lOMoAR cPSD| 3013804
l BrightkFutureskGuidelineskforolescents
kHealthkSupervision
k4thkEditionkofkInfants,kChildren,kandkAd
BrightkFutureskHealthkPromotionkThemes
Unitk1:kAnkIntroductionktokthekBrightkFutureskHealthkPromotionkThemes
MULTIPLEkCHOICE
1. Aknursekiskreviewingkchangeskinkhealthcarekdeliverykandkfundingkforkpediatrickpopulations.
k Whichkcurrentktrendkinkthekpediatricksettingkshouldktheknursekexpectktokfind?
a. Increasedkhospitalizationkofkchildren
b. Decreasedknumberkofkuninsuredkchildren
c. Ankincreasekinkambulatorykcare
d. Decreasedkusekofkmanagedkcare
ANS:kC
Onekeffectkofkmanagedkcarekiskthatkpediatrickhealthcarekdeliverykhaskshiftedkdramaticallykfromkthe
k acutekcareksettingktokthekambulatoryksetting.kTheknumberkofkhospitalkbedskbeingkusedkhaskdecreas
edkaskmorekcarekiskprovidedkinkoutpatientkandkhomeksettings.kTheknumberkofkuninsuredkchildrenkin
k thekUnitedkStateskcontinuesktokgrow.kOnekofkthekbiggestkchangeskinkhealthcarekhaskbeenkthekgrow
thkofkmanagedkcare.
OBJ:kNursingkProcesskStep:kPlanningkMSC:kSafekandkEffectivekCarekEnvironment
2. Aknursekiskreferringkaklow-
incomekfamilykwithkthreekchildrenkunderkthekagekofk5kyearsktokakprogramkthatkassistskwithksupple
mentalkfoodksupplies.kWhichkprogramkshouldktheknursekreferkthiskfamilykto?
a. Medicaid
b. Medicare
c. EarlykandkPeriodickScreening,kDiagnostic,kandkTreatmentk(EPSDT)kprogram
d. Women,kInfants,kandkChildrenk(WIC)kprogram
k ANS:kD
, lOMoAR cPSD| 3013804
WICkiskakfederalkprogramkthatkprovidesksupplementalkfoodksuppliesktoklow-
incomekwomenkwhokarekpregnantkorkbreast-
feedingkandktoktheirkchildrenkuntilkthekagekofk5kyears.kMedicaidkandkthekMedicaidkEarlykandkPerio
dickScreening,kDiagnostic,kandkTreatmentk(EPSDT)kprogramkprovideskforkwell-
childkexaminationskandkrelatedktreatmentkofkmedicalkproblems.kChildrenkinkthekWICkprogramkarek
oftenkreferredkforkimmunizations,kbutkthatkisknotkthekprimarykfocuskofkthekprogram.kPublickLawk99
-
457kprovideskfinancialkincentivesktokstatesktokestablishkcomprehensivekearlykinterventionkservicesk
forkinfantskandktoddlerskwith,korkatkriskkfor,kdevelopmentalkdisabilities.
MedicarekiskthekprogramkforkSeniorkCitizens.
kOBJ:kNursingkProcesskStep:kImplementatio
nkMSC:kHealthkPromotionkandkMaintenance
3. Inkmostkstates,kadolescentskwhokareknotkemancipatedkminorskmustkhavekparentalkpermission
kbefore:
a. treatmentkforkdrugkabuse.
b. treatmentkforksexuallyktransmittedkdiseasesk(STDs).
c. obtainingkbirthkcontrol.
d. surgery.
ANS:kD
Ankemancipatedkminorkiskakminorkchildkwhokhasktheklegalkcompetencekofkankadult.kLegalkcounselk
maykbekconsultedktokverifykthekstatuskofkthekemancipatedkminorkforkconsentkpurposes.kMostkstates
kallowkminorsktokobtainktreatmentkforkdrugkorkalcoholkabusekandkSTDskandkallowkaccessktokbirthkc
ontrolkwithoutkparentalkconsent.
DIF:kCognitivekLevel:kApplicationkREF:kdm.k12
OBJ:kNursingkProcesskStep:kPlanningkMSC:kSafekandkEffectivekCarekEnvironment
4. Aknursekiskcompletingkakclinicalkpathwaykforkakchildkadmittedktokthekhospitalkwithkpneumonia.
kWhichkcharacteristickofkakclinicalkpathwaykiskcorrect?
