8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,Question 1
Question: A pediatric primary care nurse practitioner explains the
difference between primary care and primary prevention to a parent
during a well-child visit. Which statement best describes primary care?
A. Services designed only to prevent infectious diseases through
immunization
B. Comprehensive, continuous healthcare that addresses health
promotion, prevention, diagnosis, treatment, and follow-up
C. Treatment provided only after a child develops an acute illness
D. Community programs designed exclusively to reduce environmental
hazards
Correct Answer: B. Comprehensive, continuous healthcare that
addresses health promotion, prevention, diagnosis, treatment, and
follow-up
Rationale: Pediatric primary care is broad and continuous. It includes
health promotion and disease prevention but also encompasses
assessment, diagnosis, management of acute and chronic conditions,
anticipatory guidance, and ongoing follow-up within the context of the
child and family.
Why the Other Options Are Incorrect:
A. Immunization is an important preventive service but represents only
one component of primary prevention, not the full scope of primary
care.
B. This is correct because primary care encompasses comprehensive
and continuing services across prevention, assessment, treatment, and
follow-up.
, C. Primary care is not limited to treating children after illness occurs;
preventive and health-promoting services are integral.
D. Environmental safety programs can contribute to prevention but do
not represent the complete role of pediatric primary care.
Question 2
Question: During a routine visit, a pediatric primary care provider
discusses nutrition, sleep, physical activity, immunizations,
developmental surveillance, and injury prevention with the family of a
healthy 4-year-old. Which concept is the provider primarily
demonstrating?
A. Secondary prevention
B. Tertiary prevention
C. Health promotion within primary prevention
D. Disease-specific rehabilitation
Correct Answer: C. Health promotion within primary prevention
Rationale: Primary prevention seeks to prevent disease or injury before
it occurs. Counseling about healthy behaviors, immunizations, nutrition,
sleep, developmental needs, and injury prevention promotes health
and reduces future risk.
Why the Other Options Are Incorrect:
A. Secondary prevention focuses on early detection and treatment of
disease, such as screening for a condition.
B. Tertiary prevention aims to reduce complications and disability after
a condition is established.