TEST BANK For: Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents 4th Edition | ultimate Guide' guaranteed succes!!!

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l Bright Futures GuidelinesAdolescents
kr kr for Health Supervision
kr kr kr 4th Edition of Infants, Children, and
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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 kr




1. A nurse is reviewing changes in healthcare delivery and funding for pediatric
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kr populations. Which current trend in the pediatric setting should the nurse expect to find?
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a. Increased hospitalization of children kr kr kr




b. Decreased number of uninsured children kr kr kr kr




c. An increase in ambulatory care
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d. Decreased use of managed care kr kr kr kr




ANS: C kr




One effect of managed care is that pediatric healthcare delivery has shifted dramatically from
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kr the acute care setting to the ambulatory setting. The number of hospital beds being used has
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kr decreased as more care is provided in outpatient and home settings. The number of uninsured
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kr children in the United States continues to grow. One of the biggest changes in healthcare has
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kr 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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kr program that assists with supplemental food supplies. Which program should the nurse refer
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this family 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) kr kr kr kr




kr program ANS: D kr kr

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WIC is a federal program that provides supplemental food supplies to low-income women who
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kr are pregnant or breast-feeding and to their children until the age of 5 years. Medicaid and the
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kr Medicaid Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program provides
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kr for well-child examinations and related treatment of medical problems. Children in the WIC
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kr program are often referred for immunizations, but that is not the primary focus of the program.
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kr Public Law 99-457 provides financial incentives to states to establish comprehensive early
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kr intervention services for infants and toddlers with, or at risk for, developmental disabilities.
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Medicare is kr the
kr program
kr for Senior
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kr Citizens. OBJ: Nursing Process Step: kr kr kr kr




kr Implementation MSC: Health Promotion kr kr kr




kr and Maintenance
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3. In most states, adolescents who are not emancipated minors must have parental
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permission before:
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a. treatment for drug abuse. kr kr kr




b. treatment for sexually transmitted diseases (STDs). kr kr kr kr kr




c. obtaining birth control. kr kr




d. surgery.


ANS: D kr




An emancipated minor is a minor child who has the legal competence of an adult. Legal
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kr counsel may be consulted to verify the status of the emancipated minor for consent purposes.
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kr Most states allow minors to obtain treatment for drug or alcohol abuse and STDs and allow
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kr access 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 with
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pneumonia. Which characteristic of a clinical pathway is correct?
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