8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,Question 1
Question:
A 6-year-old child is seen in a pediatric primary care clinic for a routine
visit. The child's parent asks, “Isn't prevention the same thing as
primary care?” Which response by the nurse practitioner is most
accurate?
A. Primary prevention focuses only on immunizations, whereas primary
care focuses only on treatment of illness.
B. Primary care is an ongoing healthcare service that includes
prevention, health promotion, assessment, and management of health
concerns.
C. Primary care begins only after a child develops a chronic medical
condition.
D. Primary prevention is provided primarily in hospitals, whereas
primary care is provided in schools.
Correct Answer: B. Primary care is an ongoing healthcare service that
includes prevention, health promotion, assessment, and management
of health concerns.
Rationale:
Primary care encompasses continuing, accessible healthcare across the
child's development. It includes preventive services and health
promotion as well as evaluation and management of acute and chronic
concerns. Primary prevention is narrower and refers to interventions
intended to prevent disease or injury before they occur.
, Why the Other Options Are Incorrect:
A. Primary prevention includes much more than immunization, such as
injury prevention and health education. Primary care also includes
diagnosis and treatment in addition to preventive services.
C. Primary care is not limited to chronic illness; it includes routine
health supervision and care of acute concerns.
D. Primary prevention is not primarily hospital based and may occur in
many community and primary care settings.
Question 2
Question:
A parent brings a healthy 4-year-old child for a well-child examination.
Which action best demonstrates the preventive focus of pediatric
primary care?
A. Waiting for the parent to report developmental concerns before
assessing development
B. Screening for health risks and providing anticipatory guidance
appropriate for the child's developmental stage
C. Ordering extensive diagnostic testing despite the absence of
concerning findings
D. Focusing the visit only on the child's current physical symptoms
Correct Answer: B. Screening for health risks and providing
anticipatory guidance appropriate for the child's developmental stage
Rationale:
Pediatric primary care emphasizes prevention through routine
screening, developmental surveillance, health promotion, and