lOMoAR cPSD| 3013804
l BrightiFuturesiGuidelinesiforiHealth
scentsiSupervision
i4thiEdition iofiInfants,iChildren,iandiAdole
BrightiFuturesiHealthiPromotioniThemes
Uniti1:iAniIntroductionitoitheiBrightiFuturesiHealthiPromotioniThemes
MULTIPLEiCHOICE
1. Ainurseiisireviewingichangesiinihealthcareideliveryiandifundingiforipediatricipopulations.iW
hichicurrentitrendiinitheipediatricisettingishoulditheinurseiexpectitoifind?
a. Increasedihospitalizationiofichildren
b. Decreasedinumberiofiuninsuredichildren
c. Aniincreaseiiniambulatoryicare
d. Decreasediuseiofimanagedicare
ANS:iC
Oneieffectiofimanagedicareiisithatipediatricihealthcareideliveryihasishiftedidramaticallyifromitheiacu
teicareisettingitoitheiambulatoryisetting.iTheinumberiofihospitalibedsibeingiusedihasidecreasediasimo
reicareiisiprovidediinioutpatientiandihomeisettings.iTheinumberiofiuninsuredichildreniinitheiUnitediS
tatesicontinuesitoigrow.iOneiofitheibiggestichangesiinihealthcareihasibeenitheigrowthiofimanagedicar
e.
OBJ:iNursingiProcessiStep:iPlanningiMSC:iSafeiandiEffectiveiCareiEnvironment
2. Ainurseiisireferringiailow-
incomeifamilyiwithithreeichildreniunderitheiageiofi5iyearsitoiaiprogramithatiassistsiwithisupplement
alifoodisupplies.iWhichiprogramishoulditheinurseireferithisifamilyito?
a. Medicaid
b. Medicare
c. EarlyiandiPeriodiciScreening,iDiagnostic,iandiTreatmenti(EPSDT)iprogram
d. Women,iInfants,iandiChildreni(WIC)iprogrami
ANS:iD
, lOMoAR cPSD| 3013804
WICiisiaifederaliprogramithatiprovidesisupplementalifoodisuppliesitoilow-
incomeiwomeniwhoiareipregnantioribreast-
feedingianditoitheirichildreniuntilitheiageiofi5iyears.iMedicaidianditheiMedicaidiEarlyiandiPeriodiciS
creening,iDiagnostic,iandiTreatmenti(EPSDT)iprogramiprovidesiforiwell-
childiexaminationsiandirelateditreatmentiofimedicaliproblems.iChildreniinitheiWICiprogramiareiofte
nireferrediforiimmunizations,ibutithatiisinotitheiprimaryifocusiofitheiprogram.iPubliciLawi99-
457iprovidesifinancialiincentivesitoistatesitoiestablishicomprehensiveiearlyiinterventioniservicesifori
infantsianditoddlersiwith,ioriatiriskifor,idevelopmentalidisabilities.
MedicareiisitheiprogramiforiSenioriCitizens.i
OBJ:iNursingiProcessiStep:iImplementationi
MSC:iHealthiPromotioniandiMaintenance
3. Inimostistates,iadolescentsiwhoiareinotiemancipatediminorsimustihaveiparentalipermissionibe
fore:
a. treatmentiforidrugiabuse.
b. treatmentiforisexuallyitransmittedidiseasesi(STDs).
c. obtainingibirthicontrol.
d. surgery.
ANS:iD
Aniemancipatediminoriisiaiminorichildiwhoihasitheilegalicompetenceiofianiadult.iLegalicounselimayi
beiconsulteditoiverifyitheistatusiofitheiemancipatediminoriforiconsentipurposes.iMostistatesiallowimi
norsitoiobtainitreatmentiforidrugiorialcoholiabuseiandiSTDsiandiallowiaccessitoibirthicontroliwithout
parentaliconsent.
i
DIF:iCognitiveiLevel:iApplicationiREF:idm.i12
OBJ:iNursingiProcessiStep:iPlanningiMSC:iSafeiandiEffectiveiCareiEnvironment
4. Ainurseiisicompletingiaiclinicalipathwayiforiaichildiadmitteditoitheihospitaliwithipneumonia.iWh
ichicharacteristiciofiaiclinicalipathwayiisicorrect?
