lOMoAR cPSD| 3013804
THIS DOCUMENT BELONGS TO TESTBANKSPROF
Test Bank for Bright Futures: Health Supervision Guidelines for
Infants, Children, and Adolescents, 4th Edition
by Joseph F. Hagan
Verified Questions & Answers | Graded A+
~1~
, lOMoAR cPSD| 3013804
THIS DOCUMENT BELONGS TO TESTBANKSPROF
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
CORRECT 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 CORRECT ANSWER: D
~2~
, lOMoAR cPSD| 3013804
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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
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.
CORRECT 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?
~3~
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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
CORRECT 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:
a. premature birth.
b. congenital anomalies.
c. accidental death.
d. respiratory tract illness.
CORRECT 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
~4~
THIS DOCUMENT BELONGS TO TESTBANKSPROF
Test Bank for Bright Futures: Health Supervision Guidelines for
Infants, Children, and Adolescents, 4th Edition
by Joseph F. Hagan
Verified Questions & Answers | Graded A+
~1~
, lOMoAR cPSD| 3013804
THIS DOCUMENT BELONGS TO TESTBANKSPROF
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
CORRECT 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 CORRECT ANSWER: D
~2~
, lOMoAR cPSD| 3013804
THIS DOCUMENT BELONGS TO TESTBANKSPROF
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
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.
CORRECT 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?
~3~
, lOMoAR cPSD| 3013804
THIS DOCUMENT BELONGS TO TESTBANKSPROF
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
CORRECT 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:
a. premature birth.
b. congenital anomalies.
c. accidental death.
d. respiratory tract illness.
CORRECT 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
~4~
