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

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l BrightiFuturesiGuidelinesiforiHealth
scentsiSupervision
i4thiEdition iofiInfants,iChildren,iandiAdole



BrightiFuturesiHealthiPromotioniThemes
Uniti1:iAniIntroductionitoitheiBrightiFuturesiHealthiPromotioniThemes

MULTIPLEiCHOICE

1. Ainurseiisireviewingichangesiinihealthcareideliveryiandifundingiforipediatricipopulations.iW
hichicurrentitrendiinitheipediatricisettingishoulditheinurseiexpectitoifind?

a. Increasedihospitalizationiofichildren
b. Decreasedinumberiofiuninsuredichildren
c. Aniincreaseiiniambulatoryicare
d. Decreasediuseiofimanagedicare


ANS:iC

Oneieffectiofimanagedicareiisithatipediatricihealthcareideliveryihasishiftedidramaticallyifromitheiacu
teicareisettingitoitheiambulatoryisetting.iTheinumberiofihospitalibedsibeingiusedihasidecreasediasimo
reicareiisiprovidediinioutpatientiandihomeisettings.iTheinumberiofiuninsuredichildreniinitheiUnitediS
tatesicontinuesitoigrow.iOneiofitheibiggestichangesiinihealthcareihasibeenitheigrowthiofimanagedicar
e.

OBJ:iNursingiProcessiStep:iPlanningiMSC:iSafeiandiEffectiveiCareiEnvironment

2. Ainurseiisireferringiailow-
incomeifamilyiwithithreeichildreniunderitheiageiofi5iyearsitoiaiprogramithatiassistsiwithisupplement
alifoodisupplies.iWhichiprogramishoulditheinurseireferithisifamilyito?

a. Medicaid
b. Medicare
c. EarlyiandiPeriodiciScreening,iDiagnostic,iandiTreatmenti(EPSDT)iprogram
d. Women,iInfants,iandiChildreni(WIC)iprogrami


ANS:iD

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WICiisiaifederaliprogramithatiprovidesisupplementalifoodisuppliesitoilow-
incomeiwomeniwhoiareipregnantioribreast-
feedingianditoitheirichildreniuntilitheiageiofi5iyears.iMedicaidianditheiMedicaidiEarlyiandiPeriodiciS
creening,iDiagnostic,iandiTreatmenti(EPSDT)iprogramiprovidesiforiwell-
childiexaminationsiandirelateditreatmentiofimedicaliproblems.iChildreniinitheiWICiprogramiareiofte
nireferrediforiimmunizations,ibutithatiisinotitheiprimaryifocusiofitheiprogram.iPubliciLawi99-
457iprovidesifinancialiincentivesitoistatesitoiestablishicomprehensiveiearlyiinterventioniservicesifori
infantsianditoddlersiwith,ioriatiriskifor,idevelopmentalidisabilities.
MedicareiisitheiprogramiforiSenioriCitizens.i

OBJ:iNursingiProcessiStep:iImplementationi

MSC:iHealthiPromotioniandiMaintenance

3. Inimostistates,iadolescentsiwhoiareinotiemancipatediminorsimustihaveiparentalipermissionibe
fore:

a. treatmentiforidrugiabuse.
b. treatmentiforisexuallyitransmittedidiseasesi(STDs).
c. obtainingibirthicontrol.
d. surgery.


ANS:iD

Aniemancipatediminoriisiaiminorichildiwhoihasitheilegalicompetenceiofianiadult.iLegalicounselimayi
beiconsulteditoiverifyitheistatusiofitheiemancipatediminoriforiconsentipurposes.iMostistatesiallowimi
norsitoiobtainitreatmentiforidrugiorialcoholiabuseiandiSTDsiandiallowiaccessitoibirthicontroliwithout
parentaliconsent.
i




DIF:iCognitiveiLevel:iApplicationiREF:idm.i12

OBJ:iNursingiProcessiStep:iPlanningiMSC:iSafeiandiEffectiveiCareiEnvironment

4. Ainurseiisicompletingiaiclinicalipathwayiforiaichildiadmitteditoitheihospitaliwithipneumonia.iWh
ichicharacteristiciofiaiclinicalipathwayiisicorrect?

