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 presents to a pediatric primary care clinic
for a scheduled well-child visit. The child has no current symptoms or
diagnosed chronic conditions. Which activity best represents primary
pediatric care rather than primary prevention alone?
A. Administering an age-appropriate immunization
B. Counseling the parent about injury prevention
C. Evaluating a newly reported persistent cough and determining
whether treatment or referral is needed
D. Screening the child for developmental concerns during the well visit
Correct Answer: C. Evaluating a newly reported persistent cough and
determining whether treatment or referral is needed
Rationale: Pediatric primary care is broader than prevention. It includes
first-contact care, health supervision, screening, diagnosis and
treatment of acute and chronic conditions, and referral or coordination
for more complex problems.
Why the Other Options Are Incorrect:
A. Immunization is an important component of preventive pediatric
health care. It does not, by itself, demonstrate the broader diagnostic
and treatment functions of primary care.
B. Injury-prevention counseling is anticipatory guidance and therefore a
preventive service.
D. Developmental screening is a core preventive health-supervision
activity but does not represent the full scope of primary care.
, Question 2
Question: Which statement by a nursing student demonstrates the
correct understanding of the relationship between pediatric primary
care and primary prevention?
A. “Primary care is limited to preventing illness before it occurs.”
B. “Primary prevention is one component of the broader services
provided in primary care.”
C. “Primary prevention begins only after a child develops a chronic
condition.”
D. “Primary care and primary prevention describe the same level of
health service.”
Correct Answer: B. Primary prevention is one component of the
broader services provided in primary care.
Rationale: Primary care encompasses a broad range of services,
including prevention, health supervision, diagnosis, treatment, chronic-
condition management, and care coordination. Primary prevention is
therefore a component of primary care rather than a synonym for it.
Why the Other Options Are Incorrect:
A. Primary care also includes evaluation and management of acute and
chronic health problems.
C. Primary prevention is intended to reduce the occurrence of disease
or injury before it develops.
D. The concepts overlap but are not interchangeable; primary care
includes prevention plus many additional functions.
Question 3
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 presents to a pediatric primary care clinic
for a scheduled well-child visit. The child has no current symptoms or
diagnosed chronic conditions. Which activity best represents primary
pediatric care rather than primary prevention alone?
A. Administering an age-appropriate immunization
B. Counseling the parent about injury prevention
C. Evaluating a newly reported persistent cough and determining
whether treatment or referral is needed
D. Screening the child for developmental concerns during the well visit
Correct Answer: C. Evaluating a newly reported persistent cough and
determining whether treatment or referral is needed
Rationale: Pediatric primary care is broader than prevention. It includes
first-contact care, health supervision, screening, diagnosis and
treatment of acute and chronic conditions, and referral or coordination
for more complex problems.
Why the Other Options Are Incorrect:
A. Immunization is an important component of preventive pediatric
health care. It does not, by itself, demonstrate the broader diagnostic
and treatment functions of primary care.
B. Injury-prevention counseling is anticipatory guidance and therefore a
preventive service.
D. Developmental screening is a core preventive health-supervision
activity but does not represent the full scope of primary care.
, Question 2
Question: Which statement by a nursing student demonstrates the
correct understanding of the relationship between pediatric primary
care and primary prevention?
A. “Primary care is limited to preventing illness before it occurs.”
B. “Primary prevention is one component of the broader services
provided in primary care.”
C. “Primary prevention begins only after a child develops a chronic
condition.”
D. “Primary care and primary prevention describe the same level of
health service.”
Correct Answer: B. Primary prevention is one component of the
broader services provided in primary care.
Rationale: Primary care encompasses a broad range of services,
including prevention, health supervision, diagnosis, treatment, chronic-
condition management, and care coordination. Primary prevention is
therefore a component of primary care rather than a synonym for it.
Why the Other Options Are Incorrect:
A. Primary care also includes evaluation and management of acute and
chronic health problems.
C. Primary prevention is intended to reduce the occurrence of disease
or injury before it develops.
D. The concepts overlap but are not interchangeable; primary care
includes prevention plus many additional functions.
Question 3