, lOMoAR cPSD| 3013804
a. Developedkandkimplementedkbyknurses
b. Usedkprimarilykinkthekpediatricksetting
c. Specificktimeklineskforksequencingkinterventions
d. Onekofkthekstepskinktheknursingkprocess
ANS:kC
Clinicalkpathwayskmeasurekoutcomeskofkclientkcarekandkarekdevelopedkbykmultiplekhealthcarekprof
essionals.kEachkpathwaykoutlineskspecificktimeklineskforksequencingkinterventionskandkreflectskinte
rdisciplinarykinterventions.kClinicalkpathwayskarekusedkinkmultipleksettingskandkforkclientskthroug
houtktheklifekspan.kThekstepskofktheknursingkprocesskarekassessment,kdiagnosis,kplanning,kimpleme
ntation,kandkevaluation.
DIF:kCognitivekLevel:kComprehensionkREF:kdm.k6
OBJ:kNursingkProcesskStep:kPlanningkMSC:kSafekandkEffectivekCarekEnvironment
5. Whenkplanningkakparentingkclass,ktheknursekshouldkexplainkthatkthekleadingkcausekofkdeathkin
kchildrenk1ktok4kyearskofkagekinkthekUnitedkStateskis:
a. prematurekbirth.
b. congenitalkanomalies.
c. accidentalkdeath.
d. respiratoryktractkillness.
ANS:kC
Accidentskarekthekleadingkcausekofkdeathkinkchildrenkagesk1ktok19kyears.kDisorderskofkshortkg
estationkandkunspecifiedklowkbirthkweightkmakekupkonekofkthekleadingkcauseskofkdeathkinkne
onates.kOnekofkthekleadingkcauseskofkinfantkdeathkafterkthekfirstkmonthkofklifekiskcongenitalka
nomalies.kRespiratoryktractkillnesseskarekakmajorkcausekofkmorbiditykinkchildren.
DIF:kCognitivekLevel:kApplicationkREF:kdm.k9
kOBJ:kNursingkProcesskStep:kImplementation
, lOMoAR cPSD| 3013804
MSC:kSafekandkEffectivekCarekEnvironment
6. Whichkstatementkisktruekregardingkthekqualitykassurancekorkincidentkreport?
a. Thekreportkassuresktheklegalkdepartmentkthatktherekisknokproblem.
b. Reportskarekakpermanentkpartkofkthekclientskchart.
c. Theknursesknoteskshouldkcontainkthekfollowing:kIncidentkreportkfiledkandkcopy
kplacedkinkchart.
d. Thiskreportkiskakformkofkdocumentationkofkankeventkthatkmaykresultkinklegalkaction.
ANS:kD
Ankincidentkreportkiskakwarningktoktheklegalkdepartmentktokbekpreparedkforkpotentialklegalkaction;k
itkisknotkakpartkofkthekclientskchartkorknursekdocumentation.
DIF:kCognitivekLevel:kKnowledgekREF:kdm.k14
kOBJ:kNursingkProcesskStep:kImplementationkM
SC:kSafekandkEffectivekCarekEnvironment
7. Whichkclientksituationkfailsktokmeetkthekfirstkrequirementkofkinformedkconsent?
a. Thekparentkdoesknotkunderstandkthekphysicianskexplanations.
b. Thekphysiciankgiveskthekparentkonlykakpartialklistkofkpossibleksidekeffectskand
kcomplications.
c. Nokparentkiskavailablekandkthekphysiciankaskskthekadolescentktoksignkthekconsent
kform.
d. Thekinfantskteenagekmotherksignskakconsentkformkbecausekherkparentktellskherkto.
