lOMoAR cPSD| 3013804
l Bright Futures Guidelines for lescents
g g Health Supervision
g g 4th Edition of Infants, Children, and Ado
gg g g g g g g
BrightgFuturesgHealthgPromotiongThemes
Unitg1:gAngIntroductiongtogthegBrightgFuturesgHealthgPromotiongThemes
MULTIPLEgCHOICE
1. Agnursegisgreviewinggchangesginghealthcaregdeliverygandgfundinggforgpediatricgpopulations.g
Whichgcurrentgtrendgingthegpediatricgsettinggshouldgthegnursegexpectgtogfind?
a. Increasedghospitalizationgofgchildren
b. Decreasedgnumbergofguninsuredgchildren
c. Angincreasegingambulatorygcare
d. Decreasedgusegofgmanagedgcare
ANS:gC
Onegeffectgofgmanagedgcaregisgthatgpediatricghealthcaregdeliveryghasgshiftedgdramaticallygfromgthega
cutegcaregsettinggtogthegambulatorygsetting.gThegnumbergofghospitalgbedsgbeinggusedghasgdecreasedg
asgmoregcaregisgprovidedgingoutpatientgandghomegsettings.gThegnumbergofguninsuredgchildrengingtheg
UnitedgStatesgcontinuesgtoggrow.gOnegofgthegbiggestgchangesginghealthcareghasgbeengtheggrowthgofg
managedgcare.
OBJ:gNursinggProcessgStep:gPlanninggMSC:gSafegandgEffectivegCaregEnvironment
2. Agnursegisgreferringgaglow-
incomegfamilygwithgthreegchildrengundergthegagegofg5gyearsgtogagprogramgthatgassistsgwithgsupplem
entalgfoodgsupplies.gWhichgprogramgshouldgthegnursegrefergthisgfamilygto?
a. Medicaid
b. Medicare
c. EarlygandgPeriodicgScreening,gDiagnostic,gandgTreatmentg(EPSDT)gprogram
d. Women,gInfants,gandgChildreng(WIC)gprogramg
ANS:gD
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WICgisgagfederalgprogramgthatgprovidesgsupplementalgfoodgsuppliesgtoglow-
incomegwomengwhogaregpregnantgorgbreast-
feedinggandgtogtheirgchildrenguntilgthegagegofg5gyears.gMedicaidgandgthegMedicaidgEarlygandgPeriodi
cgScreening,gDiagnostic,gandgTreatmentg(EPSDT)gprogramgprovidesgforgwell-
childgexaminationsgandgrelatedgtreatmentgofgmedicalgproblems.gChildrengingthegWICgprogramgarego
ftengreferredgforgimmunizations,gbutgthatgisgnotgthegprimarygfocusgofgthegprogram.gPublicgLawg99-
457gprovidesgfinancialgincentivesgtogstatesgtogestablishgcomprehensivegearlyginterventiongservicesgf
orginfantsgandgtoddlersgwith,gorgatgriskgfor,gdevelopmentalgdisabilities.
MedicaregisgthegprogramgforgSeniorgCitizens.g
OBJ:gNursinggProcessgStep:gImplementationg
MSC:gHealthgPromotiongandgMaintenance
3. Ingmostgstates,gadolescentsgwhogaregnotgemancipatedgminorsgmustghavegparentalgpermissiong
before:
a. treatmentgforgdruggabuse.
b. treatmentgforgsexuallygtransmittedgdiseasesg(STDs).
c. obtaininggbirthgcontrol.
d. surgery.
ANS:gD
Angemancipatedgminorgisgagminorgchildgwhoghasgtheglegalgcompetencegofgangadult.gLegalgcounselg
maygbegconsultedgtogverifygthegstatusgofgthegemancipatedgminorgforgconsentgpurposes.gMostgstatesga
llowgminorsgtogobtaingtreatmentgforgdruggorgalcoholgabusegandgSTDsgandgallowgaccessgtogbirthgcont
rolgwithoutgparentalgconsent.
DIF:gCognitivegLevel:gApplicationgREF:gdm.g12
OBJ:gNursinggProcessgStep:gPlanninggMSC:gSafegandgEffectivegCaregEnvironment
4. Agnursegisgcompletinggagclinicalgpathwaygforgagchildgadmittedgtogtheghospitalgwithgpneumonia.g
Whichgcharacteristicgofgagclinicalgpathwaygisgcorrect?
