lOMoAR cPSD| 3013804
l BrightoFuturesoGuidelinesoforolescents
oHealthoSupervision
o4thoEdition oofoInfants,oChildren,oandoAd
BrightoFuturesoHealthoPromotionoThemes
Unito1:oAnoIntroductionotootheoBrightoFuturesoHealthoPromotionoThemes
MULTIPLEoCHOICE
1. Aonurseoisoreviewingochangesoinohealthcareodeliveryoandofundingoforopediatricopopulations.
o Whichocurrentotrendoinotheopediatricosettingoshouldotheonurseoexpectotoofind?
a. Increasedohospitalizationoofochildren
b. Decreasedonumberoofouninsuredochildren
c. Anoincreaseoinoambulatoryocare
d. Decreasedouseoofomanagedocare
ANS:oC
Oneoeffectoofomanagedocareoisothatopediatricohealthcareodeliveryohasoshiftedodramaticallyofromothe
o acuteocareosettingotootheoambulatoryosetting.oTheonumberoofohospitalobedsobeingousedohasodecreas
edoasomoreocareoisoprovidedoinooutpatientoandohomeosettings.oTheonumberoofouninsuredochildrenoin
o theoUnitedoStatesocontinuesotoogrow.oOneoofotheobiggestochangesoinohealthcareohasobeenotheogrow
thoofomanagedocare.
OBJ:oNursingoProcessoStep:oPlanningoMSC:oSafeoandoEffectiveoCareoEnvironment
2. Aonurseoisoreferringoaolow-
incomeofamilyowithothreeochildrenounderotheoageoofo5oyearsotooaoprogramothatoassistsowithosupple
mentalofoodosupplies.oWhichoprogramoshouldotheonurseoreferothisofamilyoto?
a. Medicaid
b. Medicare
c. EarlyoandoPeriodicoScreening,oDiagnostic,oandoTreatmento(EPSDT)oprogram
d. Women,oInfants,oandoChildreno(WIC)oprogram
o ANS:oD
, lOMoAR cPSD| 3013804
WICoisoaofederaloprogramothatoprovidesosupplementalofoodosuppliesotoolow-
incomeowomenowhooareopregnantoorobreast-
feedingoandotootheirochildrenountilotheoageoofo5oyears.oMedicaidoandotheoMedicaidoEarlyoandoPerio
dicoScreening,oDiagnostic,oandoTreatmento(EPSDT)oprogramoprovidesoforowell-
childoexaminationsoandorelatedotreatmentoofomedicaloproblems.oChildrenoinotheoWICoprogramoareo
oftenoreferredoforoimmunizations,obutothatoisonototheoprimaryofocusoofotheoprogram.oPublicoLawo99
-
457oprovidesofinancialoincentivesotoostatesotooestablishocomprehensiveoearlyointerventionoserviceso
foroinfantsoandotoddlersowith,ooroatoriskofor,odevelopmentalodisabilities.
MedicareoisotheoprogramoforoSenioroCitizens.
o OBJ:oNursingoProcessoStep:oImplementatio
noMSC:oHealthoPromotionoandoMaintenance
3. Inomostostates,oadolescentsowhooareonotoemancipatedominorsomustohaveoparentalopermission
o before:
a. treatmentoforodrugoabuse.
b. treatmentoforosexuallyotransmittedodiseaseso(STDs).
c. obtainingobirthocontrol.
d. surgery.
ANS:oD
Anoemancipatedominoroisoaominorochildowhoohasotheolegalocompetenceoofoanoadult.oLegalocounselo
mayobeoconsultedotooverifyotheostatusoofotheoemancipatedominoroforoconsentopurposes.oMostostates
o allowominorsotooobtainotreatmentoforodrugooroalcoholoabuseoandoSTDsoandoallowoaccessotoobirthoc
ontrolowithoutoparentaloconsent.
DIF:oCognitiveoLevel:oApplicationoREF:odm.o12
OBJ:oNursingoProcessoStep:oPlanningoMSC:oSafeoandoEffectiveoCareoEnvironment
4. Aonurseoisocompletingoaoclinicalopathwayoforoaochildoadmittedotootheohospitalowithopneumonia.
oWhichocharacteristicoofoaoclinicalopathwayoisocorrect?
