TEST BANK jj
AdvancedPediatricAssessment,3rdEdition (Ellen
j j j j jj
M. Chiocca) All Chapters1 - 26
jj jj jj jj j jj jj
,
,Chapter 1. Child Health Assessment: An Overview
jj jj jj jj jj jj
jj MULTIPLE CHOICE jj
1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations. Which
jj jj jj jj jj jj jj jj jj jj jj jj jj jj
current trend in the pediatric setting should the nurse expect to find?
jj jj jj jj jj jj jj jj jj jj jj jj
a. Increased hospitalization of children jj jj jj
b. Decreased number of uninsured children jj jj jj jj
c. An increase in ambulatory care
jj jj jj jj
d. Decreased use of managed care jj jj jj jj
jj ANSWER: C jj
One effect of managed care is that pediatric healthcare delivery has shifted dramatically from the
jj jj jj jj jj jj jj jj jj jj jj jj jj jj
jj acute care setting to the ambulatory setting. The number of hospital beds being used has
jj jj jj jj jj jj jj jj jj jj jj jj jj jj
jj decreased as more care is provided in outpatient and home settings. The number of uninsured
jj jj jj jj jj jj jj jj jj jj jj jj jj jj
jj children in the United States continues to grow. One of the biggest changes in healthcare has
jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj
jj been the growth of managed care.
jj jj jj jj jj
DIF: Cognitive Level: Comprehension REF: dm 3
jj jj jj jj jj jj
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
jj jj jj jj jj jj jj jj jj jj
2. A nurse is referring a low-income family with three children under the age of 5 years to a program
jj jj jj j jj jj jj j jj jj jj jj jj jj jj jj j jj jj
that assists with supplemental food supplies. Which program should the nurse refer this family to?
jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj
a. Medicaid
b. Medicare
c. Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program
jj jj jj jj jj jj jj jj
d. Women, Infants, and Children (WIC) program jj jj jj jj jj
, ANSWER: D jj
WIC is a federal program that provides supplemental food supplies to low-income women who are
jj jj jj jj jj jj jj jj jj jj jj jj jj jj
pregnant or breast-feeding and to their children until the age of 5 years. Medicaid and the
jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj
jj Medicaid Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program provides for
j jj jj jj jj jj jj jj jj jj jj
well-child examinations and related treatment of medical problems. Children in the WIC program
j j j j j j j j j j j j jj
are often referred for immunizations, but that is not the primary focus of the program. Public Law
j j j j j j j j j j j j j j j jj jj
99-457 provides financial incentives to states to establish comprehensive early intervention
jj jj jj jj jj jj jj jj jj jj jj
services for infants and toddlers with, or at risk for, developmental disabilities.
j j j j j j j j j j j j
Medicare is the program for Senior Citizens. jj jj jj jj jj jj
jj DIF: Cognitive Level: Application REF: dm 7
jj jj jj jj jj jj
jj OBJ: Nursing Process Step: Implementation
jj jj jj jj
jj MSC: Health Promotion and Maintenance
jj jj jj jj
3. In most states, adolescents who are not emancipated minors must have parental permission
jj jj jj jj jj jj jj jj jj jj jj jj
jj before:
a. treatment for drug abuse. j j j
b. treatment for sexually transmitted diseases (STDs). jj jj jj jj jj
c. obtaining birth control. jj jj
d. surgery.
ANSWER: D jj
An emancipated minor is a minor child who has the legal competence of an adult. Legal counsel
j j j j jj j j j j j jj j j j j j
jj may be consulted to verify the status of the emancipated minor for consent purposes. Most states
jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj
jj allow minors to obtain treatment for drug or alcohol abuse and STDs and allow access to birth
jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj
jj control without parental consent.
jj jj jj
DIF: Cognitive Level: Application REF: dm 12
jj jj jj jj jj jj
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
jj jj jj jj jj jj jj jj jj jj
AdvancedPediatricAssessment,3rdEdition (Ellen
j j j j jj
M. Chiocca) All Chapters1 - 26
jj jj jj jj j jj jj
,
,Chapter 1. Child Health Assessment: An Overview
jj jj jj jj jj jj
jj MULTIPLE CHOICE jj
1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations. Which
jj jj jj jj jj jj jj jj jj jj jj jj jj jj
current trend in the pediatric setting should the nurse expect to find?
jj jj jj jj jj jj jj jj jj jj jj jj
a. Increased hospitalization of children jj jj jj
b. Decreased number of uninsured children jj jj jj jj
c. An increase in ambulatory care
jj jj jj jj
d. Decreased use of managed care jj jj jj jj
jj ANSWER: C jj
One effect of managed care is that pediatric healthcare delivery has shifted dramatically from the
jj jj jj jj jj jj jj jj jj jj jj jj jj jj
jj acute care setting to the ambulatory setting. The number of hospital beds being used has
jj jj jj jj jj jj jj jj jj jj jj jj jj jj
jj decreased as more care is provided in outpatient and home settings. The number of uninsured
jj jj jj jj jj jj jj jj jj jj jj jj jj jj
jj children in the United States continues to grow. One of the biggest changes in healthcare has
jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj
jj been the growth of managed care.
jj jj jj jj jj
DIF: Cognitive Level: Comprehension REF: dm 3
jj jj jj jj jj jj
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
jj jj jj jj jj jj jj jj jj jj
2. A nurse is referring a low-income family with three children under the age of 5 years to a program
jj jj jj j jj jj jj j jj jj jj jj jj jj jj jj j jj jj
that assists with supplemental food supplies. Which program should the nurse refer this family to?
jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj
a. Medicaid
b. Medicare
c. Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program
jj jj jj jj jj jj jj jj
d. Women, Infants, and Children (WIC) program jj jj jj jj jj
, ANSWER: D jj
WIC is a federal program that provides supplemental food supplies to low-income women who are
jj jj jj jj jj jj jj jj jj jj jj jj jj jj
pregnant or breast-feeding and to their children until the age of 5 years. Medicaid and the
jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj
jj Medicaid Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program provides for
j jj jj jj jj jj jj jj jj jj jj
well-child examinations and related treatment of medical problems. Children in the WIC program
j j j j j j j j j j j j jj
are often referred for immunizations, but that is not the primary focus of the program. Public Law
j j j j j j j j j j j j j j j jj jj
99-457 provides financial incentives to states to establish comprehensive early intervention
jj jj jj jj jj jj jj jj jj jj jj
services for infants and toddlers with, or at risk for, developmental disabilities.
j j j j j j j j j j j j
Medicare is the program for Senior Citizens. jj jj jj jj jj jj
jj DIF: Cognitive Level: Application REF: dm 7
jj jj jj jj jj jj
jj OBJ: Nursing Process Step: Implementation
jj jj jj jj
jj MSC: Health Promotion and Maintenance
jj jj jj jj
3. In most states, adolescents who are not emancipated minors must have parental permission
jj jj jj jj jj jj jj jj jj jj jj jj
jj before:
a. treatment for drug abuse. j j j
b. treatment for sexually transmitted diseases (STDs). jj jj jj jj jj
c. obtaining birth control. jj jj
d. surgery.
ANSWER: D jj
An emancipated minor is a minor child who has the legal competence of an adult. Legal counsel
j j j j jj j j j j j jj j j j j j
jj may be consulted to verify the status of the emancipated minor for consent purposes. Most states
jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj
jj allow minors to obtain treatment for drug or alcohol abuse and STDs and allow access to birth
jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj jj
jj control without parental consent.
jj jj jj
DIF: Cognitive Level: Application REF: dm 12
jj jj jj jj jj jj
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
jj jj jj jj jj jj jj jj jj jj
