Advanced Pediatric Assessment, 3rd Edition (Ellen
k k k k k k
M. Chiocca) All Chapters 1 - 26
k k k k k k
,
,Chapterk1.kChildkHealthkAssessment:kAnkOverview k
MULTIPLEk CHOICE
1.k A k nursekiskreviewingkchangeskinkhealthcarekdeliverykandkfundingkforkpediatrick populations.kWhichk
current k trend k ink thek pediatrick settingk should k thek nursek expect k tok find?
a. Increased k hospitalizationk of k children
b. Decreased k numberk of k uninsured k children
c. Ank increasek ink ambulatoryk care
d. Decreased kusekofkmanagedkcarek
ANSWER:k C
Onek effectkofkmanagedkcarekiskthatkpediatrickhealthcarekdeliverykhaskshiftedkdramaticallykfromkthek ac
utekcareksettingktokthekambulatoryksetting.kTheknumberkof khospitalkbedskbeingkused khask decreased k
askmorek carek iskprovided k ink outpatient kandkhomek settings.kThek numberk ofkuninsured k childrenkinkth
ekUnited kStateskcontinuesktokgrow.kOnekof kthekbiggest kchangeskinkhealthcarekhask beenk thek growthk
of k managed k care.
DIF:k Cognitivek Level:k Comprehensionk REF:k dmk 3
OBJ:k Nursingk Processk Step:k Planningk MSC:k Safek and k Effectivek Carek Environment
2.kA knursekiskreferringkaklow-
incomekfamilykwithkthreekchildrenkunderkthekagekofk5kyearsktokak programkthatkassistskwithksuppleme
ntalkfood ksupplies.kWhichkprogramkshould ktheknursekreferkthisk familyk to?
a. Medicaid
b. Medicare
c. Earlyk and k Periodick Screening,k Diagnostic,k and k Treatment k (EPSDT)k program
d. Women,k Infants,k and k Childrenk (WIC)k program
, ANSWER:k D
WICkiskakfederalkprogramkthat kprovidesksupplementalkfood ksuppliesktoklow-
incomekwomenkwhok arekpregnant korkbreast-
feedingkand ktoktheirkchildrenkuntilkthekagekofk5kyears.kMedicaid kandkthek Medicaid kEarlykandkPeriodi
ckScreening,kDiagnostic,kand kTreatment k(EPSDT)kprogramkprovidesk forkwell-
child kexaminationskand krelated ktreatment kof kmedicalkproblems.kChildrenkinkthekWICk programkarek
oftenkreferred kforkimmunizations,kbut kthatkisknotkthekprimarykfocuskofkthekprogram.k Publick Law k99-
457kprovideskfinancialkincentivesktokstatesktokestablishkcomprehensivekearlyk interventionkserviceskf
orkinfantskand ktoddlerskwith,korkat kriskkfor,kdevelopmentalkdisabilities.
MedicarekiskthekprogramkforkSeniorkCitizens.k
DIF:kCognitivekLevel:kApplicationkREF:kdmk7k
OBJ:k Nursingk Processk Step:k Implementationk
MSC:k Healthk Promotionk and k Maintenance
3. Inkmost kstates,kadolescentskwhokareknot kemancipatedkminorskmustkhavekparentalkpermissionkb
efore:
a. treatment kforkdrugkabuse.
b. treatment kforksexuallyktransmitted kdiseasesk(STDs).
c. obtainingkbirthkcontrol.
d. surgery.
ANSWER:kD
Ankemancipated kminorkiskakminorkchild kwhokhasktheklegalkcompetencekofkankadult.kLegalkcounselkm
ayk bekconsulted ktokverifykthekstatuskofkthekemancipatedkminorkforkconsentkpurposes.kMost kstatesk allo
wk minorsktokobtainktreatment kforkdrugkorkalcoholkabusekand kSTDskand kallow kaccessktokbirthkcontro
lk without k parentalk consent.
DIF:kCognitivekLevel:kApplicationkREF:k dmk12
OBJ:k Nursingk Processk Step:k Planningk MSC:k Safek and k Effectivek Carek Environment