lOMoAR cPSD| 3013804
l BrightcxFuturescxGuidelinescxcxAdolescents
forcxHealthcxcxSupervision
4thcxEditioncxofcxInfants,cxChildren,cxand
BrightcxFuturescxHealthcxPromotioncxThemes
Unitcx1:cxAncxIntroductioncxtocxthecxBrightcxFuturescxHealthcxPromotioncxThemes
MULTIPLEcxCHOICE
1. Acxnursecxiscxreviewingcxchangescxincxhealthcarecxdeliverycxandcxfundingcxforcxpediatriccxpopu
lations.cxWhichcxcurrentcxtrendcxincxthecxpediatriccxsettingcxshouldcxthecxnursecxexpectcxtocxfind?
a. Increasedcxhospitalizationcxofcxchildren
b. Decreasedcxnumbercxofcxuninsuredcxchildren
c. Ancxincreasecxincxambulatorycxcare
d. Decreasedcxusecxofcxmanagedcxcare
ANS:cxC
Onecxeffectcxofcxmanagedcxcarecxiscxthatcxpediatriccxhealthcarecxdeliverycxhascxshiftedcxdramaticallycxf
romcxthecxacutecxcarecxsettingcxtocxthecxambulatorycxsetting.cxThecxnumbercxofcxhospitalcxbedscxbeingcx
usedcxhascxdecreasedcxascxmorecxcarecxiscxprovidedcxincxoutpatientcxandcxhomecxsettings.cxThecxnumber
cx ofcxuninsuredcxchildrencxincxthecxUnitedcxStatescxcontinuescxtocxgrow.cxOnecxofcxthecxbiggestcxchange
scxincxhealthcarecxhascxbeencxthecxgrowthcxofcxmanagedcxcare.
OBJ:cxNursingcxProcesscxStep:cxPlanningcxMSC:cxSafecxandcxEffectivecxCarecxEnvironment
2. Acxnursecxiscxreferringcxacxlow-
incomecxfamilycxwithcxthreecxchildrencxundercxthecxagecxofcx5cxyearscxtocxacxprogramcxthatcxassistscxwit
hcxsupplementalcxfoodcxsupplies.cxWhichcxprogramcxshouldcxthecxnursecxrefercxthiscxfamilycxto?
a. Medicaid
b. Medicare
c. EarlycxandcxPeriodiccxScreening,cxDiagnostic,cxandcxTreatmentcx(EPSDT)cxprogram
d. Women,cxInfants,cxandcxChildrencx(WIC)cxprogr
amcxANS:cxD
, lOMoAR cPSD| 3013804
WICcxiscxacxfederalcxprogramcxthatcxprovidescxsupplementalcxfoodcxsuppliescxtocxlow-
incomecxwomencxwhocxarecxpregnantcxorcxbreast-
feedingcxandcxtocxtheircxchildrencxuntilcxthecxagecxofcx5cxyears.cxMedicaidcxandcxthecxMedicaidcxEarlycxa
ndcxPeriodiccxScreening,cxDiagnostic,cxandcxTreatmentcx(EPSDT)cxprogramcxprovidescxforcxwell-
childcxexaminationscxandcxrelatedcxtreatmentcxofcxmedicalcxproblems.cxChildrencxincxthecxWICcxprogr
amcxarecxoftencxreferredcxforcximmunizations,cxbutcxthatcxiscxnotcxthecxprimarycxfocuscxofcxthecxprogram
.cxPubliccxLawcx99-
457cxprovidescxfinancialcxincentivescxtocxstatescxtocxestablishcxcomprehensivecxearlycxinterventioncxse
rvicescxforcxinfantscxandcxtoddlerscxwith,cxorcxatcxriskcxfor,cxdevelopmentalcxdisabilities.
MedicarecxiscxthecxprogramcxforcxSeniorcxCitiz
ens.cxOBJ:cxNursingcxProcesscxStep:cxImplem
entationcxMSC:cxHealthcxPromotioncxandcxMa
intenance
3. Incxmostcxstates,cxadolescentscxwhocxarecxnotcxemancipatedcxminorscxmustcxhavecxparentalcxper
missioncxbefore:
a. treatmentcxforcxdrugcxabuse.
b. treatmentcxforcxsexuallycxtransmittedcxdiseasescx(STDs).
c. obtainingcxbirthcxcontrol.
d. surgery.
