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 for a routine pediatric visit. The
parent asks, “Is primary care the same thing as primary prevention?”
Which response by the pediatric primary care provider is most
accurate?
A. “Yes. Primary care and primary prevention both refer only to
preventing disease before it occurs.”
B. “Primary care is a broader approach that includes preventive services
as well as evaluation and management of health concerns.”
C. “Primary care focuses on treating acute illnesses, whereas primary
prevention focuses only on chronic disease.”
D. “Primary prevention begins after a child develops symptoms, while
primary care begins before symptoms occur.”
Correct Answer: B. Primary care is a broader approach that includes
preventive services as well as evaluation and management of health
concerns.
Rationale: Pediatric primary care encompasses ongoing, comprehensive
care across childhood, including health promotion, disease prevention,
assessment of acute and chronic concerns, developmental surveillance,
anticipatory guidance, and coordination of care. Primary prevention is
one component of primary care and specifically focuses on preventing
disease or injury before it develops.
Why the Other Options Are Incorrect:
A. Primary care is broader than prevention alone and also addresses
health concerns that are already present.
, C. Primary care includes prevention and management of both acute and
chronic conditions; it is not limited to acute illness.
D. Primary prevention occurs before disease develops, but primary care
can address children both before and after symptoms appear.
Question 2
Question: Which activity best demonstrates the role of a pediatric
primary care provider during a preventive visit for a healthy 10-year-
old?
A. Treating pneumonia after an abnormal chest radiograph
B. Providing anticipatory guidance about puberty, nutrition, activity, and
injury prevention
C. Ordering intravenous antibiotics for fever
D. Referring every healthy child to a pediatric subspecialist
Correct Answer: B. Providing anticipatory guidance about puberty,
nutrition, activity, and injury prevention
Rationale: Preventive pediatric care includes health promotion,
developmental assessment, screening, anticipatory guidance,
counseling, and identification of risks before illness or injury occurs.
Guidance should be tailored to the child's developmental stage and
family circumstances.
Why the Other Options Are Incorrect:
A. Treating pneumonia is an example of disease management rather
than routine preventive care.