l Bright HFutures HGuidelines
HChildren, HandHfor HHealth HSupervision
HAdolescents H4th HEditionHof HInfants,
Bright HFutures HHealth HPromotion HThemes
Unit H1: HAn HIntroduction Hto Hthe HBright HFutures HHealth HPromotion HThemes
MULTIPLE HCHOICE
1. A Hnurse His Hreviewing Hchanges Hin Hhealthcare Hdelivery Hand Hfunding Hfor
Hpediatric Hpopulations. HWhich Hcurrent Htrend Hin Hthe Hpediatric Hsetting Hshould
Hthe Hnurse Hexpect Hto Hfind?
a. Increased Hhospitalization Hof Hchildren
b. Decreased Hnumber Hof Huninsured Hchildren
c. An Hincrease Hin Hambulatory Hcare
d. Decreased Huse Hof Hmanaged Hcare
ANS: HC
One Heffect Hof Hmanaged Hcare His Hthat Hpediatric Hhealthcare Hdelivery Hhas Hshifted
Hdramatically Hfrom Hthe Hacute Hcare Hsetting Hto Hthe Hambulatory Hsetting. HThe
Hnumber Hof Hhospital Hbeds Hbeing Hused Hhas Hdecreased Has Hmore Hcare His
Hprovided Hin Houtpatient Hand Hhome Hsettings. HThe Hnumber Hof Huninsured Hchildren
Hin Hthe HUnited HStates Hcontinues Hto Hgrow. HOne Hof Hthe Hbiggest Hchanges Hin
Hhealthcare Hhas Hbeen Hthe Hgrowth Hof Hmanaged Hcare.
OBJ: HNursing HProcess HStep: HPlanning HMSC: HSafe Hand HEffective HCare
HEnvironment
2. A Hnurse His Hreferring Ha Hlow-income Hfamily Hwith Hthree Hchildren Hunder Hthe
Hage Hof H5 Hyears Hto Ha Hprogram Hthat Hassists Hwith Hsupplemental Hfood Hsupplies.
HWhich Hprogram Hshould Hthe Hnurse Hrefer Hthis Hfamily Hto?
a. Medicaid
b. Medicare
c. Early Hand HPeriodic HScreening, HDiagnostic, Hand HTreatment H(EPSDT) Hprogram
d. Women, HInfants, Hand HChildren H(WIC)
Hprogram HANS: HD
, lOMoAR cPSD| 3013804
WIC His Ha Hfederal Hprogram Hthat Hprovides Hsupplemental Hfood Hsupplies Hto Hlow-
income Hwomen Hwho Hare Hpregnant Hor Hbreast-feeding Hand Hto Htheir Hchildren Huntil
Hthe Hage Hof H5 Hyears. HMedicaid Hand Hthe HMedicaid HEarly Hand HPeriodic
HScreening, HDiagnostic, Hand HTreatment H(EPSDT) Hprogram Hprovides Hfor Hwell-child
Hexaminations Hand Hrelated Htreatment Hof Hmedical Hproblems. HChildren Hin Hthe
HWIC Hprogram Hare Hoften Hreferred Hfor Himmunizations, Hbut Hthat His Hnot Hthe
Hprimary Hfocus Hof Hthe Hprogram. HPublic HLaw H99-457 Hprovides Hfinancial
Hincentives Hto Hstates Hto Hestablish Hcomprehensive Hearly Hintervention Hservices Hfor
Hinfants Hand Htoddlers Hwith, Hor Hat Hrisk Hfor, Hdevelopmental Hdisabilities.
Medicare His Hthe Hprogram Hfor HSenior
HCitizens. HOBJ: HNursing HProcess
HStep: HImplementation HMSC: HHealth
HPromotion Hand HMaintenance
3. In Hmost Hstates, Hadolescents Hwho Hare Hnot Hemancipated Hminors Hmust Hhave
Hparental Hpermission Hbefore:
a. treatment Hfor Hdrug Habuse.
b. treatment Hfor Hsexually Htransmitted Hdiseases H(STDs).
c. obtaining Hbirth Hcontrol.
d. surgery.
ANS: HD
An Hemancipated Hminor His Ha Hminor Hchild Hwho Hhas Hthe Hlegal Hcompetence Hof
Han Hadult. HLegal Hcounsel Hmay Hbe Hconsulted Hto Hverify Hthe Hstatus Hof Hthe
Hemancipated Hminor Hfor Hconsent Hpurposes. HMost Hstates Hallow Hminors Hto Hobtain
Htreatment Hfor Hdrug Hor Halcohol Habuse Hand HSTDs Hand Hallow Haccess Hto Hbirth
Hcontrol Hwithout Hparental Hconsent.
DIF: HCognitive HLevel: HApplication HREF: Hdm. H12
OBJ: HNursing HProcess HStep: HPlanning HMSC: HSafe Hand HEffective HCare
HEnvironment
4. A Hnurse His Hcompleting Ha Hclinical Hpathway Hfor Ha Hchild Hadmitted Hto Hthe
, lOMoAR cPSD| 3013804
Hhospital Hwith Hpneumonia. HWhich Hcharacteristic Hof Ha Hclinical Hpathway His
Hcorrect?
, lOMoAR cPSD| 3013804
a. Developed Hand Himplemented Hby Hnurses
b. Used Hprimarily Hin Hthe Hpediatric Hsetting
c. Specific Htime Hlines Hfor Hsequencing Hinterventions
d. One Hof Hthe Hsteps Hin Hthe Hnursing Hprocess
ANS: HC
Clinical Hpathways Hmeasure Houtcomes Hof Hclient Hcare Hand Hare Hdeveloped Hby
Hmultiple Hhealthcare Hprofessionals. HEach Hpathway Houtlines Hspecific Htime Hlines Hfor
Hsequencing Hinterventions Hand Hreflects Hinterdisciplinary Hinterventions. HClinical
Hpathways Hare Hused Hin Hmultiple Hsettings Hand Hfor Hclients Hthroughout Hthe Hlife
Hspan. HThe Hsteps Hof Hthe Hnursing Hprocess Hare Hassessment, Hdiagnosis, Hplanning,
Himplementation, Hand Hevaluation.
DIF: HCognitive HLevel: HComprehension HREF: Hdm. H6
OBJ: HNursing HProcess HStep: HPlanning HMSC: HSafe Hand HEffective HCare
HEnvironment
5. When Hplanning Ha Hparenting Hclass, Hthe Hnurse Hshould Hexplain Hthat Hthe
Hleading Hcause Hof Hdeath Hin Hchildren H1 Hto H4 Hyears Hof Hage Hin Hthe HUnited
HStates His:
a. premature Hbirth.
b. congenital Hanomalies.
c. accidental Hdeath.
d. respiratory Htract Hillness.
ANS: HC
Accidents Hare Hthe Hleading Hcause Hof Hdeath Hin Hchildren Hages H1 Hto H19
Hyears. HDisorders Hof Hshort Hgestation Hand Hunspecified Hlow Hbirth Hweight
Hmake Hup Hone Hof Hthe Hleading Hcauses Hof Hdeath Hin Hneonates. HOne Hof
Hthe Hleading Hcauses Hof Hinfant Hdeath Hafter Hthe Hfirst Hmonth Hof Hlife His
Hcongenital Hanomalies. HRespiratory Htract Hillnesses Hare Ha Hmajor Hcause Hof
Hmorbidity Hin Hchildren.
DIF: HCognitive HLevel: HApplication