ANS:cxD
Ancxemancipatedcxminorcxiscxacxminorcxchildcxwhocxhascxthecxlegalcxcompetencecxofcxancxadult.cxLegalc
counselcxmaycxbecxconsultedcxtocxverifycxthecxstatuscxofcxthecxemancipatedcxminorcxforcxconsentcxpurp
x
oses.cxMostcxstatescxallowcxminorscxtocxobtaincxtreatmentcxforcxdrugcxorcxalcoholcxabusecxandcxSTDscxa
ndcxallowcxaccesscxtocxbirthcxcontrolcxwithoutcxparentalcxconsent.
DIF:cxCognitivecxLevel:cxApplicationcxREF:cxdm.cx12
OBJ:cxNursingcxProcesscxStep:cxPlanningcxMSC:cxSafecxandcxEffectivecxCarecxEnvironment
4. Acxnursecxiscxcompletingcxacxclinicalcxpathwaycxforcxacxchildcxadmittedcxtocxthecxhospitalcxwithcxpne
umonia.cxWhichcxcharacteristiccxofcxacxclinicalcxpathwaycxiscxcorrect?
, lOMoAR cPSD| 3013804
a. Developedcxandcximplementedcxbycxnurses
b. Usedcxprimarilycxincxthecxpediatriccxsetting
c. Specificcxtimecxlinescxforcxsequencingcxinterventions
d. Onecxofcxthecxstepscxincxthecxnursingcxprocess
ANS:cxC
Clinicalcxpathwayscxmeasurecxoutcomescxofcxclientcxcarecxandcxarecxdevelopedcxbycxmultiplecxhealthca
recxprofessionals.cxEachcxpathwaycxoutlinescxspecificcxtimecxlinescxforcxsequencingcxinterventionscxan
dcxreflectscxinterdisciplinarycxinterventions.cxClinicalcxpathwayscxarecxusedcxincxmultiplecxsettingscxan
dcxforcxclientscxthroughoutcxthecxlifecxspan.cxThecxstepscxofcxthecxnursingcxprocesscxarecxassessment,cxdi
agnosis,cxplanning,cximplementation,cxandcxevaluation.
DIF:cxCognitivecxLevel:cxComprehensioncxREF:cxdm.cx6
OBJ:cxNursingcxProcesscxStep:cxPlanningcxMSC:cxSafecxandcxEffectivecxCarecxEnvironment
5. Whencxplanningcxacxparentingcxclass,cxthecxnursecxshouldcxexplaincxthatcxthecxleadingcxcausecxofcx
deathcxincxchildrencx1cxtocx4cxyearscxofcxagecxincxthecxUnitedcxStatescxis:
a. prematurecxbirth.
b. congenitalcxanomalies.
c. accidentalcxdeath.
d. respiratorycxtractcxillness.
ANS:cxC
Accidentscxarecxthecxleadingcxcausecxofcxdeathcxincxchildrencxagescx1cxtocx19cxyears.cxDisorderscxo
fcxshortcxgestationcxandcxunspecifiedcxlowcxbirthcxweightcxmakecxupcxonecxofcxthecxleadingcxcause
scxofcxdeathcxincxneonates.cxOnecxofcxthecxleadingcxcausescxofcxinfantcxdeathcxaftercxthecxfirstcxmon
thcxofcxlifecxiscxcongenitalcxanomalies.cxRespiratorycxtractcxillnessescxarecxacxmajorcxcausecxofcxm
orbiditycxincxchildren.
DIF:cxCognitivecxLevel:cxApplicationcxREF:cxd
m.cx9cxOBJ:cxNursingcxProcesscxStep:cxImplemen
tation
, lOMoAR cPSD| 3013804
MSC:cxSafecxandcxEffectivecxCarecxEnvironment
6. Whichcxstatementcxiscxtruecxregardingcxthecxqualitycxassurancecxorcxincidentcxreport?
a. Thecxreportcxassurescxthecxlegalcxdepartmentcxthatcxtherecxiscxnocxproblem.
b. Reportscxarecxacxpermanentcxpartcxofcxthecxclientscxchart.
c. Thecxnursescxnotescxshouldcxcontaincxthecxfollowing:cxIncidentcxreportcxfiledcxan
dcxcopycxplacedcxincxchart.
d. Thiscxreportcxiscxacxformcxofcxdocumentationcxofcxancxeventcxthatcxmaycxresultcxincxlegalcxaction.
