DISCOVER A WORLD WHERE SECRETS BLOOM AND DESTINIES
INTERTWINE.
Here is Bright Futures Guidelines for Health Supervision of Children,
adolescents, And infant’s 4th Edition
WWW.THENURSINGMASTERY.COM
,Bright Futures Health Promotion Themes
Unit 1: An Introduction to the Bright Futures Health Promotion Themes
VARIETY OF CHOICES
1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations.
Which current trend in the pediatric setting should the nurse expect to find?
a. Decreased number of uninsured children
b. An increase in ambulatory care
c. Increased hospitalization of children
d. Decreased use of managed care
ANS: An increase in ambulatory care (B)
Exp: One of the effects of managed care is that pediatric healthcare delivery has shifted
dramatically from theacute care setting to the ambulatory setting. The number of hospital beds
being used has decreased because more care is provided in outpatient and home settings. The
number of uninsured children in the United States continues to grow every day. Therefore, one
of the biggest changes in healthcare has been the growth of managed care.
OBJE: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
2. In most states, adolescents who are not emancipated minors must have parental permission
before:
a. obtaining birth control
b. surgery.
c. treatment for drug abuse.
d. treatment for sexually transmitted diseases (STDs).
ANS: Surgery(B)
Exp: An emancipated minor is a minor child who has the legal competence of an adult. Legal
counselmay be consulted to verify the status of the emancipated minor for consent purposes.
Most statesallow minors to obtain treatment for drug or alcohol abuse and STDs and allow
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, access to birth control without parental consent.
DIF: Cognitive Level: Application REF: dm. 12
OBJE: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
3. A nurse is completing a clinical pathway for a child admitted to the hospital with pneumonia.
Which characteristic of a clinical pathway is correct?
a. Used primarily in the pediatric setting
b. Developed and implemented by nurses
C. One of the steps in the nursing process
d. Specific time lines for sequencing interventions
ANS: Specific time lines for sequencing interventions(D)
Clinical pathways measure outcomes of client care and are developed by multiple healthcare
professionals. Each pathway outlines specific time lines for sequencing interventions and reflects
interdisciplinary interventions. Clinical pathways are used in multiple settings and for clients
throughout the life span. The steps of the nursing process are assessment, diagnosis, planning,
implementation, and evaluation.
DIF: Cognitive Level: Comprehension REF: dm. 6
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
4. When planning a parenting class, the nurse should explain that the leading cause of death in
children 1 to 4 years of age in the United States is:
a. accidental death.
b. premature birth.
c. respiratory tract illness.
d. congenital anomalies.
ANS: Accidental death. (A)
WWW.THENURSINGMASTERY.COM
INTERTWINE.
Here is Bright Futures Guidelines for Health Supervision of Children,
adolescents, And infant’s 4th Edition
WWW.THENURSINGMASTERY.COM
,Bright Futures Health Promotion Themes
Unit 1: An Introduction to the Bright Futures Health Promotion Themes
VARIETY OF CHOICES
1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations.
Which current trend in the pediatric setting should the nurse expect to find?
a. Decreased number of uninsured children
b. An increase in ambulatory care
c. Increased hospitalization of children
d. Decreased use of managed care
ANS: An increase in ambulatory care (B)
Exp: One of the effects of managed care is that pediatric healthcare delivery has shifted
dramatically from theacute care setting to the ambulatory setting. The number of hospital beds
being used has decreased because more care is provided in outpatient and home settings. The
number of uninsured children in the United States continues to grow every day. Therefore, one
of the biggest changes in healthcare has been the growth of managed care.
OBJE: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
2. In most states, adolescents who are not emancipated minors must have parental permission
before:
a. obtaining birth control
b. surgery.
c. treatment for drug abuse.
d. treatment for sexually transmitted diseases (STDs).
ANS: Surgery(B)
Exp: An emancipated minor is a minor child who has the legal competence of an adult. Legal
counselmay be consulted to verify the status of the emancipated minor for consent purposes.
Most statesallow minors to obtain treatment for drug or alcohol abuse and STDs and allow
WWW.THENURSINGMASTERY.COM
, access to birth control without parental consent.
DIF: Cognitive Level: Application REF: dm. 12
OBJE: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
3. A nurse is completing a clinical pathway for a child admitted to the hospital with pneumonia.
Which characteristic of a clinical pathway is correct?
a. Used primarily in the pediatric setting
b. Developed and implemented by nurses
C. One of the steps in the nursing process
d. Specific time lines for sequencing interventions
ANS: Specific time lines for sequencing interventions(D)
Clinical pathways measure outcomes of client care and are developed by multiple healthcare
professionals. Each pathway outlines specific time lines for sequencing interventions and reflects
interdisciplinary interventions. Clinical pathways are used in multiple settings and for clients
throughout the life span. The steps of the nursing process are assessment, diagnosis, planning,
implementation, and evaluation.
DIF: Cognitive Level: Comprehension REF: dm. 6
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
4. When planning a parenting class, the nurse should explain that the leading cause of death in
children 1 to 4 years of age in the United States is:
a. accidental death.
b. premature birth.
c. respiratory tract illness.
d. congenital anomalies.
ANS: Accidental death. (A)
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