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 4-year-old child is seen in a pediatric primary care clinic for a routine
visit. The NP reviews growth, development, immunization status,
nutrition, sleep, dental care, and injury-prevention practices and
identifies a need for counseling about helmet use. Which statement
best describes the primary care provided during this visit?
A. It is primarily treatment of an existing acute illness.
B. It combines health promotion, disease prevention, assessment, and
management across childhood.
C. It is limited to screening for developmental disorders.
D. It focuses primarily on preventing future disease through population-
level interventions.
Correct Answer: B. It combines health promotion, disease prevention,
assessment, and management across childhood.
Rationale:
Pediatric primary care encompasses comprehensive, continuous care
that includes health promotion, preventive services, developmental
surveillance, screening, diagnosis and management of common
conditions, anticipatory guidance, and family education. A routine well-
child visit therefore represents much more than disease prevention
alone. Primary prevention is one component of primary care, whereas
primary care is a broader model of ongoing healthcare delivery.
Why the Other Options Are Incorrect:
A. Primary care includes acute illness management but is not limited to
treating existing illnesses.
C. Developmental assessment is important, but pediatric primary care
, addresses many additional physical, behavioral, preventive, and family-
related needs.
D. Population-level disease prevention is associated more closely with
public health; pediatric primary care is delivered directly to individual
children and their families.
Question 2
Question:
A parent asks why a pediatric primary care clinician spends time
discussing nutrition, sleep, physical activity, and injury prevention when
the child is healthy. Which response by the NP is most appropriate?
A. "These topics are mainly discussed because healthy children rarely
need medical treatment."
B. "Preventive counseling helps identify and reduce risks before illness
or injury develops."
C. "These topics are required only for children with chronic conditions."
D. "The primary purpose is to document that routine counseling was
completed."
Correct Answer: B. "Preventive counseling helps identify and reduce
risks before illness or injury develops."
Rationale:
Primary prevention focuses on reducing the occurrence of disease or
injury by addressing risk factors before a problem develops. Pediatric
primary care is especially well suited to prevention because clinicians
have repeated opportunities to provide anticipatory guidance and
support healthy behaviors throughout development.
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,Question 1
Question:
A 4-year-old child is seen in a pediatric primary care clinic for a routine
visit. The NP reviews growth, development, immunization status,
nutrition, sleep, dental care, and injury-prevention practices and
identifies a need for counseling about helmet use. Which statement
best describes the primary care provided during this visit?
A. It is primarily treatment of an existing acute illness.
B. It combines health promotion, disease prevention, assessment, and
management across childhood.
C. It is limited to screening for developmental disorders.
D. It focuses primarily on preventing future disease through population-
level interventions.
Correct Answer: B. It combines health promotion, disease prevention,
assessment, and management across childhood.
Rationale:
Pediatric primary care encompasses comprehensive, continuous care
that includes health promotion, preventive services, developmental
surveillance, screening, diagnosis and management of common
conditions, anticipatory guidance, and family education. A routine well-
child visit therefore represents much more than disease prevention
alone. Primary prevention is one component of primary care, whereas
primary care is a broader model of ongoing healthcare delivery.
Why the Other Options Are Incorrect:
A. Primary care includes acute illness management but is not limited to
treating existing illnesses.
C. Developmental assessment is important, but pediatric primary care
, addresses many additional physical, behavioral, preventive, and family-
related needs.
D. Population-level disease prevention is associated more closely with
public health; pediatric primary care is delivered directly to individual
children and their families.
Question 2
Question:
A parent asks why a pediatric primary care clinician spends time
discussing nutrition, sleep, physical activity, and injury prevention when
the child is healthy. Which response by the NP is most appropriate?
A. "These topics are mainly discussed because healthy children rarely
need medical treatment."
B. "Preventive counseling helps identify and reduce risks before illness
or injury develops."
C. "These topics are required only for children with chronic conditions."
D. "The primary purpose is to document that routine counseling was
completed."
Correct Answer: B. "Preventive counseling helps identify and reduce
risks before illness or injury develops."
Rationale:
Primary prevention focuses on reducing the occurrence of disease or
injury by addressing risk factors before a problem develops. Pediatric
primary care is especially well suited to prevention because clinicians
have repeated opportunities to provide anticipatory guidance and
support healthy behaviors throughout development.
