BURNS' PEDIATRIC PRIMARY CARE
8TH EDITION
Author(s)Dawn Lee Garzon, Mary Dirks, Martha Driessnack,
Karen G. Duderstadt, Nan M. Gaylord
TEST BANK
Chapter 1 — Pediatric Primary Care
Ques on 1
Clinical Scenario:
A pediatric primary care provider evaluates a 4-year-old child who presents for a rou ne health
supervision visit. The child has no acute complaints. The provider reviews growth,
developmental progress, nutri on, sleep, immuniza on status, oral health, safety prac ces,
family rela onships, and exposure to household risks.
Ques on:
Which aspect of this encounter best illustrates pediatric primary care?
A. Trea ng an acute bacterial infec on a er symptoms develop
B. Providing comprehensive health supervision that includes preven on, development, and
,an cipatory guidance
C. Screening exclusively for physical abnormali es during the examina on
D. Managing only condi ons requiring prescrip on medica on
Correct Answer:
B. Providing comprehensive health supervision that includes preven on, development, and
an cipatory guidance
Ra onale:
Pediatric primary care encompasses much more than treatment of illness. It integrates health
promo on, disease preven on, developmental surveillance, risk assessment, screening, family-
centered care, and management of acute and chronic concerns.
A is focused primarily on episodic illness care. C is too narrow because pediatric care includes
psychosocial, developmental, behavioral, and environmental issues. D incorrectly limits primary
care to pharmacologic treatment.
Clinical Pearl:
Pediatric primary care is designed to promote op mal health and development while also
iden fying and managing illness.
Tested Concept:
Scope of pediatric primary care
Cogni ve Level:
Applica on
Ques on 2
Clinical Scenario:
A parent brings a healthy 7-year-old to the clinic for an annual visit. The child has no symptoms
and no known chronic condi ons. The provider discusses bicycle safety, nutri on, physical
ac vity, school performance, sleep, emo onal well-being, and age-appropriate immuniza ons.
,Ques on:
Which interven on is the best example of primary preven on?
A. Ordering a diagnos c study for recurrent abdominal pain
B. Trea ng obesity-related hypertension
C. Teaching consistent helmet use before an injury occurs
D. Referring a child with delayed speech for therapy
Correct Answer:
C. Teaching consistent helmet use before an injury occurs
Ra onale:
Primary preven on seeks to prevent disease or injury before it occurs. Safety counseling,
immuniza on, healthy nutri on, and exercise promo on are common examples.
A is diagnos c evalua on, not primary preven on. B treats an established condi on. D
addresses an iden fied developmental concern.
Clinical Pearl:
Ask whether the interven on is intended to prevent a problem before it develops; that is the
hallmark of primary preven on.
Tested Concept:
Primary care versus primary preven on
Cogni ve Level:
Analysis
Ques on 3
Clinical Scenario:
A 13-year-old adolescent is seen for a health supervision visit. Her mother remains in the
examina on room and answers nearly every ques on. When the provider asks the adolescent
about school, mood, friendships, and safety, the mother frequently interrupts.
, Ques on:
What is the provider's best next ac on?
A. Con nue the visit en rely with the parent because the parent is responsible for the
adolescent
B. Ask the parent to leave immediately without explana on
C. Explain that part of the visit is rou nely conducted privately with adolescents
D. Avoid psychosocial ques ons because they may upset the parent
Correct Answer:
C. Explain that part of the visit is rou nely conducted privately with adolescents
Ra onale:
Private me with adolescents is an important component of developmentally appropriate
primary care. It supports confiden al communica on, promotes autonomy, and increases the
likelihood that sensi ve concerns will be disclosed.
A undermines adolescent-centered care. B may damage trust because the purpose of private
me has not been explained. D omits essen al health assessment.
Clinical Pearl:
Rou ne confiden al me with adolescents is an important strategy for obtaining accurate
psychosocial informa on and suppor ng emerging independence.
