lOMoAR cPSD| 3013804
l Bright Futures Guidelines for Health
f f scentsSupervision
f f4th Edition of Infants, Children, and Adole
f f f f f f f f
BrightfFuturesfHealthfPromotionfThemes
Unitf1:fAnfIntroductionftofthefBrightfFuturesfHealthfPromotionfThemes
MULTIPLEfCHOICE
1. Afnursefisfreviewingfchangesfinfhealthcarefdeliveryfandffundingfforfpediatricfpopulations.fW
hichfcurrentftrendfinfthefpediatricfsettingfshouldfthefnursefexpectftoffind?
a. Increasedfhospitalizationfoffchildren
b. Decreasedfnumberfoffuninsuredfchildren
c. Anfincreasefinfambulatoryfcare
d. Decreasedfusefoffmanagedfcare
ANS:fC
Onefeffectfoffmanagedfcarefisfthatfpediatricfhealthcarefdeliveryfhasfshiftedfdramaticallyffromfthefacu
tefcarefsettingftofthefambulatoryfsetting.fThefnumberfoffhospitalfbedsfbeingfusedfhasfdecreasedfasfmo
refcarefisfprovidedfinfoutpatientfandfhomefsettings.fThefnumberfoffuninsuredfchildrenfinfthefUnitedfS
tatesfcontinuesftofgrow.fOnefoffthefbiggestfchangesfinfhealthcarefhasfbeenfthefgrowthfoffmanagedfcar
e.
OBJ:fNursingfProcessfStep:fPlanningfMSC:fSafefandfEffectivefCarefEnvironment
2. Afnursefisfreferringfaflow-
incomeffamilyfwithfthreefchildrenfunderfthefagefoff5fyearsftofafprogramfthatfassistsfwithfsupplement
alffoodfsupplies.fWhichfprogramfshouldfthefnursefreferfthisffamilyfto?
a. Medicaid
b. Medicare
c. EarlyfandfPeriodicfScreening,fDiagnostic,fandfTreatmentf(EPSDT)fprogram
d. Women,fInfants,fandfChildrenf(WIC)fprogramf
ANS:fD
, lOMoAR cPSD| 3013804
WICfisfaffederalfprogramfthatfprovidesfsupplementalffoodfsuppliesftoflow-
incomefwomenfwhofarefpregnantforfbreast-
feedingfandftoftheirfchildrenfuntilfthefagefoff5fyears.fMedicaidfandfthefMedicaidfEarlyfandfPeriodicfS
creening,fDiagnostic,fandfTreatmentf(EPSDT)fprogramfprovidesfforfwell-
childfexaminationsfandfrelatedftreatmentfoffmedicalfproblems.fChildrenfinfthefWICfprogramfarefofte
nfreferredfforfimmunizations,fbutfthatfisfnotfthefprimaryffocusfoffthefprogram.fPublicfLawf99-
457fprovidesffinancialfincentivesftofstatesftofestablishfcomprehensivefearlyfinterventionfservicesfforf
infantsfandftoddlersfwith,forfatfriskffor,fdevelopmentalfdisabilities.
MedicarefisfthefprogramfforfSeniorfCitizens.f
OBJ:fNursingfProcessfStep:fImplementationf
MSC:fHealthfPromotionfandfMaintenance
3. Infmostfstates,fadolescentsfwhofarefnotfemancipatedfminorsfmustfhavefparentalfpermissionfbe
fore:
a. treatmentfforfdrugfabuse.
b. treatmentfforfsexuallyftransmittedfdiseasesf(STDs).
c. obtainingfbirthfcontrol.
d. surgery.
ANS:fD
Anfemancipatedfminorfisfafminorfchildfwhofhasftheflegalfcompetencefoffanfadult.fLegalfcounselfmayf
befconsultedftofverifyfthefstatusfoffthefemancipatedfminorfforfconsentfpurposes.fMostfstatesfallowfmi
norsftofobtainftreatmentfforfdrugforfalcoholfabusefandfSTDsfandfallowfaccessftofbirthfcontrolfwithout
parentalfconsent.
f
DIF:fCognitivefLevel:fApplicationfREF:fdm.f12
OBJ:fNursingfProcessfStep:fPlanningfMSC:fSafefandfEffectivefCarefEnvironment
4. Afnursefisfcompletingfafclinicalfpathwayfforfafchildfadmittedftofthefhospitalfwithfpneumonia.fWh
ichfcharacteristicfoffafclinicalfpathwayfisfcorrect?
