Test Bank For Bright Futures Guidelines for
Health Supervision of Infants, Children, and
Adolescents 4th Edition Study Guide
SECTION 1: HEALTH PROMOTION
THEMES (Chapters 1–13)
Chapter 1: An Introduction to the Bright
Futures Health Promotion Themes
Question 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
1
,c. An increase in ambulatory care
d. Decreased use of managed care
Answer: c. An increase in ambulatory care
Rationale: 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.
2
,Question 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
Answer: d. Women, Infants, and Children
(WIC) program
3
, Rationale: 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 EPSDT
program provides for well-child examinations
and related treatment of medical problems.
Medicare is the program for Senior Citizens.
Question 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).
4
Health Supervision of Infants, Children, and
Adolescents 4th Edition Study Guide
SECTION 1: HEALTH PROMOTION
THEMES (Chapters 1–13)
Chapter 1: An Introduction to the Bright
Futures Health Promotion Themes
Question 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
1
,c. An increase in ambulatory care
d. Decreased use of managed care
Answer: c. An increase in ambulatory care
Rationale: 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.
2
,Question 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
Answer: d. Women, Infants, and Children
(WIC) program
3
, Rationale: 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 EPSDT
program provides for well-child examinations
and related treatment of medical problems.
Medicare is the program for Senior Citizens.
Question 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).
4
