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 nurse practitioner (PNP) is explaining the
difference between primary care and primary prevention to a group of
nursing students. Which statement best describes primary care?
A. It consists only of interventions performed before a disease
develops.
B. It provides accessible, continuous, comprehensive care that includes
prevention, assessment, diagnosis, management, and coordination.
C. It is limited to immunizations and screening performed during well-
child visits.
D. It focuses primarily on population-level programs rather than
individual children and families.
Correct Answer: B. It provides accessible, continuous, comprehensive
care that includes prevention, assessment, diagnosis, management,
and coordination.
Rationale:
Pediatric primary care is broader than primary prevention. It includes
first-contact care, health supervision, prevention, assessment,
treatment of acute and chronic conditions, coordination, and referral
when needed. The medical-home model further emphasizes accessible,
family-centered, continuous, comprehensive, and coordinated care.
Why the Other Options Are Incorrect:
A. This describes the narrower concept of primary prevention, which
aims to reduce the likelihood of disease or injury before it occurs.
, C. Immunizations and screening are components of preventive care, but
pediatric primary care encompasses substantially more than these
services.
D. Pediatric primary care includes individual and family care as well as
coordination with community resources; it is not limited to population-
level interventions.
Question 2
Question:
A healthy 8-year-old presents for a scheduled preventive visit. The
parent asks, “Why does my child need to see the PNP when nothing is
wrong?” Which response by the PNP is most appropriate?
A. “The visit is primarily needed so we can prescribe medication before
symptoms occur.”
B. “Preventive visits allow us to identify concerns early, support healthy
development, and provide anticipatory guidance.”
C. “The main purpose is to document that your child has no chronic
illness.”
D. “These visits are required mainly to determine whether your child
can return to school.”
Correct Answer: B. “Preventive visits allow us to identify concerns
early, support healthy development, and provide anticipatory
guidance.”
Rationale:
Pediatric health supervision is designed to address disease detection,
disease prevention, health promotion, and anticipatory guidance.
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 (PNP) is explaining the
difference between primary care and primary prevention to a group of
nursing students. Which statement best describes primary care?
A. It consists only of interventions performed before a disease
develops.
B. It provides accessible, continuous, comprehensive care that includes
prevention, assessment, diagnosis, management, and coordination.
C. It is limited to immunizations and screening performed during well-
child visits.
D. It focuses primarily on population-level programs rather than
individual children and families.
Correct Answer: B. It provides accessible, continuous, comprehensive
care that includes prevention, assessment, diagnosis, management,
and coordination.
Rationale:
Pediatric primary care is broader than primary prevention. It includes
first-contact care, health supervision, prevention, assessment,
treatment of acute and chronic conditions, coordination, and referral
when needed. The medical-home model further emphasizes accessible,
family-centered, continuous, comprehensive, and coordinated care.
Why the Other Options Are Incorrect:
A. This describes the narrower concept of primary prevention, which
aims to reduce the likelihood of disease or injury before it occurs.
, C. Immunizations and screening are components of preventive care, but
pediatric primary care encompasses substantially more than these
services.
D. Pediatric primary care includes individual and family care as well as
coordination with community resources; it is not limited to population-
level interventions.
Question 2
Question:
A healthy 8-year-old presents for a scheduled preventive visit. The
parent asks, “Why does my child need to see the PNP when nothing is
wrong?” Which response by the PNP is most appropriate?
A. “The visit is primarily needed so we can prescribe medication before
symptoms occur.”
B. “Preventive visits allow us to identify concerns early, support healthy
development, and provide anticipatory guidance.”
C. “The main purpose is to document that your child has no chronic
illness.”
D. “These visits are required mainly to determine whether your child
can return to school.”
Correct Answer: B. “Preventive visits allow us to identify concerns
early, support healthy development, and provide anticipatory
guidance.”
Rationale:
Pediatric health supervision is designed to address disease detection,
disease prevention, health promotion, and anticipatory guidance.