, lOMoAR cPSD| 3013804
a. Developedfandfimplementedfbyfnurses
b. Usedfprimarilyfinfthefpediatricfsetting
c. Specificftimeflinesfforfsequencingfinterventions
d. Onefoffthefstepsfinfthefnursingfprocess
ANS:fC
Clinicalfpathwaysfmeasurefoutcomesfoffclientfcarefandfarefdevelopedfbyfmultiplefhealthcarefprofess
ionals.fEachfpathwayfoutlinesfspecificftimeflinesfforfsequencingfinterventionsfandfreflectsfinterdisci
plinaryfinterventions.fClinicalfpathwaysfarefusedfinfmultiplefsettingsfandfforfclientsfthroughoutfthefli
fefspan.fThefstepsfoffthefnursingfprocessfarefassessment,fdiagnosis,fplanning,fimplementation,fandfe
valuation.
DIF:fCognitivefLevel:fComprehensionfREF:fdm.f6
OBJ:fNursingfProcessfStep:fPlanningfMSC:fSafefandfEffectivefCarefEnvironment
5. Whenfplanningfafparentingfclass,fthefnursefshouldfexplainfthatfthefleadingfcausefoffdeathfinfchil
drenf1ftof4fyearsfoffagefinfthefUnitedfStatesfis:
a. prematurefbirth.
b. congenitalfanomalies.
c. accidentalfdeath.
d. respiratoryftractfillness.
ANS:fC
Accidentsfarefthefleadingfcausefoffdeathfinfchildrenfagesf1ftof19fyears.fDisordersfoffshortfgestat
ionfandfunspecifiedflowfbirthfweightfmakefupfonefoffthefleadingfcausesfoffdeathfinfneonates.fO
nefoffthefleadingfcausesfoffinfantfdeathfafterftheffirstfmonthfofflifefisfcongenitalfanomalies.fRes
piratoryftractfillnessesfarefafmajorfcausefoffmorbidityfinfchildren.
DIF:fCognitivefLevel:fApplicationfREF:fdm.f9f
OBJ:fNursingfProcessfStep:fImplementation
, lOMoAR cPSD| 3013804
MSC:fSafefandfEffectivefCarefEnvironment
6. Whichfstatementfisftruefregardingfthefqualityfassuranceforfincidentfreport?
a. Thefreportfassuresftheflegalfdepartmentfthatftherefisfnofproblem.
b. Reportsfarefafpermanentfpartfoffthefclientsfchart.
c. Thefnursesfnotesfshouldfcontainftheffollowing:fIncidentfreportffiledfandfcopyfpl
acedfinfchart.
d. Thisfreportfisfafformfoffdocumentationfoffanfeventfthatfmayfresultfinflegalfaction.
ANS:fD
Anfincidentfreportfisfafwarningftoftheflegalfdepartmentftofbefpreparedfforfpotentialflegalfaction;fitfisf
notfafpartfoffthefclientsfchartforfnursefdocumentation.
DIF:fCognitivefLevel:fKnowledgefREF:fdm.f14f
OBJ:fNursingfProcessfStep:fImplementationfMS
C:fSafefandfEffectivefCarefEnvironment
7. Whichfclientfsituationffailsftofmeetftheffirstfrequirementfoffinformedfconsent?
a. Thefparentfdoesfnotfunderstandfthefphysiciansfexplanations.
b. Thefphysicianfgivesfthefparentfonlyfafpartialflistfoffpossiblefsidefeffectsfandfco
mplications.
c. Nofparentfisfavailablefandfthefphysicianfasksfthefadolescentftofsignfthefconsentffor
m.
d. Thefinfantsfteenagefmotherfsignsfafconsentfformfbecausefherfparentftellsfherfto.
