Test Bank: Pediatric Nursing: Caring for Children and Their Families, 3rd Edition, Nicki L. Potts, Barbara L. Mandleco,

CHAPTER 1: OVERVIEW OF PEDIATRIC NURSING MULTIPLE CHOICE 1. Which of the following major problems results from the denial of preventive services (such as prenatal care, dental care, and immunizations) to any given population? a. spiraling costs for emergency medical services b. health maintenance organizations losing money c. extensive waiting lists for clinic health care services d. closing of small community hospitals ANS: A Feedback A Correct: By denying preventive services minor health problems are not detected and treated early. Therefore, the problems become more serious, often requiring treatment in acute care and emergency settings, a more expensive approach than prevention. B Incorrect: The rationale for health maintenance organizations (HMOs) is to provide preventive services by a primary care provider to contain costs. If individuals have to be treated in the more costly acute or emergency settings for problems which could have been detected earlier, the HMOs may lose money. However this is not the most important problem resulting from denial of preventive services. C Incorrect: Preventive services are provided in clinic settings. However, if these services are denied, individuals will be utilizing clinics less frequently, thereby, reducing waiting lists. D Incorrect: Denial of preventive servicdes should not have any effect on small community hospitals. PTS: 1 REF: p. 5 - Immigrants OBJ: Cognitive Level: Comprehension 2. Poverty rates are highest in which of the following types of families? a. two-parent c. adoptive b. single-parent d. foster ANS: B Feedback A Incorrect: Poverty rates in two-parent families are much lower than those in families headed by a single parent. The potential exists for both parents to work which would increase household income. B Correct: Almost half of all poor children live in single-parent (usually women) households. The risk of poverty is high for the following reasons: low wages for women, low educational attainment for single mothers, and low rates and levels of child support from fathers. C Incorrect: When a child is adopted, there usually is adequate income to raise the individual at a decent living standard. D Incorrect: Foster parents are typically compensated and/or receive public benefits by state or federal programs. Poverty is not an issue in these families PTS: 1 REF: p. 6 - Poverty OBJ: Cognitive Level: Knowledge