, lOMoAR cPSD| 3013804
a. Developediandiimplementedibyinurses
b. Usediprimarilyiinitheipediatricisetting
c. Specificitimeilinesiforisequencingiinterventions
d. Oneiofitheistepsiinitheinursingiprocess
ANS:iC
Clinicalipathwaysimeasureioutcomesioficlienticareiandiareidevelopedibyimultipleihealthcareiprofess
ionals.iEachipathwayioutlinesispecificitimeilinesiforisequencingiinterventionsiandireflectsiinterdisci
plinaryiinterventions.iClinicalipathwaysiareiusediinimultipleisettingsiandiforiclientsithroughoutitheili
feispan.iTheistepsiofitheinursingiprocessiareiassessment,idiagnosis,iplanning,iimplementation,iandie
valuation.
DIF:iCognitiveiLevel:iComprehensioniREF:idm.i6
OBJ:iNursingiProcessiStep:iPlanningiMSC:iSafeiandiEffectiveiCareiEnvironment
5. Wheniplanningiaiparentingiclass,itheinurseishouldiexplainithatitheileadingicauseiofideathiinichil
dreni1itoi4iyearsiofiageiinitheiUnitediStatesiis:
a. prematureibirth.
b. congenitalianomalies.
c. accidentalideath.
d. respiratoryitractiillness.
ANS:iC
Accidentsiareitheileadingicauseiofideathiinichildreniagesi1itoi19iyears.iDisordersiofishortigestat
ioniandiunspecifiedilowibirthiweightimakeiupioneiofitheileadingicausesiofideathiinineonates.iO
neiofitheileadingicausesiofiinfantideathiafteritheifirstimonthiofilifeiisicongenitalianomalies.iRes
piratoryitractiillnessesiareiaimajoricauseiofimorbidityiinichildren.
DIF:iCognitiveiLevel:iApplicationiREF:idm.i9i
OBJ:iNursingiProcessiStep:iImplementation
, lOMoAR cPSD| 3013804
MSC:iSafeiandiEffectiveiCareiEnvironment
6. Whichistatementiisitrueiregardingitheiqualityiassuranceioriincidentireport?
a. Theireportiassuresitheilegalidepartmentithatithereiisinoiproblem.
b. Reportsiareiaipermanentipartiofitheiclientsichart.
c. Theinursesinotesishouldicontainitheifollowing:iIncidentireportifilediandicopyipl
acediinichart.
d. Thisireportiisiaiformiofidocumentationiofianieventithatimayiresultiinilegaliaction.
ANS:iD
Aniincidentireportiisiaiwarningitoitheilegalidepartmentitoibeipreparediforipotentialilegaliaction;iitiisi
notiaipartiofitheiclientsichartiorinurseidocumentation.
DIF:iCognitiveiLevel:iKnowledgeiREF:idm.i14i
OBJ:iNursingiProcessiStep:iImplementationiMS
C:iSafeiandiEffectiveiCareiEnvironment
7. Whichiclientisituationifailsitoimeetitheifirstirequirementiofiinformediconsent?
a. Theiparentidoesinotiunderstanditheiphysiciansiexplanations.
b. Theiphysicianigivesitheiparentionlyiaipartialilistiofipossibleisideieffectsiandico
mplications.
c. Noiparentiisiavailableianditheiphysicianiasksitheiadolescentitoisignitheiconsentifor
m.
d. Theiinfantsiteenageimotherisignsiaiconsentiformibecauseiheriparentitellsiherito.
