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l Bright Futures GuidelinesAfdoorlH
w wesecaelnthtsS4uthpeErdvitsi on of Infants, Children, and
e e e w w w w
Bright Futures Health Promotion Themes
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Introduction to Themes w w
Promoting Lifelong Health for Families and Communities
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Promoting Family Support w w
Promoting Health for Children and Youth with Special Health
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Care Needs
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Promoting Healthy Development w w
Promoting Mental Health w w
Promoting Healthy Weight w w
Promoting Healthy Nutrition w w
Promoting Physical Activity w w
Promoting Oral Health w w
Promoting Healthy Sexual Development and Sexuality
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Promoting the Healthy and Safe Use of Social Media
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Promoting Safety and Injury Prevention
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Bright Futures Evidence and Rationale, Health Supervision Visits
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Introduction to the Health Supervision Visitsw w w w w
Evidence and Rationale w w
Infancy Visits w
Early Childhood Visits
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Middle Childhood Visits
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Adolescence Visits w
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Bright Futures Health Promotion Themes
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Unit 1: An Introduction to the Bright Futures Health Promotion Themes
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MULTIPLE CHOICE w
1. A nurse is reviewing changes in healthcare delivery and funding for pediatric
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populations.Which current trend in the pediatric setting should the nurse expect to find?
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a. Increased hospitalization of children w w w
b. Decreased number of uninsured children w w w w
c. An increase in ambulatory care
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d. Decreased use of managedcare w w w
ANS: C w
One effect of managed care is that pediatric healthcare delivery has shifted dramatically from
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theacute care setting to the ambulatory setting. The number of hospital beds being used has
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decreased as more care is provided in outpatient and home settings. The number of
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uninsured children in the United States continues to grow. One of the biggest changes in
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healthcare has been the growth of managed care.
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OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
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2. A nurse is referring a low-income family with three children under the age of 5 years to a
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program that assists with supplemental food supplies. Which program should the nurse
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referthisfamily to?
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a. Medicaid
b. Medicare
c. Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program
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d. Women, Infants, and Children (WIC) program
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w w 380 4
ANS: D
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WIC is a federal program that provides supplemental food supplies to low-income women
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wwhoare pregnant or breast-feeding and to their children until the age of 5 years. Medicaid
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wand the Medicaid Early and Periodic Screening, Diagnostic, and Treatment (EPSDT)
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program providesfor well-child examinations and related treatment of medical problems.
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wChildren in the WIC program are often referred for immunizations, but that is not the
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wprimary focus of the program.Public Law 99-457 provides financial incentives to states to
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westablish comprehensive early intervention services for infants and toddlers with, or at risk
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wfor, developmental disabilities.
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Medicare is
w w the w program for w w Senior
wCitizens. OBJ: Nursing Process Step:
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Implementation MSC: Health Promotion
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and Maintenance
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3. In w most w states, adolescents
w who
w are
w w not emancipated
w minors
w must
w w have
wparentalpermission before: w
a. treatment for drug abuse. w w w
b. treatment for sexually transmitted diseases (STDs).
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c. obtaining birth control. w w
d. surgery.
ANS: D w
An emancipated minor is a minor child who has the legal competence of an adult. Legal
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wcounselmay be consulted to verify the status of the emancipated minor for consent purposes.
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wMost statesallow minors to obtain treatment for drug or alcohol abuse and STDs and allow
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waccess to birth control without parental consent.
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DIF: Cognitive Level: Application REF: dm. 12
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OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
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4. A nurse is completing a clinical pathway for a child admitted to the hospital
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wwith pneumonia. Which characteristic of a clinical pathway is correct?
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