ANS:fC
Theffirstfrequirementfoffinformedfconsentfisfthatfthefpersonfgivingfconsentfmustfbefcompetent.fMi
norsfarefnotfallowedftofgivefconsent.fAnfunderstandingfoffinformation,ffullfdisclosure,fandfvolunta
ryfconsentfarefrequirementsfoffinformedfconsent,fbutfnonefoffthesefisftheffirstfrequirement.
l Bright Futures Guidelines for Health
f f scentsSupervision
f f4th Edition of Infants, Children, and Adole
f f f f f f f f
BrightfFuturesfHealthfPromotionfThemes
Unitf1:fAnfIntroductionftofthefBrightfFuturesfHealthfPromotionfThemes
MULTIPLEfCHOICE
1. Afnursefisfreviewingfchangesfinfhealthcarefdeliveryfandffundingfforfpediatricfpopulations.fW
hichfcurrentftrendfinfthefpediatricfsettingfshouldfthefnursefexpectftoffind?
a. Increasedfhospitalizationfoffchildren
b. Decreasedfnumberfoffuninsuredfchildren
c. Anfincreasefinfambulatoryfcare
d. Decreasedfusefoffmanagedfcare
ANS:fC
Onefeffectfoffmanagedfcarefisfthatfpediatricfhealthcarefdeliveryfhasfshiftedfdramaticallyffromfthefacu
tefcarefsettingftofthefambulatoryfsetting.fThefnumberfoffhospitalfbedsfbeingfusedfhasfdecreasedfasfmo
refcarefisfprovidedfinfoutpatientfandfhomefsettings.fThefnumberfoffuninsuredfchildrenfinfthefUnitedfS
tatesfcontinuesftofgrow.fOnefoffthefbiggestfchangesfinfhealthcarefhasfbeenfthefgrowthfoffmanagedfcar
e.
OBJ:fNursingfProcessfStep:fPlanningfMSC:fSafefandfEffectivefCarefEnvironment
2. Afnursefisfreferringfaflow-
incomeffamilyfwithfthreefchildrenfunderfthefagefoff5fyearsftofafprogramfthatfassistsfwithfsupplement
alffoodfsupplies.fWhichfprogramfshouldfthefnursefreferfthisffamilyfto?
a. Medicaid
b. Medicare
c. EarlyfandfPeriodicfScreening,fDiagnostic,fandfTreatmentf(EPSDT)fprogram
d. Women,fInfants,fandfChildrenf(WIC)fprogramf
ANS:fD
, lOMoAR cPSD| 3013804
WICfisfaffederalfprogramfthatfprovidesfsupplementalffoodfsuppliesftoflow-
incomefwomenfwhofarefpregnantforfbreast-
feedingfandftoftheirfchildrenfuntilfthefagefoff5fyears.fMedicaidfandfthefMedicaidfEarlyfandfPeriodicfS
creening,fDiagnostic,fandfTreatmentf(EPSDT)fprogramfprovidesfforfwell-
childfexaminationsfandfrelatedftreatmentfoffmedicalfproblems.fChildrenfinfthefWICfprogramfarefofte
nfreferredfforfimmunizations,fbutfthatfisfnotfthefprimaryffocusfoffthefprogram.fPublicfLawf99-
457fprovidesffinancialfincentivesftofstatesftofestablishfcomprehensivefearlyfinterventionfservicesfforf
infantsfandftoddlersfwith,forfatfriskffor,fdevelopmentalfdisabilities.
MedicarefisfthefprogramfforfSeniorfCitizens.f
OBJ:fNursingfProcessfStep:fImplementationf
MSC:fHealthfPromotionfandfMaintenance
3. Infmostfstates,fadolescentsfwhofarefnotfemancipatedfminorsfmustfhavefparentalfpermissionfbe
fore:
a. treatmentfforfdrugfabuse.
b. treatmentfforfsexuallyftransmittedfdiseasesf(STDs).
c. obtainingfbirthfcontrol.
d. surgery.
ANS:fD
Anfemancipatedfminorfisfafminorfchildfwhofhasftheflegalfcompetencefoffanfadult.fLegalfcounselfmayf
befconsultedftofverifyfthefstatusfoffthefemancipatedfminorfforfconsentfpurposes.fMostfstatesfallowfmi
norsftofobtainftreatmentfforfdrugforfalcoholfabusefandfSTDsfandfallowfaccessftofbirthfcontrolfwithout
parentalfconsent.
f
DIF:fCognitivefLevel:fApplicationfREF:fdm.f12
OBJ:fNursingfProcessfStep:fPlanningfMSC:fSafefandfEffectivefCarefEnvironment
4. Afnursefisfcompletingfafclinicalfpathwayfforfafchildfadmittedftofthefhospitalfwithfpneumonia.fWh
ichfcharacteristicfoffafclinicalfpathwayfisfcorrect?
