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 6-month-old infant is brought to a pediatric primary care practice for
a scheduled well-child visit. The PNP reviews growth, development,
immunizations, feeding, sleep, injury prevention, and family concerns.
Which statement best describes the role of primary care in this
encounter?
A. It is limited to preventing infectious diseases through immunizations.
B. It provides continuous, comprehensive care that includes prevention,
health promotion, and management of health problems.
C. It focuses primarily on treating acute illness after symptoms develop.
D. It consists mainly of screening children and referring all abnormal
findings to specialists.
Correct Answer: B. It provides continuous, comprehensive care that
includes prevention, health promotion, and management of health
problems.
Rationale:
Pediatric primary care is broader than disease prevention alone. It is
designed to provide accessible, continuous, comprehensive,
coordinated, and family-centered care that includes health supervision,
anticipatory guidance, developmental monitoring, screening, diagnosis
and treatment of acute and chronic conditions, and referral when
needed.
Why the Other Options Are Incorrect:
A. Immunization is an important preventive service but represents only
, one component of pediatric primary care. Primary care also addresses
development, nutrition, behavior, chronic illness, acute illness, and
family needs.
C. Treatment of acute illness is part of primary care, but primary care is
not primarily reactive. Prevention and health promotion are integrated
throughout longitudinal care.
D. Screening is important, but primary care clinicians also interpret
findings, initiate appropriate management, provide counseling, and
coordinate referrals when indicated.
Question 2
Question:
A PNP explains to a nursing student that the terms primary care and
primary prevention should not be used interchangeably. Which
example best represents primary prevention?
A. Diagnosing pneumonia in a child with fever and cough
B. Referring a child with suspected autism for developmental evaluation
C. Administering an age-appropriate vaccine before the child develops
the target infection
D. Adjusting asthma therapy after a child develops persistent symptoms
Correct Answer: C. Administering an age-appropriate vaccine before
the child develops the target infection
Rationale:
Primary prevention consists of interventions intended to prevent
disease before it occurs, such as immunization and appropriate risk-
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,Question 1
Question:
A 6-month-old infant is brought to a pediatric primary care practice for
a scheduled well-child visit. The PNP reviews growth, development,
immunizations, feeding, sleep, injury prevention, and family concerns.
Which statement best describes the role of primary care in this
encounter?
A. It is limited to preventing infectious diseases through immunizations.
B. It provides continuous, comprehensive care that includes prevention,
health promotion, and management of health problems.
C. It focuses primarily on treating acute illness after symptoms develop.
D. It consists mainly of screening children and referring all abnormal
findings to specialists.
Correct Answer: B. It provides continuous, comprehensive care that
includes prevention, health promotion, and management of health
problems.
Rationale:
Pediatric primary care is broader than disease prevention alone. It is
designed to provide accessible, continuous, comprehensive,
coordinated, and family-centered care that includes health supervision,
anticipatory guidance, developmental monitoring, screening, diagnosis
and treatment of acute and chronic conditions, and referral when
needed.
Why the Other Options Are Incorrect:
A. Immunization is an important preventive service but represents only
, one component of pediatric primary care. Primary care also addresses
development, nutrition, behavior, chronic illness, acute illness, and
family needs.
C. Treatment of acute illness is part of primary care, but primary care is
not primarily reactive. Prevention and health promotion are integrated
throughout longitudinal care.
D. Screening is important, but primary care clinicians also interpret
findings, initiate appropriate management, provide counseling, and
coordinate referrals when indicated.
Question 2
Question:
A PNP explains to a nursing student that the terms primary care and
primary prevention should not be used interchangeably. Which
example best represents primary prevention?
A. Diagnosing pneumonia in a child with fever and cough
B. Referring a child with suspected autism for developmental evaluation
C. Administering an age-appropriate vaccine before the child develops
the target infection
D. Adjusting asthma therapy after a child develops persistent symptoms
Correct Answer: C. Administering an age-appropriate vaccine before
the child develops the target infection
Rationale:
Primary prevention consists of interventions intended to prevent
disease before it occurs, such as immunization and appropriate risk-
