Advanced Pediatric Assessment, 3rd Editio
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n
(Ellen M. Chiocca) All Chapters 1 -
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26
ww
,
,Chapterww1.wwChildwwHealthwwAssessment:wwAnwwOve
rvieww w MULTIPLEwwCHOICE
1. Awwnursewwiswwreviewingwwchangeswwinwwhealthcarewwdeliverywwandwwfundingwwforwwpediatric
ww populations.w w Whichwwcurrentwwtrendwwinwwthewwpediatricwwsettingwwshouldwwthewwnursewwexp
ectwwtowwfind?
a. Increasedwwhospitalizationwwofwwchildren
b. Decreasedwwnumberwwofwwuninsuredwwchildren
c. Anwwincreasewwinwwambulatorywwcare
d. Decreasedwwusewwofwwmanaged
carewwwwANSWER:wwC
ww
Onewweffectwwofwwmanagedwwcarewwiswwthatwwpediatricwwhealthcarewwdeliverywwhaswwshiftedwwdram
aticallywwfromwwthew w acutewwcarewwsettingwwtowwthewwambulatorywwsetting.wwThewwnumberwwofwwhosp
italwwbedswwbeingwwusedwwhasw w decreasedwwaswwmorewwcarewwiswwprovidedwwinwwoutpatientwwandww
homewwsettings.wwThewwnumberwwofwwuninsuredw w childrenwwinwwthewwUnitedwwStateswwcontinueswwtoww
grow.wwOnewwofwwthewwbiggestwwchangeswwinwwhealthcarewwhasw w beenwwthewwgrowthwwofwwmanage
dwwcare.
DIF:wwCognitivewwLevel:wwComprehensionwwREF:wwdmww3
OBJ:wwNursingwwProcesswwStep:wwPlanningwwMSC:wwSafewwandwwEffectivewwCarewwEnvironment
2. Awwnursewwiswwreferringwwawwlow-
incomewwfamilywwwithwwthreewwchildrenwwunderwwthewwagewwofww5wwyearswwtowwaw w programwwthatwwa
ssistswwwithwwsupplementalwwfoodwwsupplies.wwWhichwwprogramwwshouldwwthewwnursewwreferwwthisw w f
amilywwto?
a. Medicaid
b. Medicare
c. EarlywwandwwPeriodicwwScreening,wwDiagnostic,wwandwwTreatmentww(EPSDT)wwprogram
d. Women,wwInfants,wwandwwChildrenww(WIC)wwprogram
, ANSWER:wwD
WICwwiswwawwfederalwwprogramwwthatwwprovideswwsupplementalwwfoodwwsupplieswwtowwlow-
incomewwwomenwwwhow w arewwpregnantwworwwbreast-
feedingwwandwwtowwtheirwwchildrenwwuntilwwthewwagewwofww5wwyears.wwMedicaidwwandwwthew w Medica
idwwEarlywwandwwPeriodicwwScreening,wwDiagnostic,wwandwwTreatmentww(EPSDT)wwprogramwwprovides
w w forwwwell-
childwwexaminationswwandwwrelatedwwtreatmentwwofwwmedicalwwproblems.wwChildrenwwinwwthewwWIC
w w programwwarewwoftenwwreferredwwforwwimmunizations,wwbutwwthatwwiswwnotwwthewwprimarywwfocusww
ofwwthewwprogram.w w PublicwwLawww99-
457wwprovideswwfinancialwwincentiveswwtowwstateswwtowwestablishwwcomprehensivewwearlyw w intervent
ionwwserviceswwforwwinfantswwandwwtoddlerswwwith,wworwwatwwriskwwfor,wwdevelopmentalwwdisabilities.
MedicarewwiswwthewwprogramwwforwwSeniorwwCitize
ns.w w DIF:wwCognitivewwLevel:wwApplicationwwREF:ww
dmww7w w OBJ:wwNursingwwProcesswwStep:wwImplem
entationw w MSC:wwHealthwwPromotionwwandwwMain
tenance
3. Inwwmostwwstates,wwadolescentswwwhowwarewwnotwwemancipatedwwminorswwmustwwhavewwparenta
lwwpermissionw w before:
a. treatmentwwforwwdrugwwabuse.
b. treatmentwwforwwsexuallywwtransmittedwwdiseasesww(STDs).
c. obtainingwwbirthwwcontrol.
d. surgery.www
wANSWER:ww
D
Anwwemancipatedwwminorwwiswwawwminorwwchildwwwhowwhaswwthewwlegalwwcompetencewwofwwanwwadult.
ww Legalwwcounselw w maywwbewwconsultedwwtowwverifywwthewwstatuswwofwwthewwemancipatedwwminorwwfo
rwwconsentwwpurposes.wwMostwwstatesw w allowwwminorswwtowwobtainwwtreatmentwwforwwdrugwworwwalco
holwwabusewwandwwSTDswwandwwallowwwaccesswwtowwbirthw w controlwwwithoutwwparentalwwconsent.
DIF:wwCognitivewwLevel:wwApplicationwwREF:wwdmww12
OBJ:wwNursingwwProcesswwStep:wwPlanningwwMSC:wwSafewwandwwEffectivewwCarewwEnvironment