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 pediatric primary care practice schedules a 4-year-old child
for a routine visit. The child's mother asks why the visit includes
counseling about nutrition, sleep, safety, and development when the
child is not ill. Which response by the nurse practitioner best
distinguishes primary care from primary prevention?
A. Primary care addresses acute illness, while primary prevention is
limited to immunizations.
B. Primary care provides ongoing, comprehensive care, while primary
prevention focuses on preventing disease or injury before it occurs.
C. Primary care is provided only by physicians, while primary prevention
is provided by nurses and educators.
D. Primary care focuses on treatment, while primary prevention is
limited to screening for undiagnosed disease.
Correct Answer: B. Primary care provides ongoing, comprehensive care,
while primary prevention focuses on preventing disease or injury before
it occurs.
Rationale: Pediatric primary care is a broad, continuing approach that
includes health promotion, prevention, assessment, diagnosis,
management, and coordination of care across childhood. Primary
prevention is a component of care aimed specifically at preventing a
disease, injury, or other adverse health outcome before it develops,
such as counseling about car-seat use or providing recommended
immunizations. Therefore, primary care is the broader concept.
Why the Other Options Are Incorrect:
A. Primary care is not limited to acute illness; it also includes preventive
and health-promotion services. Primary prevention includes much more
, than immunizations, including injury prevention and healthy-lifestyle
counseling.
C. Primary care can involve multiple professionals, including physicians,
nurse practitioners, nurses, and other members of the healthcare team.
Provider discipline does not define the distinction between primary
care and primary prevention.
D. Primary care includes prevention and health promotion in addition to
diagnosis and treatment. Screening generally detects disease or risk
before symptoms develop and is not synonymous with primary
prevention.
Question 2
Question: A 6-year-old child presents to a pediatric primary care clinic
for a well-child examination. Which activity best reflects the
comprehensive role of the pediatric primary care provider?
A. Addressing only the chief complaint documented at check-in
B. Reviewing growth, development, preventive needs, family concerns,
and current health risks
C. Waiting for the school to identify developmental concerns before
evaluating the child
D. Referring all behavioral and developmental concerns to specialists
before conducting an initial assessment
Correct Answer: B. Reviewing growth, development, preventive needs,
family concerns, and current health risks
Rationale: Pediatric primary care providers provide longitudinal,
comprehensive care rather than focusing narrowly on illness. A well-
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 practice schedules a 4-year-old child
for a routine visit. The child's mother asks why the visit includes
counseling about nutrition, sleep, safety, and development when the
child is not ill. Which response by the nurse practitioner best
distinguishes primary care from primary prevention?
A. Primary care addresses acute illness, while primary prevention is
limited to immunizations.
B. Primary care provides ongoing, comprehensive care, while primary
prevention focuses on preventing disease or injury before it occurs.
C. Primary care is provided only by physicians, while primary prevention
is provided by nurses and educators.
D. Primary care focuses on treatment, while primary prevention is
limited to screening for undiagnosed disease.
Correct Answer: B. Primary care provides ongoing, comprehensive care,
while primary prevention focuses on preventing disease or injury before
it occurs.
Rationale: Pediatric primary care is a broad, continuing approach that
includes health promotion, prevention, assessment, diagnosis,
management, and coordination of care across childhood. Primary
prevention is a component of care aimed specifically at preventing a
disease, injury, or other adverse health outcome before it develops,
such as counseling about car-seat use or providing recommended
immunizations. Therefore, primary care is the broader concept.
Why the Other Options Are Incorrect:
A. Primary care is not limited to acute illness; it also includes preventive
and health-promotion services. Primary prevention includes much more
, than immunizations, including injury prevention and healthy-lifestyle
counseling.
C. Primary care can involve multiple professionals, including physicians,
nurse practitioners, nurses, and other members of the healthcare team.
Provider discipline does not define the distinction between primary
care and primary prevention.
D. Primary care includes prevention and health promotion in addition to
diagnosis and treatment. Screening generally detects disease or risk
before symptoms develop and is not synonymous with primary
prevention.
Question 2
Question: A 6-year-old child presents to a pediatric primary care clinic
for a well-child examination. Which activity best reflects the
comprehensive role of the pediatric primary care provider?
A. Addressing only the chief complaint documented at check-in
B. Reviewing growth, development, preventive needs, family concerns,
and current health risks
C. Waiting for the school to identify developmental concerns before
evaluating the child
D. Referring all behavioral and developmental concerns to specialists
before conducting an initial assessment
Correct Answer: B. Reviewing growth, development, preventive needs,
family concerns, and current health risks
Rationale: Pediatric primary care providers provide longitudinal,
comprehensive care rather than focusing narrowly on illness. A well-