ANS:cxD
Ancxincidentcxreportcxiscxacxwarningcxtocxthecxlegalcxdepartmentcxtocxbecxpreparedcxforcxpotentialcxlega
lcxaction;cxitcxiscxnotcxacxpartcxofcxthecxclientscxchartcxorcxnursecxdocumentation.
DIF:cxCognitivecxLevel:cxKnowledgecxREF:cxdm.c
14cxOBJ:cxNursingcxProcesscxStep:cxImplementat
x
ioncxMSC:cxSafecxandcxEffectivecxCarecxEnviron
ment
7. Whichcxclientcxsituationcxfailscxtocxmeetcxthecxfirstcxrequirementcxofcxinformedcxconsent?
a. Thecxparentcxdoescxnotcxunderstandcxthecxphysicianscxexplanations.
b. Thecxphysiciancxgivescxthecxparentcxonlycxacxpartialcxlistcxofcxpossiblecxsidecxeffe
ctscxandcxcomplications.
c. Nocxparentcxiscxavailablecxandcxthecxphysiciancxaskscxthecxadolescentcxtocxsigncxthecx
consentcxform.
d. Thecxinfantscxteenagecxmothercxsignscxacxconsentcxformcxbecausecxhercxparentcxtellscxhercxto.
ANS:cxC
Thecxfirstcxrequirementcxofcxinformedcxconsentcxiscxthatcxthecxpersoncxgivingcxconsentcxmustcxbecxco
mpetent.cxMinorscxarecxnotcxallowedcxtocxgivecxconsent.cxAncxunderstandingcxofcxinformation,cxfullcx
disclosure,cxandcxvoluntarycxconsentcxarecxrequirementscxofcxinformedcxconsent,cxbutcxnonecxofcxthe
secxiscxthecxfirstcxrequirement.
l BrightcxFuturescxGuidelinescxcxAdolescents
forcxHealthcxcxSupervision
4thcxEditioncxofcxInfants,cxChildren,cxand
BrightcxFuturescxHealthcxPromotioncxThemes
Unitcx1:cxAncxIntroductioncxtocxthecxBrightcxFuturescxHealthcxPromotioncxThemes
MULTIPLEcxCHOICE
1. Acxnursecxiscxreviewingcxchangescxincxhealthcarecxdeliverycxandcxfundingcxforcxpediatriccxpopu
lations.cxWhichcxcurrentcxtrendcxincxthecxpediatriccxsettingcxshouldcxthecxnursecxexpectcxtocxfind?
a. Increasedcxhospitalizationcxofcxchildren
b. Decreasedcxnumbercxofcxuninsuredcxchildren
c. Ancxincreasecxincxambulatorycxcare
d. Decreasedcxusecxofcxmanagedcxcare
ANS:cxC
Onecxeffectcxofcxmanagedcxcarecxiscxthatcxpediatriccxhealthcarecxdeliverycxhascxshiftedcxdramaticallycxf
romcxthecxacutecxcarecxsettingcxtocxthecxambulatorycxsetting.cxThecxnumbercxofcxhospitalcxbedscxbeingcx
usedcxhascxdecreasedcxascxmorecxcarecxiscxprovidedcxincxoutpatientcxandcxhomecxsettings.cxThecxnumber
cx ofcxuninsuredcxchildrencxincxthecxUnitedcxStatescxcontinuescxtocxgrow.cxOnecxofcxthecxbiggestcxchange
scxincxhealthcarecxhascxbeencxthecxgrowthcxofcxmanagedcxcare.
