Ricci Chapter 31 || 100% Error-free Answers.
1.The nurse is caring for children in a healthcare provider's office where health
supervision is practiced. Which are some points of focus of health supervision? Select
all that apply.
A) Making referrals for all healthcare needs
B) Monitoring disease incidence
C) Optimizing the child's level of functioning
D) Monitoring quality of care provided
E) Teaching parents to prevent injury
F) Providing care developed from national guidelines Correct Ans: C, E, F
Feedback:
Health supervision involves providing services proactively, with the goal of optimizing
the child's level of functioning. It ensures the child is growing and developing
appropriately and it promotes the best possible health of the child by teaching
parents and children about preventing injury and illness (e.g., proper immunizations
and anticipatory guidance). The framework for the health supervision visit is
developed from national guidelines available through the U.S. Department of Health
and Human Services (DHHS), the American Medical Association (AMA), and the
American Academy of Pediatrics (AAP). Making referrals and monitoring disease
incidence and quality of care provided may occur with this model, but they are not
key focal points.
2.The nurse is providing care for children in a pediatric medical home. What is a
characteristic of care in these types of facilities?
A) All insurance except Medicaid is accepted.
B) Ambulatory care is not provided
C) A centralized database contains all child information.
D) Continuity of care is provided from infancy through adulthood. Correct Ans: C
Feedback:
In a medical home, a centralized database contains all pertinent information. All
insurance including Medicaid is accepted in the medical home and ambulatory care is
provided. Continuity of care is also provided from infancy to adolescence.
3.The nurse is preparing a presentation to a local parent group about pediatric health
supervision. Which would the nurse emphasize as the focus?
A) Injury prevention
B) Wellness
C) Health maintenance
D) Developmental surveillance Correct Ans: B
Feedback:
The focus of pediatric health supervision is wellness. Injury and disease prevention,
health maintenance and promotion, and developmental surveillance are all critical
components of wellness.
4.A large portion of the nurse's efforts is dedicated to health supervision for children
, who use the facility as their primary medical contact. At which facility does the nurse
work?
A) An urgent care center
B) A pediatric practice
C) A mobile outreach immunization program
D) A dermatology practice Correct Ans: B
Feedback:
A pediatric practice is most likely to fulfill the characteristics for primary care, also
known as a medical home. An urgent care center does not provide preventative care
activities. Mobile outreach would not provide for any care requiring hospitalization. A
dermatology practice is unlikely to provide service outside its area of specialization.
5.The nurse strives to provide culturally competent care for children in a health clinic
that follows the principles of health supervision. Which nursing action reflects this
type of care?
A) The nurse treats all children the same regardless of their culture.
B) The nurse negotiates a care plan with the child and family.
C) The nurse researches the child's culture and provides care based on the
findings.
D) The nurse provides future-based care for culturally diverse children. Correct Ans: B
Feedback:
Optimal wellness for the child requires the nurse and the family to negotiate a
mutually acceptable plan of care. The nurse must consider the culture of children
because if the goals of the healthcare plan are not consistent with the health belief
system of the family, the plan has little chance for success. Researching the culture is
helpful, but the nurse should not assume all children follow cultural directives and
base the care plan solely on the research. Most health promotion and disease
prevention strategies in the United States have a future-based orientation; however,
significant numbers of children belong to cultures with a present-based orientation.
For these children, health promotion activities need shorter-term goals and outcomes
to be useful.
6.The nurse is aware that the community affects the health of its members. Which
statements accurately reflect a community influence of health care? Select all that
apply.
A) A community can be a contributor to a child's health or be the cause of his
or her illnesses.
B) The child's health should be separated from the health of the surrounding
community.
C) Community support and resources are necessary for children with
significant problems.
D) Poverty has not been linked to an increase in health problems in
communities.
E) The breakdown of community and family support systems can lead to
depression and violence.