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a. Developediandiimplementedibyinurses
b. Usediprimarilyiinitheipediatricisetting
c. Specificitimeilinesiforisequencingiinterventions
d. Oneiofitheistepsiinitheinursingiprocess


ANS:iC

Clinicalipathwaysimeasureioutcomesioficlienticareiandiareidevelopedibyimultipleihealthcareiprofess
ionals.iEachipathwayioutlinesispecificitimeilinesiforisequencingiinterventionsiandireflectsiinterdisci
plinaryiinterventions.iClinicalipathwaysiareiusediinimultipleisettingsiandiforiclientsithroughoutitheili
feispan.iTheistepsiofitheinursingiprocessiareiassessment,idiagnosis,iplanning,iimplementation,iandie
valuation.

DIF:iCognitiveiLevel:iComprehensioniREF:idm.i6

OBJ:iNursingiProcessiStep:iPlanningiMSC:iSafeiandiEffectiveiCareiEnvironment

5. Wheniplanningiaiparentingiclass,itheinurseishouldiexplainithatitheileadingicauseiofideathiinichil
dreni1itoi4iyearsiofiageiinitheiUnitediStatesiis:

a. prematureibirth.
b. congenitalianomalies.
c. accidentalideath.
d. respiratoryitractiillness.


ANS:iC

Accidentsiareitheileadingicauseiofideathiinichildreniagesi1itoi19iyears.iDisordersiofishortigestat
ioniandiunspecifiedilowibirthiweightimakeiupioneiofitheileadingicausesiofideathiinineonates.iO
neiofitheileadingicausesiofiinfantideathiafteritheifirstimonthiofilifeiisicongenitalianomalies.iRes
piratoryitractiillnessesiareiaimajoricauseiofimorbidityiinichildren.

DIF:iCognitiveiLevel:iApplicationiREF:idm.i9i

OBJ:iNursingiProcessiStep:iImplementation

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MSC:iSafeiandiEffectiveiCareiEnvironment

6. Whichistatementiisitrueiregardingitheiqualityiassuranceioriincidentireport?

a. Theireportiassuresitheilegalidepartmentithatithereiisinoiproblem.
b. Reportsiareiaipermanentipartiofitheiclientsichart.
c. Theinursesinotesishouldicontainitheifollowing:iIncidentireportifilediandicopyipl
acediinichart.
d. Thisireportiisiaiformiofidocumentationiofianieventithatimayiresultiinilegaliaction.


ANS:iD

Aniincidentireportiisiaiwarningitoitheilegalidepartmentitoibeipreparediforipotentialilegaliaction;iitiisi
notiaipartiofitheiclientsichartiorinurseidocumentation.

DIF:iCognitiveiLevel:iKnowledgeiREF:idm.i14i

OBJ:iNursingiProcessiStep:iImplementationiMS

C:iSafeiandiEffectiveiCareiEnvironment

7. Whichiclientisituationifailsitoimeetitheifirstirequirementiofiinformediconsent?

a. Theiparentidoesinotiunderstanditheiphysiciansiexplanations.
b. Theiphysicianigivesitheiparentionlyiaipartialilistiofipossibleisideieffectsiandico
mplications.
c. Noiparentiisiavailableianditheiphysicianiasksitheiadolescentitoisignitheiconsentifor
m.
d. Theiinfantsiteenageimotherisignsiaiconsentiformibecauseiheriparentitellsiherito.


ANS:iC

Theifirstirequirementiofiinformediconsentiisithatitheipersonigivingiconsentimustibeicompetent.iMi
norsiareinotialloweditoigiveiconsent.iAniunderstandingiofiinformation,ifullidisclosure,iandivolunta
ryiconsentiareirequirementsiofiinformediconsent,ibutinoneiofitheseiisitheifirstirequirement.