Burns' Pediatric Primary Care
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,Question 1
Question:
A 7-year-old child presents to a pediatric primary care clinic for a
routine annual examination. The child has no acute symptoms, and the
parent reports no current concerns. Which action best represents
primary care rather than primary prevention?
A. Administering an age-appropriate vaccine
B. Counseling the family about bicycle helmet use
C. Coordinating evaluation for a newly identified learning concern
D. Discussing healthy nutrition and physical activity
Correct Answer: C. Coordinating evaluation for a newly identified
learning concern
Rationale:
Primary care encompasses comprehensive, continuous care that
includes prevention, health promotion, diagnosis, treatment,
coordination, and follow-up. Identifying and coordinating evaluation of
a learning concern is a clinical service within primary care, whereas
immunization, injury counseling, and lifestyle counseling are examples
of primary prevention activities.
Why the Other Options Are Incorrect:
A. Administering a vaccine is an example of primary prevention because
it reduces the risk of future disease.
B. Bicycle helmet counseling is injury-prevention counseling and
therefore represents primary prevention.
, D. Nutrition and physical-activity counseling are health-promotion and
disease-prevention interventions.
Question 2
Question:
A family asks why their child needs routine preventive visits when the
child appears healthy. Which response by the pediatric primary care
provider is most appropriate?
A. “Preventive visits are mainly used to identify illnesses before
symptoms become severe.”
B. “These visits provide opportunities to assess development, identify
risks, promote healthy behaviors, and address emerging concerns.”
C. “Preventive visits are necessary primarily so children can receive
required immunizations.”
D. “A healthy child does not need additional evaluation unless a
problem develops.”
Correct Answer: B. “These visits provide opportunities to assess
development, identify risks, promote healthy behaviors, and address
emerging concerns.”
Rationale:
Pediatric primary care extends beyond disease detection.
Comprehensive health supervision includes growth and developmental
assessment, preventive screening, anticipatory guidance, risk
assessment, family concerns, and health promotion. Bright Futures
similarly emphasizes a broad preventive framework rather than
focusing only on immunizations or illness detection. (AAP)
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,Question 1
Question:
A 7-year-old child presents to a pediatric primary care clinic for a
routine annual examination. The child has no acute symptoms, and the
parent reports no current concerns. Which action best represents
primary care rather than primary prevention?
A. Administering an age-appropriate vaccine
B. Counseling the family about bicycle helmet use
C. Coordinating evaluation for a newly identified learning concern
D. Discussing healthy nutrition and physical activity
Correct Answer: C. Coordinating evaluation for a newly identified
learning concern
Rationale:
Primary care encompasses comprehensive, continuous care that
includes prevention, health promotion, diagnosis, treatment,
coordination, and follow-up. Identifying and coordinating evaluation of
a learning concern is a clinical service within primary care, whereas
immunization, injury counseling, and lifestyle counseling are examples
of primary prevention activities.
Why the Other Options Are Incorrect:
A. Administering a vaccine is an example of primary prevention because
it reduces the risk of future disease.
B. Bicycle helmet counseling is injury-prevention counseling and
therefore represents primary prevention.
, D. Nutrition and physical-activity counseling are health-promotion and
disease-prevention interventions.
Question 2
Question:
A family asks why their child needs routine preventive visits when the
child appears healthy. Which response by the pediatric primary care
provider is most appropriate?
A. “Preventive visits are mainly used to identify illnesses before
symptoms become severe.”
B. “These visits provide opportunities to assess development, identify
risks, promote healthy behaviors, and address emerging concerns.”
C. “Preventive visits are necessary primarily so children can receive
required immunizations.”
D. “A healthy child does not need additional evaluation unless a
problem develops.”
Correct Answer: B. “These visits provide opportunities to assess
development, identify risks, promote healthy behaviors, and address
emerging concerns.”
Rationale:
Pediatric primary care extends beyond disease detection.
Comprehensive health supervision includes growth and developmental
assessment, preventive screening, anticipatory guidance, risk
assessment, family concerns, and health promotion. Bright Futures
similarly emphasizes a broad preventive framework rather than
focusing only on immunizations or illness detection. (AAP)