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a. Developedgandgimplementedgbygnurses
b. Usedgprimarilygingthegpediatricgsetting
c. Specificgtimeglinesgforgsequencingginterventions
d. Onegofgthegstepsgingthegnursinggprocess
ANS:gC
Clinicalgpathwaysgmeasuregoutcomesgofgclientgcaregandgaregdevelopedgbygmultipleghealthcaregprofe
ssionals.gEachgpathwaygoutlinesgspecificgtimeglinesgforgsequencingginterventionsgandgreflectsginterd
isciplinaryginterventions.gClinicalgpathwaysgaregusedgingmultiplegsettingsgandgforgclientsgthroughou
tgtheglifegspan.gThegstepsgofgthegnursinggprocessgaregassessment,gdiagnosis,gplanning,gimplementatio
n,gandgevaluation.
DIF:gCognitivegLevel:gComprehensiongREF:gdm.g6
OBJ:gNursinggProcessgStep:gPlanninggMSC:gSafegandgEffectivegCaregEnvironment
5. Whengplanninggagparentinggclass,gthegnursegshouldgexplaingthatgthegleadinggcausegofgdeathgingc
hildreng1gtog4gyearsgofgagegingthegUnitedgStatesgis:
a. prematuregbirth.
b. congenitalganomalies.
c. accidentalgdeath.
d. respiratorygtractgillness.
ANS:gC
Accidentsgaregthegleadinggcausegofgdeathgingchildrengagesg1gtog19gyears.gDisordersgofgshortgge
stationgandgunspecifiedglowgbirthgweightgmakegupgonegofgthegleadinggcausesgofgdeathgingneona
tes.gOnegofgthegleadinggcausesgofginfantgdeathgaftergthegfirstgmonthgofglifegisgcongenitalganoma
lies.gRespiratorygtractgillnessesgaregagmajorgcausegofgmorbiditygingchildren.
DIF:gCognitivegLevel:gApplicationgREF:gdm.g9g
OBJ:gNursinggProcessgStep:gImplementation
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MSC:gSafegandgEffectivegCaregEnvironment
6. Whichgstatementgisgtruegregardinggthegqualitygassurancegorgincidentgreport?
a. Thegreportgassuresgtheglegalgdepartmentgthatgtheregisgnogproblem.
b. Reportsgaregagpermanentgpartgofgthegclientsgchart.
c. Thegnursesgnotesgshouldgcontaingthegfollowing:gIncidentgreportgfiledgandgcopyg
placedgingchart.
d. Thisgreportgisgagformgofgdocumentationgofgangeventgthatgmaygresultginglegalgaction.
ANS:gD
Angincidentgreportgisgagwarninggtogtheglegalgdepartmentgtogbegpreparedgforgpotentialglegalgaction;gitg
isgnotgagpartgofgthegclientsgchartgorgnursegdocumentation.
DIF:gCognitivegLevel:gKnowledgegREF:gdm.g14g
OBJ:gNursinggProcessgStep:gImplementationgMS
C:gSafegandgEffectivegCaregEnvironment
7. Whichgclientgsituationgfailsgtogmeetgthegfirstgrequirementgofginformedgconsent?
a. Thegparentgdoesgnotgunderstandgthegphysiciansgexplanations.
b. Thegphysicianggivesgthegparentgonlygagpartialglistgofgpossiblegsidegeffectsgandg
complications.
c. Nogparentgisgavailablegandgthegphysiciangasksgthegadolescentgtogsigngthegconsentgf
orm.
d. Theginfantsgteenagegmothergsignsgagconsentgformgbecauseghergparentgtellsghergto.