OBJ:cxNursingcxProcesscxStep:cxPlanningcxMSC:cxSafecxandcxEffectivecxCarecxEnvironment
2. Acxnursecxiscxreferringcxacxlow-
incomecxfamilycxwithcxthreecxchildrencxundercxthecxagecxofcx5cxyearscxtocxacxprogramcxthatcxassistscxwit
hcxsupplementalcxfoodcxsupplies.cxWhichcxprogramcxshouldcxthecxnursecxrefercxthiscxfamilycxto?
a. Medicaid
b. Medicare
c. EarlycxandcxPeriodiccxScreening,cxDiagnostic,cxandcxTreatmentcx(EPSDT)cxprogram
d. Women,cxInfants,cxandcxChildrencx(WIC)cxprogr
amcxANS:cxD
, lOMoAR cPSD| 3013804
WICcxiscxacxfederalcxprogramcxthatcxprovidescxsupplementalcxfoodcxsuppliescxtocxlow-
incomecxwomencxwhocxarecxpregnantcxorcxbreast-
feedingcxandcxtocxtheircxchildrencxuntilcxthecxagecxofcx5cxyears.cxMedicaidcxandcxthecxMedicaidcxEarlycxa
ndcxPeriodiccxScreening,cxDiagnostic,cxandcxTreatmentcx(EPSDT)cxprogramcxprovidescxforcxwell-
childcxexaminationscxandcxrelatedcxtreatmentcxofcxmedicalcxproblems.cxChildrencxincxthecxWICcxprogr
amcxarecxoftencxreferredcxforcximmunizations,cxbutcxthatcxiscxnotcxthecxprimarycxfocuscxofcxthecxprogram
.cxPubliccxLawcx99-
457cxprovidescxfinancialcxincentivescxtocxstatescxtocxestablishcxcomprehensivecxearlycxinterventioncxse
rvicescxforcxinfantscxandcxtoddlerscxwith,cxorcxatcxriskcxfor,cxdevelopmentalcxdisabilities.
MedicarecxiscxthecxprogramcxforcxSeniorcxCitiz
ens.cxOBJ:cxNursingcxProcesscxStep:cxImplem
entationcxMSC:cxHealthcxPromotioncxandcxMa
intenance
3. Incxmostcxstates,cxadolescentscxwhocxarecxnotcxemancipatedcxminorscxmustcxhavecxparentalcxper
missioncxbefore:
a. treatmentcxforcxdrugcxabuse.
b. treatmentcxforcxsexuallycxtransmittedcxdiseasescx(STDs).
c. obtainingcxbirthcxcontrol.
d. surgery.
ANS:cxD
Ancxemancipatedcxminorcxiscxacxminorcxchildcxwhocxhascxthecxlegalcxcompetencecxofcxancxadult.cxLegalc
counselcxmaycxbecxconsultedcxtocxverifycxthecxstatuscxofcxthecxemancipatedcxminorcxforcxconsentcxpurp
x
oses.cxMostcxstatescxallowcxminorscxtocxobtaincxtreatmentcxforcxdrugcxorcxalcoholcxabusecxandcxSTDscxa
ndcxallowcxaccesscxtocxbirthcxcontrolcxwithoutcxparentalcxconsent.
DIF:cxCognitivecxLevel:cxApplicationcxREF:cxdm.cx12
OBJ:cxNursingcxProcesscxStep:cxPlanningcxMSC:cxSafecxandcxEffectivecxCarecxEnvironment
4. Acxnursecxiscxcompletingcxacxclinicalcxpathwaycxforcxacxchildcxadmittedcxtocxthecxhospitalcxwithcxpne
umonia.cxWhichcxcharacteristiccxofcxacxclinicalcxpathwaycxiscxcorrect?
, lOMoAR cPSD| 3013804
a. Developedcxandcximplementedcxbycxnurses
b. Usedcxprimarilycxincxthecxpediatriccxsetting
c. Specificcxtimecxlinescxforcxsequencingcxinterventions
d. Onecxofcxthecxstepscxincxthecxnursingcxprocess
ANS:cxC
Clinicalcxpathwayscxmeasurecxoutcomescxofcxclientcxcarecxandcxarecxdevelopedcxbycxmultiplecxhealthca
recxprofessionals.cxEachcxpathwaycxoutlinescxspecificcxtimecxlinescxforcxsequencingcxinterventionscxan
dcxreflectscxinterdisciplinarycxinterventions.cxClinicalcxpathwayscxarecxusedcxincxmultiplecxsettingscxan
dcxforcxclientscxthroughoutcxthecxlifecxspan.cxThecxstepscxofcxthecxnursingcxprocesscxarecxassessment,cxdi
agnosis,cxplanning,cximplementation,cxandcxevaluation.
