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 brought to a pediatric primary care clinic for a
routine health supervision visit. The child has no current complaints.
Which activity best demonstrates pediatric primary care rather than
only primary prevention?
A. Administering an age-appropriate vaccine
B. Counseling the caregiver about hand hygiene
C. Assessing growth and development, discussing school performance,
and addressing an intermittent headache
D. Teaching the family how to reduce exposure to secondhand smoke
Correct Answer: C. Assessing growth and development, discussing
school performance, and addressing an intermittent headache
Rationale:
Pediatric primary care is broader than disease prevention alone. It
includes ongoing health supervision, assessment of growth and
development, diagnosis and management of acute or chronic concerns,
anticipatory guidance, screening, and coordination of care. The
combination of preventive assessment and evaluation of an existing
symptom most clearly represents comprehensive primary care.
Why the Other Options Are Incorrect:
A. Vaccination is an important preventive service and represents
primary prevention, but by itself does not encompass the broader
functions of primary care.
, B. Hand hygiene education is a preventive intervention designed to
reduce infectious disease transmission. It is an example of primary
prevention rather than the broader primary care role.
D. Counseling to avoid secondhand smoke is health promotion and
primary prevention. Although it occurs in primary care, the intervention
itself does not demonstrate the full scope of primary care.
Question 2
Question:
The parent of a healthy 4-year-old asks, “Why does my child need
regular primary care visits if nothing is wrong?” Which response by the
pediatric primary care provider is best?
A. “Primary care is mainly used to diagnose illnesses before symptoms
appear.”
B. “These visits allow us to monitor health and development, provide
preventive services, and identify concerns early.”
C. “Routine visits are primarily required so the child can receive
medications when needed.”
D. “Healthy children usually need primary care only when they develop
symptoms.”
Correct Answer: B. “These visits allow us to monitor health and
development, provide preventive services, and identify concerns
early.”
Rationale:
Pediatric primary care is designed to promote wellness while also
detecting health and developmental concerns. Health supervision