Tested Concept:
Unique issues in pediatric primary care
Cogni ve Level:
Clinical Judgment
Ques on 4
Clinical Scenario:
A 2-year-old child is brought to the clinic by a grandparent. The mother is incarcerated, and the
8TH EDITION
Author(s)Dawn Lee Garzon, Mary Dirks, Martha Driessnack,
Karen G. Duderstadt, Nan M. Gaylord
TEST BANK
Chapter 1 — Pediatric Primary Care
Ques on 1
Clinical Scenario:
A pediatric primary care provider evaluates a 4-year-old child who presents for a rou ne health
supervision visit. The child has no acute complaints. The provider reviews growth,
developmental progress, nutri on, sleep, immuniza on status, oral health, safety prac ces,
family rela onships, and exposure to household risks.
Ques on:
Which aspect of this encounter best illustrates pediatric primary care?
A. Trea ng an acute bacterial infec on a er symptoms develop
B. Providing comprehensive health supervision that includes preven on, development, and
,an cipatory guidance
C. Screening exclusively for physical abnormali es during the examina on
D. Managing only condi ons requiring prescrip on medica on
Correct Answer:
B. Providing comprehensive health supervision that includes preven on, development, and
an cipatory guidance
Ra onale:
Pediatric primary care encompasses much more than treatment of illness. It integrates health
promo on, disease preven on, developmental surveillance, risk assessment, screening, family-
centered care, and management of acute and chronic concerns.
A is focused primarily on episodic illness care. C is too narrow because pediatric care includes
psychosocial, developmental, behavioral, and environmental issues. D incorrectly limits primary
care to pharmacologic treatment.
Clinical Pearl:
Pediatric primary care is designed to promote op mal health and development while also
iden fying and managing illness.
Tested Concept:
Scope of pediatric primary care
Cogni ve Level:
Applica on
Ques on 2
Clinical Scenario:
A parent brings a healthy 7-year-old to the clinic for an annual visit. The child has no symptoms
and no known chronic condi ons. The provider discusses bicycle safety, nutri on, physical
ac vity, school performance, sleep, emo onal well-being, and age-appropriate immuniza ons.
,Ques on:
Which interven on is the best example of primary preven on?
A. Ordering a diagnos c study for recurrent abdominal pain
B. Trea ng obesity-related hypertension
C. Teaching consistent helmet use before an injury occurs
D. Referring a child with delayed speech for therapy
Correct Answer:
C. Teaching consistent helmet use before an injury occurs
Ra onale:
Primary preven on seeks to prevent disease or injury before it occurs. Safety counseling,
immuniza on, healthy nutri on, and exercise promo on are common examples.
A is diagnos c evalua on, not primary preven on. B treats an established condi on. D
addresses an iden fied developmental concern.
Clinical Pearl:
Ask whether the interven on is intended to prevent a problem before it develops; that is the
hallmark of primary preven on.
Tested Concept:
Primary care versus primary preven on
Cogni ve Level:
Analysis
Ques on 3
Clinical Scenario:
A 13-year-old adolescent is seen for a health supervision visit. Her mother remains in the
examina on room and answers nearly every ques on. When the provider asks the adolescent
about school, mood, friendships, and safety, the mother frequently interrupts.
, Ques on:
What is the provider's best next ac on?
A. Con nue the visit en rely with the parent because the parent is responsible for the
adolescent
B. Ask the parent to leave immediately without explana on
C. Explain that part of the visit is rou nely conducted privately with adolescents
D. Avoid psychosocial ques ons because they may upset the parent
Correct Answer:
C. Explain that part of the visit is rou nely conducted privately with adolescents
Ra onale:
Private me with adolescents is an important component of developmentally appropriate
primary care. It supports confiden al communica on, promotes autonomy, and increases the
likelihood that sensi ve concerns will be disclosed.
A undermines adolescent-centered care. B may damage trust because the purpose of private
me has not been explained. D omits essen al health assessment.
Clinical Pearl:
Rou ne confiden al me with adolescents is an important strategy for obtaining accurate
psychosocial informa on and suppor ng emerging independence.
Tested Concept:
Unique issues in pediatric primary care
Cogni ve Level:
Clinical Judgment
Ques on 4
Clinical Scenario:
A 2-year-old child is brought to the clinic by a grandparent. The mother is incarcerated, and the