ANS:gC
Thegfirstgrequirementgofginformedgconsentgisgthatgthegpersonggivinggconsentgmustgbegcompetent.g
Minorsgaregnotgallowedgtoggivegconsent.gAngunderstandinggofginformation,gfullgdisclosure,gandgvo
luntarygconsentgaregrequirementsgofginformedgconsent,gbutgnonegofgthesegisgthegfirstgrequirement.
l Bright Futures Guidelines for lescents
g g Health Supervision
g g 4th Edition of Infants, Children, and Ado
gg g g g g g g
BrightgFuturesgHealthgPromotiongThemes
Unitg1:gAngIntroductiongtogthegBrightgFuturesgHealthgPromotiongThemes
MULTIPLEgCHOICE
1. Agnursegisgreviewinggchangesginghealthcaregdeliverygandgfundinggforgpediatricgpopulations.g
Whichgcurrentgtrendgingthegpediatricgsettinggshouldgthegnursegexpectgtogfind?
a. Increasedghospitalizationgofgchildren
b. Decreasedgnumbergofguninsuredgchildren
c. Angincreasegingambulatorygcare
d. Decreasedgusegofgmanagedgcare
ANS:gC
Onegeffectgofgmanagedgcaregisgthatgpediatricghealthcaregdeliveryghasgshiftedgdramaticallygfromgthega
cutegcaregsettinggtogthegambulatorygsetting.gThegnumbergofghospitalgbedsgbeinggusedghasgdecreasedg
asgmoregcaregisgprovidedgingoutpatientgandghomegsettings.gThegnumbergofguninsuredgchildrengingtheg
UnitedgStatesgcontinuesgtoggrow.gOnegofgthegbiggestgchangesginghealthcareghasgbeengtheggrowthgofg
managedgcare.
OBJ:gNursinggProcessgStep:gPlanninggMSC:gSafegandgEffectivegCaregEnvironment
2. Agnursegisgreferringgaglow-
incomegfamilygwithgthreegchildrengundergthegagegofg5gyearsgtogagprogramgthatgassistsgwithgsupplem
entalgfoodgsupplies.gWhichgprogramgshouldgthegnursegrefergthisgfamilygto?
a. Medicaid
b. Medicare
c. EarlygandgPeriodicgScreening,gDiagnostic,gandgTreatmentg(EPSDT)gprogram
d. Women,gInfants,gandgChildreng(WIC)gprogramg
ANS:gD
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WICgisgagfederalgprogramgthatgprovidesgsupplementalgfoodgsuppliesgtoglow-
incomegwomengwhogaregpregnantgorgbreast-
feedinggandgtogtheirgchildrenguntilgthegagegofg5gyears.gMedicaidgandgthegMedicaidgEarlygandgPeriodi
cgScreening,gDiagnostic,gandgTreatmentg(EPSDT)gprogramgprovidesgforgwell-
childgexaminationsgandgrelatedgtreatmentgofgmedicalgproblems.gChildrengingthegWICgprogramgarego
ftengreferredgforgimmunizations,gbutgthatgisgnotgthegprimarygfocusgofgthegprogram.gPublicgLawg99-
457gprovidesgfinancialgincentivesgtogstatesgtogestablishgcomprehensivegearlyginterventiongservicesgf
orginfantsgandgtoddlersgwith,gorgatgriskgfor,gdevelopmentalgdisabilities.
MedicaregisgthegprogramgforgSeniorgCitizens.g
OBJ:gNursinggProcessgStep:gImplementationg
MSC:gHealthgPromotiongandgMaintenance
3. Ingmostgstates,gadolescentsgwhogaregnotgemancipatedgminorsgmustghavegparentalgpermissiong
before:
a. treatmentgforgdruggabuse.
b. treatmentgforgsexuallygtransmittedgdiseasesg(STDs).
c. obtaininggbirthgcontrol.
d. surgery.
ANS:gD
Angemancipatedgminorgisgagminorgchildgwhoghasgtheglegalgcompetencegofgangadult.gLegalgcounselg
maygbegconsultedgtogverifygthegstatusgofgthegemancipatedgminorgforgconsentgpurposes.gMostgstatesga
llowgminorsgtogobtaingtreatmentgforgdruggorgalcoholgabusegandgSTDsgandgallowgaccessgtogbirthgcont
rolgwithoutgparentalgconsent.
DIF:gCognitivegLevel:gApplicationgREF:gdm.g12
OBJ:gNursinggProcessgStep:gPlanninggMSC:gSafegandgEffectivegCaregEnvironment
4. Agnursegisgcompletinggagclinicalgpathwaygforgagchildgadmittedgtogtheghospitalgwithgpneumonia.g
Whichgcharacteristicgofgagclinicalgpathwaygisgcorrect?