DIF:cxCognitivecxLevel:cxComprehensioncxREF:cxdm.cx6
OBJ:cxNursingcxProcesscxStep:cxPlanningcxMSC:cxSafecxandcxEffectivecxCarecxEnvironment
5. Whencxplanningcxacxparentingcxclass,cxthecxnursecxshouldcxexplaincxthatcxthecxleadingcxcausecxofcx
deathcxincxchildrencx1cxtocx4cxyearscxofcxagecxincxthecxUnitedcxStatescxis:
a. prematurecxbirth.
b. congenitalcxanomalies.
c. accidentalcxdeath.
d. respiratorycxtractcxillness.
ANS:cxC
Accidentscxarecxthecxleadingcxcausecxofcxdeathcxincxchildrencxagescx1cxtocx19cxyears.cxDisorderscxo
fcxshortcxgestationcxandcxunspecifiedcxlowcxbirthcxweightcxmakecxupcxonecxofcxthecxleadingcxcause
scxofcxdeathcxincxneonates.cxOnecxofcxthecxleadingcxcausescxofcxinfantcxdeathcxaftercxthecxfirstcxmon
thcxofcxlifecxiscxcongenitalcxanomalies.cxRespiratorycxtractcxillnessescxarecxacxmajorcxcausecxofcxm
orbiditycxincxchildren.
DIF:cxCognitivecxLevel:cxApplicationcxREF:cxd
m.cx9cxOBJ:cxNursingcxProcesscxStep:cxImplemen
tation
, lOMoAR cPSD| 3013804
MSC:cxSafecxandcxEffectivecxCarecxEnvironment
6. Whichcxstatementcxiscxtruecxregardingcxthecxqualitycxassurancecxorcxincidentcxreport?
a. Thecxreportcxassurescxthecxlegalcxdepartmentcxthatcxtherecxiscxnocxproblem.
b. Reportscxarecxacxpermanentcxpartcxofcxthecxclientscxchart.
c. Thecxnursescxnotescxshouldcxcontaincxthecxfollowing:cxIncidentcxreportcxfiledcxan
dcxcopycxplacedcxincxchart.
d. Thiscxreportcxiscxacxformcxofcxdocumentationcxofcxancxeventcxthatcxmaycxresultcxincxlegalcxaction.
ANS:cxD
Ancxincidentcxreportcxiscxacxwarningcxtocxthecxlegalcxdepartmentcxtocxbecxpreparedcxforcxpotentialcxlega
lcxaction;cxitcxiscxnotcxacxpartcxofcxthecxclientscxchartcxorcxnursecxdocumentation.
DIF:cxCognitivecxLevel:cxKnowledgecxREF:cxdm.c
14cxOBJ:cxNursingcxProcesscxStep:cxImplementat
x
ioncxMSC:cxSafecxandcxEffectivecxCarecxEnviron
ment
7. Whichcxclientcxsituationcxfailscxtocxmeetcxthecxfirstcxrequirementcxofcxinformedcxconsent?
a. Thecxparentcxdoescxnotcxunderstandcxthecxphysicianscxexplanations.
b. Thecxphysiciancxgivescxthecxparentcxonlycxacxpartialcxlistcxofcxpossiblecxsidecxeffe
ctscxandcxcomplications.
c. Nocxparentcxiscxavailablecxandcxthecxphysiciancxaskscxthecxadolescentcxtocxsigncxthecx
consentcxform.
d. Thecxinfantscxteenagecxmothercxsignscxacxconsentcxformcxbecausecxhercxparentcxtellscxhercxto.
ANS:cxC
Thecxfirstcxrequirementcxofcxinformedcxconsentcxiscxthatcxthecxpersoncxgivingcxconsentcxmustcxbecxco
mpetent.cxMinorscxarecxnotcxallowedcxtocxgivecxconsent.cxAncxunderstandingcxofcxinformation,cxfullcx
disclosure,cxandcxvoluntarycxconsentcxarecxrequirementscxofcxinformedcxconsent,cxbutcxnonecxofcxthe
secxiscxthecxfirstcxrequirement.
