Exam (elaborations)

Test Bank Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents 4th Edition

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Health Care

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Chamberlain College Of Nursing

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Test Bank Bright Futures Guidelines for Health Supervision of Infants,
Children, and Adolescents 4th Edition

Table of Contents
Bright Futures Health Promotion Themes ...................................................................................... 2
Unit 1: An Introduction to the Bright Futures Health Promotion Themes .................................................... 2
Unit 2: Promoting Lifelong Health for Families and Communities .............................................................. 6
Unit 3: Promoting Family Support .............................................................................................................. 12
Unit 4: Promoting Health for Children and Youth With Special Health Care Needs ................................. 17
Unit 5: Promoting Healthy Development .................................................................................................... 23
Unit 6: Promoting Mental Health ................................................................................................................ 29
Unit 7: Promoting Healthy Nutrition........................................................................................................... 34
Unit 8: Promoting Physical Activity ........................................................................................................... 39
Unit 9: Promoting Oral Health .................................................................................................................... 46
Unit 10: Promoting Healthy Sexual Development and Sexuality ............................................................... 48
Unit 11: Promoting the Healthy and Safe Use of Social Media .................................................................. 56
Unit 12: Promoting Safety and Injury Prevention ....................................................................................... 62
Bright Futures Health Supervision Visits ...................................................................................... 71
Unit 13: An Introduction to the Bright Futures Health Supervision Visits/Evidence and Rationale .......... 71
Unit 14: Infancy Visits (Prenatal Through 11 Months)............................................................................... 76
Unit 15: Prenatal Visit/Newborn Visit/First Week Visit (3 to 5 Days) ....................................................... 80
Unit 16: Early Childhood Visits (1 Through 4 Years) ................................................................................ 91
Unit 17: Middle Childhood Visits (5 Through 10 Years) ........................................................................... 95
Unit 18: Adolescence Visits (11 Through 21 Years) Early Adolescence Visits (11 Through 14 Year
Visits) Middle Adolescence Visits (15 Through 17 Year Visits)Late Adolescence Visits (18 Through 21
Year Visits) ............................................................................................................................................... 100

1|Page

, Bright Futures Health Promotion Themes
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

ANS: 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
thisfamily to?

a. Medicaid
b. Medicare
c. Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program
d. Women, Infants, and Children (WIC) program

ANS: D

WIC is a federal program that provides supplemental food supplies to low-income women whoare
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: ImplementationMSC:
Health Promotion and Maintenance
2|Page

, 3. In most states, adolescents who are not emancipated minors must have parental
permissionbefore:

a. treatment for drug abuse.
b. treatment for sexually transmitted diseases (STDs).
c. obtaining birth control.
d. surgery.

ANS: 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

ANS: 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
inchildren 1 to 4 years of age in the United States is:

a. premature birth.
b. congenital anomalies.

3|Page

, c. accidental death.
d. respiratory tract illness.

ANS: 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. 9OBJ: 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
copyplaced in chart.
d. This report is a form of documentation of an event that may result in legal action.

ANS: 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. 14OBJ: 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
andcomplications.
c. No parent is available and the physician asks the adolescent to sign the
consentform.
d. The infants teenage mother signs a consent form because her parent tells her to.

ANS: C

The first requirement of informed consent is that the person giving consent must be competent.
Minors are not allowed to give consent. An understanding of information, full disclosure, and
voluntary consent are requirements of informed consent, but none of these is the first requirement.
DIF: Cognitive Level: Comprehension REF: dm. 12 OBJ: Nursing Process Step: Implementation
MSC: Safe and Effective Care Environment

8. A nurse assigned to a child does not know how to perform a treatment that has been
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Exam (elaborations)

Test Bank Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents 4th Edition

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