ANS:kC
Thekfirstkrequirementkofkinformedkconsentkiskthatkthekpersonkgivingkconsentkmustkbekcompetent.
kMinorskareknotkallowedktokgivekconsent.kAnkunderstandingkofkinformation,kfullkdisclosure,kandk
voluntarykconsentkarekrequirementskofkinformedkconsent,kbutknonekofkthesekiskthekfirstkrequirem
ent.
l BrightkFutureskGuidelineskforolescents
kHealthkSupervision
k4thkEditionkofkInfants,kChildren,kandkAd
BrightkFutureskHealthkPromotionkThemes
Unitk1:kAnkIntroductionktokthekBrightkFutureskHealthkPromotionkThemes
MULTIPLEkCHOICE
1. Aknursekiskreviewingkchangeskinkhealthcarekdeliverykandkfundingkforkpediatrickpopulations.
k Whichkcurrentktrendkinkthekpediatricksettingkshouldktheknursekexpectktokfind?
a. Increasedkhospitalizationkofkchildren
b. Decreasedknumberkofkuninsuredkchildren
c. Ankincreasekinkambulatorykcare
d. Decreasedkusekofkmanagedkcare
ANS:kC
Onekeffectkofkmanagedkcarekiskthatkpediatrickhealthcarekdeliverykhaskshiftedkdramaticallykfromkthe
k acutekcareksettingktokthekambulatoryksetting.kTheknumberkofkhospitalkbedskbeingkusedkhaskdecreas
edkaskmorekcarekiskprovidedkinkoutpatientkandkhomeksettings.kTheknumberkofkuninsuredkchildrenkin
k thekUnitedkStateskcontinuesktokgrow.kOnekofkthekbiggestkchangeskinkhealthcarekhaskbeenkthekgrow
thkofkmanagedkcare.
OBJ:kNursingkProcesskStep:kPlanningkMSC:kSafekandkEffectivekCarekEnvironment
2. Aknursekiskreferringkaklow-
incomekfamilykwithkthreekchildrenkunderkthekagekofk5kyearsktokakprogramkthatkassistskwithksupple
mentalkfoodksupplies.kWhichkprogramkshouldktheknursekreferkthiskfamilykto?
a. Medicaid
b. Medicare
c. EarlykandkPeriodickScreening,kDiagnostic,kandkTreatmentk(EPSDT)kprogram
d. Women,kInfants,kandkChildrenk(WIC)kprogram
k ANS:kD
, lOMoAR cPSD| 3013804
WICkiskakfederalkprogramkthatkprovidesksupplementalkfoodksuppliesktoklow-
incomekwomenkwhokarekpregnantkorkbreast-
feedingkandktoktheirkchildrenkuntilkthekagekofk5kyears.kMedicaidkandkthekMedicaidkEarlykandkPerio
dickScreening,kDiagnostic,kandkTreatmentk(EPSDT)kprogramkprovideskforkwell-
childkexaminationskandkrelatedktreatmentkofkmedicalkproblems.kChildrenkinkthekWICkprogramkarek
oftenkreferredkforkimmunizations,kbutkthatkisknotkthekprimarykfocuskofkthekprogram.kPublickLawk99
-
457kprovideskfinancialkincentivesktokstatesktokestablishkcomprehensivekearlykinterventionkservicesk
forkinfantskandktoddlerskwith,korkatkriskkfor,kdevelopmentalkdisabilities.
MedicarekiskthekprogramkforkSeniorkCitizens.
kOBJ:kNursingkProcesskStep:kImplementatio
nkMSC:kHealthkPromotionkandkMaintenance
3. Inkmostkstates,kadolescentskwhokareknotkemancipatedkminorskmustkhavekparentalkpermission
kbefore:
a. treatmentkforkdrugkabuse.
b. treatmentkforksexuallyktransmittedkdiseasesk(STDs).
c. obtainingkbirthkcontrol.
d. surgery.
ANS:kD
Ankemancipatedkminorkiskakminorkchildkwhokhasktheklegalkcompetencekofkankadult.kLegalkcounselk
maykbekconsultedktokverifykthekstatuskofkthekemancipatedkminorkforkconsentkpurposes.kMostkstates
kallowkminorsktokobtainktreatmentkforkdrugkorkalcoholkabusekandkSTDskandkallowkaccessktokbirthkc
ontrolkwithoutkparentalkconsent.
DIF:kCognitivekLevel:kApplicationkREF:kdm.k12
OBJ:kNursingkProcesskStep:kPlanningkMSC:kSafekandkEffectivekCarekEnvironment
4. Aknursekiskcompletingkakclinicalkpathwaykforkakchildkadmittedktokthekhospitalkwithkpneumonia.
kWhichkcharacteristickofkakclinicalkpathwaykiskcorrect?