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a. Developedgandgimplementedgbygnurses
b. Usedgprimarilygingthegpediatricgsetting
c. Specificgtimeglinesgforgsequencingginterventions
d. Onegofgthegstepsgingthegnursinggprocess
ANS:gC
Clinicalgpathwaysgmeasuregoutcomesgofgclientgcaregandgaregdevelopedgbygmultipleghealthcaregprofe
ssionals.gEachgpathwaygoutlinesgspecificgtimeglinesgforgsequencingginterventionsgandgreflectsginterd
isciplinaryginterventions.gClinicalgpathwaysgaregusedgingmultiplegsettingsgandgforgclientsgthroughou
tgtheglifegspan.gThegstepsgofgthegnursinggprocessgaregassessment,gdiagnosis,gplanning,gimplementatio
n,gandgevaluation.
DIF:gCognitivegLevel:gComprehensiongREF:gdm.g6
OBJ:gNursinggProcessgStep:gPlanninggMSC:gSafegandgEffectivegCaregEnvironment
5. Whengplanninggagparentinggclass,gthegnursegshouldgexplaingthatgthegleadinggcausegofgdeathgingc
hildreng1gtog4gyearsgofgagegingthegUnitedgStatesgis:
a. prematuregbirth.
b. congenitalganomalies.
c. accidentalgdeath.
d. respiratorygtractgillness.
ANS:gC
Accidentsgaregthegleadinggcausegofgdeathgingchildrengagesg1gtog19gyears.gDisordersgofgshortgge
stationgandgunspecifiedglowgbirthgweightgmakegupgonegofgthegleadinggcausesgofgdeathgingneona
tes.gOnegofgthegleadinggcausesgofginfantgdeathgaftergthegfirstgmonthgofglifegisgcongenitalganoma
lies.gRespiratorygtractgillnessesgaregagmajorgcausegofgmorbiditygingchildren.
DIF:gCognitivegLevel:gApplicationgREF:gdm.g9g
OBJ:gNursinggProcessgStep:gImplementation
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MSC:gSafegandgEffectivegCaregEnvironment
6. Whichgstatementgisgtruegregardinggthegqualitygassurancegorgincidentgreport?
a. Thegreportgassuresgtheglegalgdepartmentgthatgtheregisgnogproblem.
b. Reportsgaregagpermanentgpartgofgthegclientsgchart.
c. Thegnursesgnotesgshouldgcontaingthegfollowing:gIncidentgreportgfiledgandgcopyg
placedgingchart.
d. Thisgreportgisgagformgofgdocumentationgofgangeventgthatgmaygresultginglegalgaction.
ANS:gD
Angincidentgreportgisgagwarninggtogtheglegalgdepartmentgtogbegpreparedgforgpotentialglegalgaction;gitg
isgnotgagpartgofgthegclientsgchartgorgnursegdocumentation.
DIF:gCognitivegLevel:gKnowledgegREF:gdm.g14g
OBJ:gNursinggProcessgStep:gImplementationgMS
C:gSafegandgEffectivegCaregEnvironment
7. Whichgclientgsituationgfailsgtogmeetgthegfirstgrequirementgofginformedgconsent?
a. Thegparentgdoesgnotgunderstandgthegphysiciansgexplanations.
b. Thegphysicianggivesgthegparentgonlygagpartialglistgofgpossiblegsidegeffectsgandg
complications.
c. Nogparentgisgavailablegandgthegphysiciangasksgthegadolescentgtogsigngthegconsentgf
orm.
d. Theginfantsgteenagegmothergsignsgagconsentgformgbecauseghergparentgtellsghergto.
ANS:gC
Thegfirstgrequirementgofginformedgconsentgisgthatgthegpersonggivinggconsentgmustgbegcompetent.g
Minorsgaregnotgallowedgtoggivegconsent.gAngunderstandinggofginformation,gfullgdisclosure,gandgvo
luntarygconsentgaregrequirementsgofginformedgconsent,gbutgnonegofgthesegisgthegfirstgrequirement.
