8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,Question 1
Question:
A 7-year-old child presents to a pediatric primary care clinic for a
routine health-supervision visit. The child has no acute complaints.
Which activity best demonstrates the comprehensive nature of
pediatric primary care?
A. Treating an acute otitis media if the child develops one
B. Reviewing growth, development, screening needs, immunizations,
safety, and family concerns
C. Referring the child to a pediatric subspecialist for all health concerns
D. Limiting the encounter to a physical examination and measurement
of vital signs
Correct Answer: B. Reviewing growth, development, screening needs,
immunizations, safety, and family concerns
Rationale:
Pediatric primary care is broader than treatment of acute illness. It
includes health supervision, growth and developmental monitoring,
age-appropriate screening, preventive services, anticipatory guidance,
diagnosis and management of acute and chronic conditions, and
coordination of services within a family-centered model.
Why the Other Options Are Incorrect:
A. Treating acute illness is an important primary care function, but it
represents only one component of comprehensive pediatric primary
care.
C. Primary care providers coordinate specialty referrals when needed
, rather than referring every concern to a subspecialist.
D. A routine pediatric visit should address preventive, developmental,
psychosocial, and family-related concerns in addition to the physical
examination.
Question 2
Question:
Which statement best describes primary care for children?
A. It focuses exclusively on prevention of disease before symptoms
occur.
B. It is primarily hospital-based management of serious pediatric
illnesses.
C. It provides first-contact, continuous, comprehensive, and coordinated
care.
D. It is limited to services provided by physicians.
Correct Answer: C. It provides first-contact, continuous, comprehensive,
and coordinated care.
Rationale:
Primary care is characterized by accessibility as first contact, continuity,
comprehensiveness, and coordination. Pediatric primary care applies
these principles to the changing physical, developmental, psychological,
and social needs of children and families.
Why the Other Options Are Incorrect:
A. Disease prevention is an important component of primary care, but
primary care also includes diagnosis, treatment, chronic disease
management, and coordination.