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-year-old child is seen in a pediatric primary care clinic for a routine
health supervision visit. The provider reviews growth, development,
immunizations, nutrition, school performance, safety, and family
concerns. Which aspect of this encounter best demonstrates the
defining role of pediatric primary care?
A. Treating only acute illnesses when symptoms develop
B. Providing continuous, comprehensive, coordinated care across
childhood
C. Administering preventive interventions without evaluating the child
D. Referring most health concerns to pediatric subspecialists
Correct Answer: B. Providing continuous, comprehensive, coordinated
care across childhood
Rationale:
Pediatric primary care extends beyond treatment of acute illness. It
includes ongoing health supervision, developmental monitoring,
screening, anticipatory guidance, diagnosis and management of health
conditions, and coordination of services across the child's development.
The medical-home model emphasizes accessible, continuous,
comprehensive, coordinated, and family-centered care.
Why the Other Options Are Incorrect:
A. Primary care is not limited to episodic treatment. Prevention,
surveillance, wellness, and chronic-condition management are also
central components.
, C. Preventive interventions are important, but primary care also
involves assessment, diagnosis, treatment, follow-up, and care
coordination.
D. Primary care providers manage many pediatric concerns directly and
coordinate referral when specialized evaluation is appropriate.
Question 2
Question:
The parent of a 4-year-old asks, “Is primary prevention the same thing
as primary care?” Which response by the nurse practitioner is most
accurate?
A. “Yes. The terms are interchangeable in pediatric practice.”
B. “Primary prevention refers only to immunizations given during well-
child visits.”
C. “Primary prevention is one component of primary care, while
primary care encompasses a broader range of services.”
D. “Primary prevention occurs only before a child is born.”
Correct Answer: C. “Primary prevention is one component of primary
care, while primary care encompasses a broader range of services.”
Rationale:
Primary prevention focuses on preventing disease or injury before it
occurs, whereas pediatric primary care is a broader system of first-
contact, ongoing health services that includes health supervision,
screening, prevention, diagnosis and treatment, chronic care, and
coordination.
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,Question 1
Question:
A 6-year-old child is seen in a pediatric primary care clinic for a routine
health supervision visit. The provider reviews growth, development,
immunizations, nutrition, school performance, safety, and family
concerns. Which aspect of this encounter best demonstrates the
defining role of pediatric primary care?
A. Treating only acute illnesses when symptoms develop
B. Providing continuous, comprehensive, coordinated care across
childhood
C. Administering preventive interventions without evaluating the child
D. Referring most health concerns to pediatric subspecialists
Correct Answer: B. Providing continuous, comprehensive, coordinated
care across childhood
Rationale:
Pediatric primary care extends beyond treatment of acute illness. It
includes ongoing health supervision, developmental monitoring,
screening, anticipatory guidance, diagnosis and management of health
conditions, and coordination of services across the child's development.
The medical-home model emphasizes accessible, continuous,
comprehensive, coordinated, and family-centered care.
Why the Other Options Are Incorrect:
A. Primary care is not limited to episodic treatment. Prevention,
surveillance, wellness, and chronic-condition management are also
central components.
, C. Preventive interventions are important, but primary care also
involves assessment, diagnosis, treatment, follow-up, and care
coordination.
D. Primary care providers manage many pediatric concerns directly and
coordinate referral when specialized evaluation is appropriate.
Question 2
Question:
The parent of a 4-year-old asks, “Is primary prevention the same thing
as primary care?” Which response by the nurse practitioner is most
accurate?
A. “Yes. The terms are interchangeable in pediatric practice.”
B. “Primary prevention refers only to immunizations given during well-
child visits.”
C. “Primary prevention is one component of primary care, while
primary care encompasses a broader range of services.”
D. “Primary prevention occurs only before a child is born.”
Correct Answer: C. “Primary prevention is one component of primary
care, while primary care encompasses a broader range of services.”
Rationale:
Primary prevention focuses on preventing disease or injury before it
occurs, whereas pediatric primary care is a broader system of first-
contact, ongoing health services that includes health supervision,
screening, prevention, diagnosis and treatment, chronic care, and
coordination.