ANS:iC
Theifirstirequirementiofiinformediconsentiisithatitheipersonigivingiconsentimustibeicompetent.iMi
norsiareinotialloweditoigiveiconsent.iAniunderstandingiofiinformation,ifullidisclosure,iandivolunta
ryiconsentiareirequirementsiofiinformediconsent,ibutinoneiofitheseiisitheifirstirequirement.
l BrightiFuturesiGuidelinesiforiHealth
scentsiSupervision
i4thiEdition iofiInfants,iChildren,iandiAdole
BrightiFuturesiHealthiPromotioniThemes
Uniti1:iAniIntroductionitoitheiBrightiFuturesiHealthiPromotioniThemes
MULTIPLEiCHOICE
1. Ainurseiisireviewingichangesiinihealthcareideliveryiandifundingiforipediatricipopulations.iW
hichicurrentitrendiinitheipediatricisettingishoulditheinurseiexpectitoifind?
a. Increasedihospitalizationiofichildren
b. Decreasedinumberiofiuninsuredichildren
c. Aniincreaseiiniambulatoryicare
d. Decreasediuseiofimanagedicare
ANS:iC
Oneieffectiofimanagedicareiisithatipediatricihealthcareideliveryihasishiftedidramaticallyifromitheiacu
teicareisettingitoitheiambulatoryisetting.iTheinumberiofihospitalibedsibeingiusedihasidecreasediasimo
reicareiisiprovidediinioutpatientiandihomeisettings.iTheinumberiofiuninsuredichildreniinitheiUnitediS
tatesicontinuesitoigrow.iOneiofitheibiggestichangesiinihealthcareihasibeenitheigrowthiofimanagedicar
e.
OBJ:iNursingiProcessiStep:iPlanningiMSC:iSafeiandiEffectiveiCareiEnvironment
2. Ainurseiisireferringiailow-
incomeifamilyiwithithreeichildreniunderitheiageiofi5iyearsitoiaiprogramithatiassistsiwithisupplement
alifoodisupplies.iWhichiprogramishoulditheinurseireferithisifamilyito?
a. Medicaid
b. Medicare
c. EarlyiandiPeriodiciScreening,iDiagnostic,iandiTreatmenti(EPSDT)iprogram
d. Women,iInfants,iandiChildreni(WIC)iprogrami
ANS:iD
, lOMoAR cPSD| 3013804
WICiisiaifederaliprogramithatiprovidesisupplementalifoodisuppliesitoilow-
incomeiwomeniwhoiareipregnantioribreast-
feedingianditoitheirichildreniuntilitheiageiofi5iyears.iMedicaidianditheiMedicaidiEarlyiandiPeriodiciS
creening,iDiagnostic,iandiTreatmenti(EPSDT)iprogramiprovidesiforiwell-
childiexaminationsiandirelateditreatmentiofimedicaliproblems.iChildreniinitheiWICiprogramiareiofte
nireferrediforiimmunizations,ibutithatiisinotitheiprimaryifocusiofitheiprogram.iPubliciLawi99-
457iprovidesifinancialiincentivesitoistatesitoiestablishicomprehensiveiearlyiinterventioniservicesifori
infantsianditoddlersiwith,ioriatiriskifor,idevelopmentalidisabilities.
MedicareiisitheiprogramiforiSenioriCitizens.i
OBJ:iNursingiProcessiStep:iImplementationi
MSC:iHealthiPromotioniandiMaintenance
3. Inimostistates,iadolescentsiwhoiareinotiemancipatediminorsimustihaveiparentalipermissionibe
fore:
a. treatmentiforidrugiabuse.
b. treatmentiforisexuallyitransmittedidiseasesi(STDs).
c. obtainingibirthicontrol.
d. surgery.
ANS:iD
Aniemancipatediminoriisiaiminorichildiwhoihasitheilegalicompetenceiofianiadult.iLegalicounselimayi
beiconsulteditoiverifyitheistatusiofitheiemancipatediminoriforiconsentipurposes.iMostistatesiallowimi
norsitoiobtainitreatmentiforidrugiorialcoholiabuseiandiSTDsiandiallowiaccessitoibirthicontroliwithout
parentaliconsent.
i
DIF:iCognitiveiLevel:iApplicationiREF:idm.i12
OBJ:iNursingiProcessiStep:iPlanningiMSC:iSafeiandiEffectiveiCareiEnvironment
4. Ainurseiisicompletingiaiclinicalipathwayiforiaichildiadmitteditoitheihospitaliwithipneumonia.iWh
ichicharacteristiciofiaiclinicalipathwayiisicorrect?
