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WINE.
Here is Bright Futures Guidelines for Health Supervision of Children, adolescent
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s, And infant’s 4th Edition
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WWW.THENURSINGMASTERY.COMf
,BrightfFuturesfHealthfPromotionfThemes
Unitf1:fAnfIntroductionftofthefBrightfFuturesfHealthfPromotionfThemes
VARIETYfOFfCHOICES
1. Afnursefisfreviewingfchangesfinfhealthcarefdeliveryfandffundingfforfpediatricfpopulations.fW
hichfcurrentftrendfinfthefpediatricfsettingfshouldfthefnursefexpectftoffind?
a. Decreasedfnumberfoffuninsuredfchildren
b. Anfincreasefinfambulatoryfcare
c. Increasedfhospitalizationfoffchildren
d. Decreasedfusefoffmanagedfcare
ANS:fAnfincreasefinfambulatoryfcaref(B)
Exp:fOnefoffthefeffectsfoffmanagedfcarefisfthatfpediatricfhealthcarefdeliveryfhasfshiftedfdramatical
lyffromftheacutefcarefsettingftofthefambulatoryfsetting.fThefnumberfoffhospitalfbedsfbeingfusedfhasf
decreasedfbecausefmorefcarefisfprovidedfinfoutpatientfandfhomefsettings.fThefnumberfoffuninsure
dfchildrenfinfthefUnitedfStatesfcontinuesftofgrowfeveryfday.fTherefore,fonefoffthefbiggestfchangesfi
nfhealthcarefhasfbeenfthefgrowthfoffmanagedfcare.
OBJE:fNursingfProcessfStep:fPlanningfMSC:fSafefandfEffectivefCarefEnvironment
2. Infmostfstates,fadolescentsfwhofarefnotfemancipatedfminorsfmustfhavefparentalfpermissionfbef
ore:
a. obtainingfbirthfcontrol
b. surgery.
c. treatmentfforfdrugfabuse.
d. treatmentfforfsexuallyftransmittedfdiseasesf(STDs).
ANS:fSurgery(B)
Exp:fAnfemancipatedfminorfisfafminorfchildfwhofhasftheflegalfcompetencefoffanfadult.fLegalfcou
nselmayfbefconsultedftofverifyfthefstatusfoffthefemancipatedfminorfforfconsentfpurposes.fMostfst
atesallowfminorsftofobtainftreatmentfforfdrugforfalcoholfabusefandfSTDsfandfallow
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, accessftofbirthfcontrolfwithoutfparentalfconsent.fD
IF:fCognitivefLevel:fApplicationfREF:fdm.f12
OBJE:fNursingfProcessfStep:fPlanningfMSC:fSafefandfEffectivefCarefEnvironment
3. Afnursefisfcompletingfafclinicalfpathwayfforfafchildfadmittedftofthefhospitalfwithfpneumonia.fWh
ichfcharacteristicfoffafclinicalfpathwayfisfcorrect?
a. Usedfprimarilyfinfthefpediatricfsetting
b. Developedfandfimplementedfbyfnurses
C.ffOnefoffthefstepsfinfthefnursingfprocess
d.f Specificftimeflinesfforfsequencingfinterventions
ANS:fSpecificftimeflinesfforfsequencingfinterventions(D)
Clinicalfpathwaysfmeasurefoutcomesfoffclientfcarefandfarefdevelopedfbyfmultiplefhealthcarefprofess
ionals.fEachfpathwayfoutlinesfspecificftimeflinesfforfsequencingfinterventionsfandfreflectsfinterdisci
plinaryfinterventions.fClinicalfpathwaysfarefusedfinfmultiplefsettingsfandfforfclientsfthroughoutfthefli
fefspan.fThefstepsfoffthefnursingfprocessfarefassessment,fdiagnosis,fplanning,fimplementation,fandfe
valuation.
DIF:fCognitivefLevel:fComprehensionfREF:fdm.f6
OBJ:fNursingfProcessfStep:fPlanningfMSC:fSafefandfEffectivefCarefEnvironment
4. Whenfplanningfafparentingfclass,fthefnursefshouldfexplainfthatfthefleadingfcausefoffdeathfinfchil
drenf1ftof4f yearsfoffagefinfthefUnitedfStatesfis:
a. accidentalfdeath.
b. prematurefbirth.
c. respiratoryftractfillness.
d. congenitalfanomalies.
ANS:fAccidentalfdeath.f(A)
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