, lOMoAR cPSD| 3013804
a. Developedfandfimplementedfbyfnurses
b. Usedfprimarilyfinfthefpediatricfsetting
c. Specificftimeflinesfforfsequencingfinterventions
d. Onefoffthefstepsfinfthefnursingfprocess
ANS:fC
Clinicalfpathwaysfmeasurefoutcomesfoffclientfcarefandfarefdevelopedfbyfmultiplefhealthcarefprofess
ionals.fEachfpathwayfoutlinesfspecificftimeflinesfforfsequencingfinterventionsfandfreflectsfinterdisci
plinaryfinterventions.fClinicalfpathwaysfarefusedfinfmultiplefsettingsfandfforfclientsfthroughoutfthefli
fefspan.fThefstepsfoffthefnursingfprocessfarefassessment,fdiagnosis,fplanning,fimplementation,fandfe
valuation.
DIF:fCognitivefLevel:fComprehensionfREF:fdm.f6
OBJ:fNursingfProcessfStep:fPlanningfMSC:fSafefandfEffectivefCarefEnvironment
5. Whenfplanningfafparentingfclass,fthefnursefshouldfexplainfthatfthefleadingfcausefoffdeathfinfchil
drenf1ftof4fyearsfoffagefinfthefUnitedfStatesfis:
a. prematurefbirth.
b. congenitalfanomalies.
c. accidentalfdeath.
d. respiratoryftractfillness.
ANS:fC
Accidentsfarefthefleadingfcausefoffdeathfinfchildrenfagesf1ftof19fyears.fDisordersfoffshortfgestat
ionfandfunspecifiedflowfbirthfweightfmakefupfonefoffthefleadingfcausesfoffdeathfinfneonates.fO
nefoffthefleadingfcausesfoffinfantfdeathfafterftheffirstfmonthfofflifefisfcongenitalfanomalies.fRes
piratoryftractfillnessesfarefafmajorfcausefoffmorbidityfinfchildren.
DIF:fCognitivefLevel:fApplicationfREF:fdm.f9f
OBJ:fNursingfProcessfStep:fImplementation
, lOMoAR cPSD| 3013804
MSC:fSafefandfEffectivefCarefEnvironment
6. Whichfstatementfisftruefregardingfthefqualityfassuranceforfincidentfreport?
a. Thefreportfassuresftheflegalfdepartmentfthatftherefisfnofproblem.
b. Reportsfarefafpermanentfpartfoffthefclientsfchart.
c. Thefnursesfnotesfshouldfcontainftheffollowing:fIncidentfreportffiledfandfcopyfpl
acedfinfchart.
d. Thisfreportfisfafformfoffdocumentationfoffanfeventfthatfmayfresultfinflegalfaction.
ANS:fD
Anfincidentfreportfisfafwarningftoftheflegalfdepartmentftofbefpreparedfforfpotentialflegalfaction;fitfisf
notfafpartfoffthefclientsfchartforfnursefdocumentation.
DIF:fCognitivefLevel:fKnowledgefREF:fdm.f14f
OBJ:fNursingfProcessfStep:fImplementationfMS
C:fSafefandfEffectivefCarefEnvironment
7. Whichfclientfsituationffailsftofmeetftheffirstfrequirementfoffinformedfconsent?
a. Thefparentfdoesfnotfunderstandfthefphysiciansfexplanations.
b. Thefphysicianfgivesfthefparentfonlyfafpartialflistfoffpossiblefsidefeffectsfandfco
mplications.
c. Nofparentfisfavailablefandfthefphysicianfasksfthefadolescentftofsignfthefconsentffor
m.
d. Thefinfantsfteenagefmotherfsignsfafconsentfformfbecausefherfparentftellsfherfto.
ANS:fC
Theffirstfrequirementfoffinformedfconsentfisfthatfthefpersonfgivingfconsentfmustfbefcompetent.fMi
norsfarefnotfallowedftofgivefconsent.fAnfunderstandingfoffinformation,ffullfdisclosure,fandfvolunta
ryfconsentfarefrequirementsfoffinformedfconsent,fbutfnonefoffthesefisftheffirstfrequirement.
