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Test Bank for Bright Futures Guidelines for Health Supervision of Infants, Children, and
Adolescents 4th Edition
By Joseph F Hagan
All Chapters | Expert Verified Answers | Grade A+
1|Page
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Unit 1: An Introduction to the Bright Futures Health Promotion Themes
MULTIPLE CHOICE
1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations.
Which current trend in the pediatric setting should the nurse expect to find?
a. Increased hospitalization of children
b. Decreased number of uninsured children
c. An increase in ambulatory care
d. Decreased use of managed care
ANSWER: C
One effect of managed care is that pediatric healthcare delivery has shifted dramatically from the
acute care setting to the ambulatory setting. The number of hospital beds being used has decreased
as more care is provided in outpatient and home settings. The number of uninsured children in the
United States continues to grow. One of the biggest changes in healthcare has been the growth of
managed care.
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
2. A nurse is referring a low-income family with three children under the age of 5 years to a
program that assists with supplemental food supplies. Which program should the nurse refer this
family to?
a. Medicaid
b. Medicare
c. Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program
d. Women, Infants, and Children (WIC) program
ANSWER: D
WIC is a federal program that provides supplemental food supplies to low-income women who are
pregnant or breast-feeding and to their children until the age of 5 years. Medicaid and the Medicaid
Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program provides for well-child
examinations and related treatment of medical problems. Children in the WIC program are often
referred for immunizations, but that is not the primary focus of the program. Public Law 99-457
provides financial incentives to states to establish comprehensive early intervention services for
infants and toddlers with, or at risk for, developmental disabilities.
Medicare is the program for Senior Citizens. OBJ: Nursing Process Step: Implementation MSC:
Health Promotion and Maintenance
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3. In most states, adolescents who are not emancipated minors must have parental permission
before:
a. treatment for drug abuse.
b. treatment for sexually transmitted diseases (STDs).
c. obtaining birth control.
d. surgery.
ANSWER: D
An emancipated minor is a minor child who has the legal competence of an adult. Legal counsel may
be consulted to verify the status of the emancipated minor for consent purposes. Most states allow
minors to obtain treatment for drug or alcohol abuse and STDs and allow access to birth control
without parental consent.
DIF: Cognitive Level: Application REF: dm. 12
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
4. A nurse is completing a clinical pathway for a child admitted to the hospital with
pneumonia. Which characteristic of a clinical pathway is correct?
a. Developed and implemented by nurses
b. Used primarily in the pediatric setting
c. Specific time lines for sequencing interventions
d. One of the steps in the nursing process
ANSWER: C
Clinical pathways measure outcomes of client care and are developed by multiple healthcare
professionals. Each pathway outlines specific time lines for sequencing interventions and reflects
interdisciplinary interventions. Clinical pathways are used in multiple settings and for clients
throughout the life span. The steps of the nursing process are assessment, diagnosis, planning,
implementation, and evaluation.
DIF: Cognitive Level: Comprehension REF: dm. 6
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
5. When planning a parenting class, the nurse should explain that the leading cause of death in
children 1 to 4 years of age in the United States is:
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a. premature birth.
b. congenital anomalies.
c. accidental death.
d. respiratory tract illness.
ANSWER: C
Accidents are the leading cause of death in children ages 1 to 19 years. Disorders of short gestation
and unspecified low birth weight make up one of the leading causes of death in neonates. One of the
leading causes of infant death after the first month of life is congenital anomalies. Respiratory tract
illnesses are a major cause of morbidity in children.
DIF: Cognitive Level: Application REF: dm. 9 OBJ: Nursing Process Step: Implementation
MSC: Safe and Effective Care Environment
6. Which statement is true regarding the quality assurance or incident report?
a. The report assures the legal department that there is no problem.
b. Reports are a permanent part of the clients chart.
c. The nurses notes should contain the following: Incident report filed and copy placed in
chart.
d. This report is a form of documentation of an event that may result in legal action.
ANSWER: D
An incident report is a warning to the legal department to be prepared for potential legal action; it
is not a part of the clients chart or nurse documentation.
DIF: Cognitive Level: Knowledge REF: dm. 14 OBJ: Nursing Process Step: Implementation MSC: Safe
and Effective Care Environment
7. Which client situation fails to meet the first requirement of informed consent?
a. The parent does not understand the physicians explanations.
b. The physician gives the parent only a partial list of possible side effects and complications.
c. No parent is available and the physician asks the adolescent to sign the consent form.
d. The infants teenage mother signs a consent form because her parent tells her to.