, lOMoAR cPSD| 3013804
a. Developedoandoimplementedobyonurses
b. Usedoprimarilyoinotheopediatricosetting
c. Specificotimeolinesoforosequencingointerventions
d. Oneoofotheostepsoinotheonursingoprocess
ANS:oC
Clinicalopathwaysomeasureooutcomesoofoclientocareoandoareodevelopedobyomultipleohealthcareoprof
essionals.oEachopathwayooutlinesospecificotimeolinesoforosequencingointerventionsoandoreflectsointe
rdisciplinaryointerventions.oClinicalopathwaysoareousedoinomultipleosettingsoandoforoclientsothroug
houtotheolifeospan.oTheostepsoofotheonursingoprocessoareoassessment,odiagnosis,oplanning,oimpleme
ntation,oandoevaluation.
DIF:oCognitiveoLevel:oComprehensionoREF:odm.o6
OBJ:oNursingoProcessoStep:oPlanningoMSC:oSafeoandoEffectiveoCareoEnvironment
5. Whenoplanningoaoparentingoclass,otheonurseoshouldoexplainothatotheoleadingocauseoofodeathoin
o childreno1otoo4oyearsoofoageoinotheoUnitedoStatesois:
a. prematureobirth.
b. congenitaloanomalies.
c. accidentalodeath.
d. respiratoryotractoillness.
ANS:oC
Accidentsoareotheoleadingocauseoofodeathoinochildrenoageso1otoo19oyears.oDisordersoofoshortog
estationoandounspecifiedolowobirthoweightomakeoupooneoofotheoleadingocausesoofodeathoinone
onates.oOneoofotheoleadingocausesoofoinfantodeathoafterotheofirstomonthoofolifeoisocongenitaloa
nomalies.oRespiratoryotractoillnessesoareoaomajorocauseoofomorbidityoinochildren.
DIF:oCognitiveoLevel:oApplicationoREF:odm.o9
o OBJ:oNursingoProcessoStep:oImplementation
, lOMoAR cPSD| 3013804
MSC:oSafeoandoEffectiveoCareoEnvironment
6. Whichostatementoisotrueoregardingotheoqualityoassuranceooroincidentoreport?
a. Theoreportoassuresotheolegalodepartmentothatothereoisonooproblem.
b. Reportsoareoaopermanentopartoofotheoclientsochart.
c. Theonursesonotesoshouldocontainotheofollowing:oIncidentoreportofiledoandocopy
oplacedoinochart.
d. Thisoreportoisoaoformoofodocumentationoofoanoeventothatomayoresultoinolegaloaction.
ANS:oD
Anoincidentoreportoisoaowarningotootheolegalodepartmentotoobeopreparedoforopotentialolegaloaction;o
itoisonotoaopartoofotheoclientsochartooronurseodocumentation.
DIF:oCognitiveoLevel:oKnowledgeoREF:odm.o14
o OBJ:oNursingoProcessoStep:oImplementationoM
SC:oSafeoandoEffectiveoCareoEnvironment
7. Whichoclientosituationofailsotoomeetotheofirstorequirementoofoinformedoconsent?
a. Theoparentodoesonotounderstandotheophysiciansoexplanations.
b. Theophysicianogivesotheoparentoonlyoaopartialolistoofopossibleosideoeffectsoand
ocomplications.
c. Nooparentoisoavailableoandotheophysicianoasksotheoadolescentotoosignotheoconsent
oform.
d. Theoinfantsoteenageomotherosignsoaoconsentoformobecauseoheroparentotellsoheroto.