, lOMoAR cPSD| 3013804
a. Developediandiimplementedibyinurses
b. Usediprimarilyiinitheipediatricisetting
c. Specificitimeilinesiforisequencingiinterventions
d. Oneiofitheistepsiinitheinursingiprocess
ANS:iC
Clinicalipathwaysimeasureioutcomesioficlienticareiandiareidevelopedibyimultipleihealthcareiprofess
ionals.iEachipathwayioutlinesispecificitimeilinesiforisequencingiinterventionsiandireflectsiinterdisci
plinaryiinterventions.iClinicalipathwaysiareiusediinimultipleisettingsiandiforiclientsithroughoutitheili
feispan.iTheistepsiofitheinursingiprocessiareiassessment,idiagnosis,iplanning,iimplementation,iandie
valuation.
DIF:iCognitiveiLevel:iComprehensioniREF:idm.i6
OBJ:iNursingiProcessiStep:iPlanningiMSC:iSafeiandiEffectiveiCareiEnvironment
5. Wheniplanningiaiparentingiclass,itheinurseishouldiexplainithatitheileadingicauseiofideathiinichil
dreni1itoi4iyearsiofiageiinitheiUnitediStatesiis:
a. prematureibirth.
b. congenitalianomalies.
c. accidentalideath.
d. respiratoryitractiillness.
ANS:iC
Accidentsiareitheileadingicauseiofideathiinichildreniagesi1itoi19iyears.iDisordersiofishortigestat
ioniandiunspecifiedilowibirthiweightimakeiupioneiofitheileadingicausesiofideathiinineonates.iO
neiofitheileadingicausesiofiinfantideathiafteritheifirstimonthiofilifeiisicongenitalianomalies.iRes
piratoryitractiillnessesiareiaimajoricauseiofimorbidityiinichildren.
DIF:iCognitiveiLevel:iApplicationiREF:idm.i9i
OBJ:iNursingiProcessiStep:iImplementation
, lOMoAR cPSD| 3013804
MSC:iSafeiandiEffectiveiCareiEnvironment
6. Whichistatementiisitrueiregardingitheiqualityiassuranceioriincidentireport?
a. Theireportiassuresitheilegalidepartmentithatithereiisinoiproblem.
b. Reportsiareiaipermanentipartiofitheiclientsichart.
c. Theinursesinotesishouldicontainitheifollowing:iIncidentireportifilediandicopyipl
acediinichart.
d. Thisireportiisiaiformiofidocumentationiofianieventithatimayiresultiinilegaliaction.
ANS:iD
Aniincidentireportiisiaiwarningitoitheilegalidepartmentitoibeipreparediforipotentialilegaliaction;iitiisi
notiaipartiofitheiclientsichartiorinurseidocumentation.
DIF:iCognitiveiLevel:iKnowledgeiREF:idm.i14i
OBJ:iNursingiProcessiStep:iImplementationiMS
C:iSafeiandiEffectiveiCareiEnvironment
7. Whichiclientisituationifailsitoimeetitheifirstirequirementiofiinformediconsent?
a. Theiparentidoesinotiunderstanditheiphysiciansiexplanations.
b. Theiphysicianigivesitheiparentionlyiaipartialilistiofipossibleisideieffectsiandico
mplications.
c. Noiparentiisiavailableianditheiphysicianiasksitheiadolescentitoisignitheiconsentifor
m.
d. Theiinfantsiteenageimotherisignsiaiconsentiformibecauseiheriparentitellsiherito.
ANS:iC
Theifirstirequirementiofiinformediconsentiisithatitheipersonigivingiconsentimustibeicompetent.iMi
norsiareinotialloweditoigiveiconsent.iAniunderstandingiofiinformation,ifullidisclosure,iandivolunta
ryiconsentiareirequirementsiofiinformediconsent,ibutinoneiofitheseiisitheifirstirequirement.