4|Page
Test Bank for Bright Futures Guidelines for Health Supervision of Infants, Children, and
Adolescents 4th Edition
By Joseph F Hagan
All Chapters | Expert Verified Answers | Grade A+
1|Page
,TESTBANKS BY TESTBANKSNERD
Unit 1: An Introduction to the Bright Futures Health Promotion Themes
MULTIPLE CHOICE
1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations.
Which current trend in the pediatric setting should the nurse expect to find?
a. Increased hospitalization of children
b. Decreased number of uninsured children
c. An increase in ambulatory care
d. Decreased use of managed care
ANSWER: C
One effect of managed care is that pediatric healthcare delivery has shifted dramatically from the
acute care setting to the ambulatory setting. The number of hospital beds being used has decreased
as more care is provided in outpatient and home settings. The number of uninsured children in the
United States continues to grow. One of the biggest changes in healthcare has been the growth of
managed care.
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
2. A nurse is referring a low-income family with three children under the age of 5 years to a
program that assists with supplemental food supplies. Which program should the nurse refer this
family to?
a. Medicaid
b. Medicare
c. Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program
d. Women, Infants, and Children (WIC) program
ANSWER: D
WIC is a federal program that provides supplemental food supplies to low-income women who are
pregnant or breast-feeding and to their children until the age of 5 years. Medicaid and the Medicaid
Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program provides for well-child
examinations and related treatment of medical problems. Children in the WIC program are often
referred for immunizations, but that is not the primary focus of the program. Public Law 99-457
provides financial incentives to states to establish comprehensive early intervention services for
infants and toddlers with, or at risk for, developmental disabilities.
Medicare is the program for Senior Citizens. OBJ: Nursing Process Step: Implementation MSC:
Health Promotion and Maintenance
2|Page
,TESTBANKS BY TESTBANKSNERD
3. In most states, adolescents who are not emancipated minors must have parental permission
before:
a. treatment for drug abuse.
b. treatment for sexually transmitted diseases (STDs).
c. obtaining birth control.
d. surgery.
ANSWER: D
An emancipated minor is a minor child who has the legal competence of an adult. Legal counsel may
be consulted to verify the status of the emancipated minor for consent purposes. Most states allow
minors to obtain treatment for drug or alcohol abuse and STDs and allow access to birth control
without parental consent.
DIF: Cognitive Level: Application REF: dm. 12
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
4. A nurse is completing a clinical pathway for a child admitted to the hospital with
pneumonia. Which characteristic of a clinical pathway is correct?
a. Developed and implemented by nurses
b. Used primarily in the pediatric setting
c. Specific time lines for sequencing interventions
d. One of the steps in the nursing process
ANSWER: C
Clinical pathways measure outcomes of client care and are developed by multiple healthcare
professionals. Each pathway outlines specific time lines for sequencing interventions and reflects
interdisciplinary interventions. Clinical pathways are used in multiple settings and for clients
throughout the life span. The steps of the nursing process are assessment, diagnosis, planning,
implementation, and evaluation.
DIF: Cognitive Level: Comprehension REF: dm. 6
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
5. When planning a parenting class, the nurse should explain that the leading cause of death in
children 1 to 4 years of age in the United States is:
3|Page
, TESTBANKS BY TESTBANKSNERD
a. premature birth.
b. congenital anomalies.
c. accidental death.
d. respiratory tract illness.
ANSWER: C
Accidents are the leading cause of death in children ages 1 to 19 years. Disorders of short gestation
and unspecified low birth weight make up one of the leading causes of death in neonates. One of the
leading causes of infant death after the first month of life is congenital anomalies. Respiratory tract
illnesses are a major cause of morbidity in children.
DIF: Cognitive Level: Application REF: dm. 9 OBJ: Nursing Process Step: Implementation
MSC: Safe and Effective Care Environment
6. Which statement is true regarding the quality assurance or incident report?
a. The report assures the legal department that there is no problem.
b. Reports are a permanent part of the clients chart.
c. The nurses notes should contain the following: Incident report filed and copy placed in
chart.
d. This report is a form of documentation of an event that may result in legal action.
ANSWER: D
An incident report is a warning to the legal department to be prepared for potential legal action; it
is not a part of the clients chart or nurse documentation.
DIF: Cognitive Level: Knowledge REF: dm. 14 OBJ: Nursing Process Step: Implementation MSC: Safe
and Effective Care Environment
7. Which client situation fails to meet the first requirement of informed consent?
a. The parent does not understand the physicians explanations.
b. The physician gives the parent only a partial list of possible side effects and complications.
c. No parent is available and the physician asks the adolescent to sign the consent form.
d. The infants teenage mother signs a consent form because her parent tells her to.
4|Page