F) Ideally, the child's medical home is located outside the community. Correct Ans: A, C, E
1.The nurse is caring for children in a healthcare provider's office where health
supervision is practiced. Which are some points of focus of health supervision? Select
all that apply.
A) Making referrals for all healthcare needs
B) Monitoring disease incidence
C) Optimizing the child's level of functioning
D) Monitoring quality of care provided
E) Teaching parents to prevent injury
F) Providing care developed from national guidelines Correct Ans: C, E, F
Feedback:
Health supervision involves providing services proactively, with the goal of optimizing
the child's level of functioning. It ensures the child is growing and developing
appropriately and it promotes the best possible health of the child by teaching
parents and children about preventing injury and illness (e.g., proper immunizations
and anticipatory guidance). The framework for the health supervision visit is
developed from national guidelines available through the U.S. Department of Health
and Human Services (DHHS), the American Medical Association (AMA), and the
American Academy of Pediatrics (AAP). Making referrals and monitoring disease
incidence and quality of care provided may occur with this model, but they are not
key focal points.
2.The nurse is providing care for children in a pediatric medical home. What is a
characteristic of care in these types of facilities?
A) All insurance except Medicaid is accepted.
B) Ambulatory care is not provided
C) A centralized database contains all child information.
D) Continuity of care is provided from infancy through adulthood. Correct Ans: C
Feedback:
In a medical home, a centralized database contains all pertinent information. All
insurance including Medicaid is accepted in the medical home and ambulatory care is
provided. Continuity of care is also provided from infancy to adolescence.
3.The nurse is preparing a presentation to a local parent group about pediatric health
supervision. Which would the nurse emphasize as the focus?
A) Injury prevention
B) Wellness
C) Health maintenance
D) Developmental surveillance Correct Ans: B
Feedback:
The focus of pediatric health supervision is wellness. Injury and disease prevention,
health maintenance and promotion, and developmental surveillance are all critical
components of wellness.
4.A large portion of the nurse's efforts is dedicated to health supervision for children
, who use the facility as their primary medical contact. At which facility does the nurse
work?
A) An urgent care center
B) A pediatric practice
C) A mobile outreach immunization program
D) A dermatology practice Correct Ans: B
Feedback:
A pediatric practice is most likely to fulfill the characteristics for primary care, also
known as a medical home. An urgent care center does not provide preventative care
activities. Mobile outreach would not provide for any care requiring hospitalization. A
dermatology practice is unlikely to provide service outside its area of specialization.
5.The nurse strives to provide culturally competent care for children in a health clinic
that follows the principles of health supervision. Which nursing action reflects this
type of care?
A) The nurse treats all children the same regardless of their culture.
B) The nurse negotiates a care plan with the child and family.
C) The nurse researches the child's culture and provides care based on the
findings.
D) The nurse provides future-based care for culturally diverse children. Correct Ans: B
Feedback:
Optimal wellness for the child requires the nurse and the family to negotiate a
mutually acceptable plan of care. The nurse must consider the culture of children
because if the goals of the healthcare plan are not consistent with the health belief
system of the family, the plan has little chance for success. Researching the culture is
helpful, but the nurse should not assume all children follow cultural directives and
base the care plan solely on the research. Most health promotion and disease
prevention strategies in the United States have a future-based orientation; however,
significant numbers of children belong to cultures with a present-based orientation.
For these children, health promotion activities need shorter-term goals and outcomes
to be useful.
6.The nurse is aware that the community affects the health of its members. Which
statements accurately reflect a community influence of health care? Select all that
apply.
A) A community can be a contributor to a child's health or be the cause of his
or her illnesses.
B) The child's health should be separated from the health of the surrounding
community.
C) Community support and resources are necessary for children with
significant problems.
D) Poverty has not been linked to an increase in health problems in
communities.
E) The breakdown of community and family support systems can lead to
depression and violence.
F) Ideally, the child's medical home is located outside the community. Correct Ans: A, C, E