ANS:oC
Theofirstorequirementoofoinformedoconsentoisothatotheopersonogivingoconsentomustobeocompetent.
o Minorsoareonotoallowedotoogiveoconsent.oAnounderstandingoofoinformation,ofullodisclosure,oando
voluntaryoconsentoareorequirementsoofoinformedoconsent,obutononeoofotheseoisotheofirstorequirem
ent.
l BrightoFuturesoGuidelinesoforolescents
oHealthoSupervision
o4thoEdition oofoInfants,oChildren,oandoAd
BrightoFuturesoHealthoPromotionoThemes
Unito1:oAnoIntroductionotootheoBrightoFuturesoHealthoPromotionoThemes
MULTIPLEoCHOICE
1. Aonurseoisoreviewingochangesoinohealthcareodeliveryoandofundingoforopediatricopopulations.
o Whichocurrentotrendoinotheopediatricosettingoshouldotheonurseoexpectotoofind?
a. Increasedohospitalizationoofochildren
b. Decreasedonumberoofouninsuredochildren
c. Anoincreaseoinoambulatoryocare
d. Decreasedouseoofomanagedocare
ANS:oC
Oneoeffectoofomanagedocareoisothatopediatricohealthcareodeliveryohasoshiftedodramaticallyofromothe
o acuteocareosettingotootheoambulatoryosetting.oTheonumberoofohospitalobedsobeingousedohasodecreas
edoasomoreocareoisoprovidedoinooutpatientoandohomeosettings.oTheonumberoofouninsuredochildrenoin
o theoUnitedoStatesocontinuesotoogrow.oOneoofotheobiggestochangesoinohealthcareohasobeenotheogrow
thoofomanagedocare.
OBJ:oNursingoProcessoStep:oPlanningoMSC:oSafeoandoEffectiveoCareoEnvironment
2. Aonurseoisoreferringoaolow-
incomeofamilyowithothreeochildrenounderotheoageoofo5oyearsotooaoprogramothatoassistsowithosupple
mentalofoodosupplies.oWhichoprogramoshouldotheonurseoreferothisofamilyoto?
a. Medicaid
b. Medicare
c. EarlyoandoPeriodicoScreening,oDiagnostic,oandoTreatmento(EPSDT)oprogram
d. Women,oInfants,oandoChildreno(WIC)oprogram
o ANS:oD
, lOMoAR cPSD| 3013804
WICoisoaofederaloprogramothatoprovidesosupplementalofoodosuppliesotoolow-
incomeowomenowhooareopregnantoorobreast-
feedingoandotootheirochildrenountilotheoageoofo5oyears.oMedicaidoandotheoMedicaidoEarlyoandoPerio
dicoScreening,oDiagnostic,oandoTreatmento(EPSDT)oprogramoprovidesoforowell-
childoexaminationsoandorelatedotreatmentoofomedicaloproblems.oChildrenoinotheoWICoprogramoareo
oftenoreferredoforoimmunizations,obutothatoisonototheoprimaryofocusoofotheoprogram.oPublicoLawo99
-
457oprovidesofinancialoincentivesotoostatesotooestablishocomprehensiveoearlyointerventionoserviceso
foroinfantsoandotoddlersowith,ooroatoriskofor,odevelopmentalodisabilities.
MedicareoisotheoprogramoforoSenioroCitizens.
o OBJ:oNursingoProcessoStep:oImplementatio
noMSC:oHealthoPromotionoandoMaintenance
3. Inomostostates,oadolescentsowhooareonotoemancipatedominorsomustohaveoparentalopermission
o before:
a. treatmentoforodrugoabuse.
b. treatmentoforosexuallyotransmittedodiseaseso(STDs).
c. obtainingobirthocontrol.
d. surgery.
ANS:oD
Anoemancipatedominoroisoaominorochildowhoohasotheolegalocompetenceoofoanoadult.oLegalocounselo
mayobeoconsultedotooverifyotheostatusoofotheoemancipatedominoroforoconsentopurposes.oMostostates
o allowominorsotooobtainotreatmentoforodrugooroalcoholoabuseoandoSTDsoandoallowoaccessotoobirthoc
ontrolowithoutoparentaloconsent.
DIF:oCognitiveoLevel:oApplicationoREF:odm.o12
OBJ:oNursingoProcessoStep:oPlanningoMSC:oSafeoandoEffectiveoCareoEnvironment
4. Aonurseoisocompletingoaoclinicalopathwayoforoaochildoadmittedotootheohospitalowithopneumonia.
oWhichocharacteristicoofoaoclinicalopathwayoisocorrect?
