Test Bank For Advanced Pediatric Assessment 3rd Edition By Ellen M. Chiocca, PhD, CPNP, RNC-NIC 9780826150110 Chapter 1-26 Complete Guide ..pdf

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Advanced Pediatric Assessment, 3rd Edition (Ellen
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Chapter 1. Child Health Assessment: An Overview
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MULTIPLE CHOICE
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1. A nurse is reviewing changeskin healthcarekdeliveryand fundingkfor pediatric populations. Which
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current trend in thekpediatric setting should the nurse expect to find?
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a. Increased hospitalization of children ss ss ss



b. Decreased number of uninsured children ss ss ss ss




c. An increase in ambulatory care
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d. Decreased usekof managedcare ss ss s




ANSWER: C
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One effect of managed care iskthat pediatric healthcare delivery has shifted dramatically from thekac
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ute care setting to the ambulatory setting. The number of hospital beds being used has decreased
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ss as more care is provided in outpatient andkhome settings. The number of uninsured children in th
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ss e United States continues to grow. Oneof the biggest changes in healthcare has been
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ss thekgrowth of managed care. ss ss ss




DIF: Cognitive Level: Comprehension REF: dm 3
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OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
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2. A nurse is referring a low-
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income family with three children under thekage of 5 years to a programkthat assistswith suppleme
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ntal food supplies. Which program should the nurse refer this family to?
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a. Medicaid
b. Medicare
c. Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program
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d. Women, Infants, and Children (WIC) program ss ss ss ss ss

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ANSWER: D ss




WIC is a federal program that provides supplemental food supplies to low- income
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ss women who are pregnant or breast- ss ss ss ss ss




feeding and totheir children until the age of 5 years. Medicaid and the Medicaid Early and Periodi
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c Screening, Diagnostic, and Treatment (EPSDT) program provides for well-
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child examinations and related treatment of medical problems. Children in the WIC programkare
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ss often referred forimmunizations, but thatkis notkthe primary focus oftheprogram. Public Law 99-
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ss 457 provides financial incentiveskto states to establish comprehensive early intervention services f
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or infants and toddlers with, or at risk for, developmental disabilities.
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Medicare is the programkfor Senior Citizens. ss ss ss ss ss




ss DIF: CognitiveLevel: ApplicationREF: dmk7
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OBJ: Nursing Process Step: Implementation
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ss MSC: Health Promotion and Maintenance
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3. In most states,adolescents who are not emancipated minors mustkhaveparental permissionkb
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efore:
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a. treatment for drug abuse. ss ss ss




b. treatment for sexually transmitted diseases (STDs). ss ss ss ss ss




c. obtaining birth control. ss ss




d. surgery.
ANSWER:kD
An emancipated minor is a minor child who has the legal competence of an adult. Legal counselkm
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ay be consulted tokverify thestatus of the emancipated minor for consent purposes. Most states allo
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w minors to obtain treatment for drug or alcohol abuse and STDs and allow access to birth contro
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ss l without parental consent.
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DIF: Cognitive Level: Application REF: dmk12
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OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
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