, lOMoAR cPSD| 3013804
a. Developedkandkimplementedkbyknurses
b. Usedkprimarilykinkthekpediatricksetting
c. Specificktimeklineskforksequencingkinterventions
d. Onekofkthekstepskinktheknursingkprocess
ANS:kC
Clinicalkpathwayskmeasurekoutcomeskofkclientkcarekandkarekdevelopedkbykmultiplekhealthcarekprof
essionals.kEachkpathwaykoutlineskspecificktimeklineskforksequencingkinterventionskandkreflectskinte
rdisciplinarykinterventions.kClinicalkpathwayskarekusedkinkmultipleksettingskandkforkclientskthroug
houtktheklifekspan.kThekstepskofktheknursingkprocesskarekassessment,kdiagnosis,kplanning,kimpleme
ntation,kandkevaluation.
DIF:kCognitivekLevel:kComprehensionkREF:kdm.k6
OBJ:kNursingkProcesskStep:kPlanningkMSC:kSafekandkEffectivekCarekEnvironment
5. Whenkplanningkakparentingkclass,ktheknursekshouldkexplainkthatkthekleadingkcausekofkdeathkin
kchildrenk1ktok4kyearskofkagekinkthekUnitedkStateskis:
a. prematurekbirth.
b. congenitalkanomalies.
c. accidentalkdeath.
d. respiratoryktractkillness.
ANS:kC
Accidentskarekthekleadingkcausekofkdeathkinkchildrenkagesk1ktok19kyears.kDisorderskofkshortkg
estationkandkunspecifiedklowkbirthkweightkmakekupkonekofkthekleadingkcauseskofkdeathkinkne
onates.kOnekofkthekleadingkcauseskofkinfantkdeathkafterkthekfirstkmonthkofklifekiskcongenitalka
nomalies.kRespiratoryktractkillnesseskarekakmajorkcausekofkmorbiditykinkchildren.
DIF:kCognitivekLevel:kApplicationkREF:kdm.k9
kOBJ:kNursingkProcesskStep:kImplementation
, lOMoAR cPSD| 3013804
MSC:kSafekandkEffectivekCarekEnvironment
6. Whichkstatementkisktruekregardingkthekqualitykassurancekorkincidentkreport?
a. Thekreportkassuresktheklegalkdepartmentkthatktherekisknokproblem.
b. Reportskarekakpermanentkpartkofkthekclientskchart.
c. Theknursesknoteskshouldkcontainkthekfollowing:kIncidentkreportkfiledkandkcopy
kplacedkinkchart.
d. Thiskreportkiskakformkofkdocumentationkofkankeventkthatkmaykresultkinklegalkaction.
ANS:kD
Ankincidentkreportkiskakwarningktoktheklegalkdepartmentktokbekpreparedkforkpotentialklegalkaction;k
itkisknotkakpartkofkthekclientskchartkorknursekdocumentation.
DIF:kCognitivekLevel:kKnowledgekREF:kdm.k14
kOBJ:kNursingkProcesskStep:kImplementationkM
SC:kSafekandkEffectivekCarekEnvironment
7. Whichkclientksituationkfailsktokmeetkthekfirstkrequirementkofkinformedkconsent?
a. Thekparentkdoesknotkunderstandkthekphysicianskexplanations.
b. Thekphysiciankgiveskthekparentkonlykakpartialklistkofkpossibleksidekeffectskand
kcomplications.
c. Nokparentkiskavailablekandkthekphysiciankaskskthekadolescentktoksignkthekconsent
kform.
d. Thekinfantskteenagekmotherksignskakconsentkformkbecausekherkparentktellskherkto.
ANS:kC
Thekfirstkrequirementkofkinformedkconsentkiskthatkthekpersonkgivingkconsentkmustkbekcompetent.
kMinorskareknotkallowedktokgivekconsent.kAnkunderstandingkofkinformation,kfullkdisclosure,kandk
voluntarykconsentkarekrequirementskofkinformedkconsent,kbutknonekofkthesekiskthekfirstkrequirem
ent.