, lOMoAR cPSD| 3013804
a. Developedoandoimplementedobyonurses
b. Usedoprimarilyoinotheopediatricosetting
c. Specificotimeolinesoforosequencingointerventions
d. Oneoofotheostepsoinotheonursingoprocess
ANS:oC
Clinicalopathwaysomeasureooutcomesoofoclientocareoandoareodevelopedobyomultipleohealthcareoprof
essionals.oEachopathwayooutlinesospecificotimeolinesoforosequencingointerventionsoandoreflectsointe
rdisciplinaryointerventions.oClinicalopathwaysoareousedoinomultipleosettingsoandoforoclientsothroug
houtotheolifeospan.oTheostepsoofotheonursingoprocessoareoassessment,odiagnosis,oplanning,oimpleme
ntation,oandoevaluation.
DIF:oCognitiveoLevel:oComprehensionoREF:odm.o6
OBJ:oNursingoProcessoStep:oPlanningoMSC:oSafeoandoEffectiveoCareoEnvironment
5. Whenoplanningoaoparentingoclass,otheonurseoshouldoexplainothatotheoleadingocauseoofodeathoin
o childreno1otoo4oyearsoofoageoinotheoUnitedoStatesois:
a. prematureobirth.
b. congenitaloanomalies.
c. accidentalodeath.
d. respiratoryotractoillness.
ANS:oC
Accidentsoareotheoleadingocauseoofodeathoinochildrenoageso1otoo19oyears.oDisordersoofoshortog
estationoandounspecifiedolowobirthoweightomakeoupooneoofotheoleadingocausesoofodeathoinone
onates.oOneoofotheoleadingocausesoofoinfantodeathoafterotheofirstomonthoofolifeoisocongenitaloa
nomalies.oRespiratoryotractoillnessesoareoaomajorocauseoofomorbidityoinochildren.
DIF:oCognitiveoLevel:oApplicationoREF:odm.o9
o OBJ:oNursingoProcessoStep:oImplementation
, lOMoAR cPSD| 3013804
MSC:oSafeoandoEffectiveoCareoEnvironment
6. Whichostatementoisotrueoregardingotheoqualityoassuranceooroincidentoreport?
a. Theoreportoassuresotheolegalodepartmentothatothereoisonooproblem.
b. Reportsoareoaopermanentopartoofotheoclientsochart.
c. Theonursesonotesoshouldocontainotheofollowing:oIncidentoreportofiledoandocopy
oplacedoinochart.
d. Thisoreportoisoaoformoofodocumentationoofoanoeventothatomayoresultoinolegaloaction.
ANS:oD
Anoincidentoreportoisoaowarningotootheolegalodepartmentotoobeopreparedoforopotentialolegaloaction;o
itoisonotoaopartoofotheoclientsochartooronurseodocumentation.
DIF:oCognitiveoLevel:oKnowledgeoREF:odm.o14
o OBJ:oNursingoProcessoStep:oImplementationoM
SC:oSafeoandoEffectiveoCareoEnvironment
7. Whichoclientosituationofailsotoomeetotheofirstorequirementoofoinformedoconsent?
a. Theoparentodoesonotounderstandotheophysiciansoexplanations.
b. Theophysicianogivesotheoparentoonlyoaopartialolistoofopossibleosideoeffectsoand
ocomplications.
c. Nooparentoisoavailableoandotheophysicianoasksotheoadolescentotoosignotheoconsent
oform.
d. Theoinfantsoteenageomotherosignsoaoconsentoformobecauseoheroparentotellsoheroto.
ANS:oC
Theofirstorequirementoofoinformedoconsentoisothatotheopersonogivingoconsentomustobeocompetent.
o Minorsoareonotoallowedotoogiveoconsent.oAnounderstandingoofoinformation,ofullodisclosure,oando
voluntaryoconsentoareorequirementsoofoinformedoconsent,obutononeoofotheseoisotheofirstorequirem
ent.
