthecambulatorycsetting.cThecnumbercofchospitalcbedscbeingcusedchascdecreasedcasc
moreccareciscprovidedcincoutpatientcandchomecsettings.cThecnumbercofcuninsuredcchildrencincthecU
nitedcStatesccontinuesctocgrow.cOnecofcthecbiggestcchangescinchealthcarechascbeencthecgrowthcofcm
anagedccare.
DIF:cCognitivecLevel:cComprehensioncREF:cdmc3
OBJ:cNursingcProcesscStep:cPlanningcMSC:cSafecandcEffectivecCarecEnvironment
2.cAcnurseciscreferringcaclow-
incomecfamilycwithcthreecchildrencundercthecagecofc5cyearsctocacprogramcthatcassistscwithcsupplemen
talcfoodcsupplies.cWhichcprogramcshouldcthecnursecrefercthiscfamilycto?
a. Medicaid
b. Medicare
c. EarlycandcPeriodiccScreening,cDiagnostic,candcTreatmentc(EPSDT)cprogram
d. Women,cInfants,candcChildrenc(WIC)cprogram
, ANSWER:cD
WICciscacfederalcprogramcthatcprovidescsupplementalcfoodcsuppliesctoclow-
incomecwomencwhocarecpregnantcorcbreast-
feedingcandctoctheircchildrencuntilcthecagecofc5cyears.cMedicaidcandcthecMedicaidcEarlycandcPeriodic
Screening,cDiagnostic,candcTreatmentc(EPSDT)cprogramcprovidescforcwell-
c
childcexaminationscandcrelatedctreatmentcofcmedicalcproblems.cChildrencincthecWICcprogramcareco
ftencreferredcforcimmunizations,cbutcthatciscnotcthecprimarycfocuscofcthecprogram.cPubliccLawc99-
457cprovidescfinancialcincentivesctocstatesctocestablishccomprehensivecearlycinterventioncservicescf
orcinfantscandctoddlerscwith,corcatcriskcfor,cdevelopmentalcdisabilities.
MedicareciscthecprogramcforcSeniorcCitizens.c
DIF:cCognitivecLevel:cApplicationcREF:cdmc7c
OBJ:cNursingcProcesscStep:cImplementationc
MSC:cHealthcPromotioncandcMaintenance
3. Incmostcstates,cadolescentscwhocarecnotcemancipatedcminorscmustchavecparentalcpermissioncb
efore:
a. treatmentcforcdrugcabuse.
b. treatmentcforcsexuallyctransmittedcdiseasesc(STDs).
c. obtainingcbirthccontrol.
d. surgery.
ANSWER:cD
Ancemancipatedcminorciscacminorcchildcwhochasctheclegalccompetencecofcancadult.cLegalccounselcm
aycbecconsultedctocverifycthecstatuscofcthecemancipatedcminorcforcconsentcpurposes.cMostcstatescallo
wcminorsctocobtainctreatmentcforcdrugcorcalcoholcabusecandcSTDscandcallowcaccessctocbirthccontrolc
withoutcparentalcconsent.
DIF:cCognitivecLevel:cApplicationcREF:cdmc12
OBJ:cNursingcProcesscStep:cPlanningcMSC:cSafecandcEffectivecCarecEnvironment
Advanced Pediatric Assessment, 3rd Edition (Ellen
c c c c c c
M. Chiocca) All Chapters1 - 26
c c c c c c
,
,Chapterc1.cChildcHealthcAssessment:cAncOverviewc
MULTIPLEcCHOICE
1.cAcnurseciscreviewingcchangescinchealthcarecdeliverycandcfundingcforcpediatriccpopulations.cWhichc
currentctrendcincthecpediatriccsettingcshouldcthecnursecexpectctocfind?
a. Increasedchospitalizationcofcchildren
b. Decreasedcnumbercofcuninsuredcchildren
c. Ancincreasecincambulatoryccare
d. Decreasedcusecofcmanagedccarec
ANSWER:cC
Oneceffectcofcmanagedccareciscthatcpediatricchealthcarecdeliverychascshiftedcdramaticallycfromcthecacu
teccarecsettingctocthecambulatorycsetting.cThecnumbercofchospitalcbedscbeingcusedchascdecreasedcasc
moreccareciscprovidedcincoutpatientcandchomecsettings.cThecnumbercofcuninsuredcchildrencincthecU
nitedcStatesccontinuesctocgrow.cOnecofcthecbiggestcchangescinchealthcarechascbeencthecgrowthcofcm
anagedccare.
DIF:cCognitivecLevel:cComprehensioncREF:cdmc3
OBJ:cNursingcProcesscStep:cPlanningcMSC:cSafecandcEffectivecCarecEnvironment
2.cAcnurseciscreferringcaclow-
incomecfamilycwithcthreecchildrencundercthecagecofc5cyearsctocacprogramcthatcassistscwithcsupplemen
talcfoodcsupplies.cWhichcprogramcshouldcthecnursecrefercthiscfamilycto?
a. Medicaid
b. Medicare
c. EarlycandcPeriodiccScreening,cDiagnostic,candcTreatmentc(EPSDT)cprogram
d. Women,cInfants,candcChildrenc(WIC)cprogram
, ANSWER:cD
WICciscacfederalcprogramcthatcprovidescsupplementalcfoodcsuppliesctoclow-
incomecwomencwhocarecpregnantcorcbreast-
feedingcandctoctheircchildrencuntilcthecagecofc5cyears.cMedicaidcandcthecMedicaidcEarlycandcPeriodic
Screening,cDiagnostic,candcTreatmentc(EPSDT)cprogramcprovidescforcwell-
c
childcexaminationscandcrelatedctreatmentcofcmedicalcproblems.cChildrencincthecWICcprogramcareco
ftencreferredcforcimmunizations,cbutcthatciscnotcthecprimarycfocuscofcthecprogram.cPubliccLawc99-
457cprovidescfinancialcincentivesctocstatesctocestablishccomprehensivecearlycinterventioncservicescf
orcinfantscandctoddlerscwith,corcatcriskcfor,cdevelopmentalcdisabilities.
MedicareciscthecprogramcforcSeniorcCitizens.c
DIF:cCognitivecLevel:cApplicationcREF:cdmc7c
OBJ:cNursingcProcesscStep:cImplementationc
MSC:cHealthcPromotioncandcMaintenance
3. Incmostcstates,cadolescentscwhocarecnotcemancipatedcminorscmustchavecparentalcpermissioncb
efore:
a. treatmentcforcdrugcabuse.
b. treatmentcforcsexuallyctransmittedcdiseasesc(STDs).
c. obtainingcbirthccontrol.
d. surgery.
ANSWER:cD
Ancemancipatedcminorciscacminorcchildcwhochasctheclegalccompetencecofcancadult.cLegalccounselcm
aycbecconsultedctocverifycthecstatuscofcthecemancipatedcminorcforcconsentcpurposes.cMostcstatescallo
wcminorsctocobtainctreatmentcforcdrugcorcalcoholcabusecandcSTDscandcallowcaccessctocbirthccontrolc
withoutcparentalcconsent.
DIF:cCognitivecLevel:cApplicationcREF:cdmc12
OBJ:cNursingcProcesscStep:cPlanningcMSC:cSafecandcEffectivecCarecEnvironment
