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) sees a 4-year-old child
for a scheduled health supervision visit. The child is healthy, has normal
growth and development, and has no current complaints. Which action
best represents primary pediatric care?
A. Managing the child's established asthma exacerbation
B. Coordinating long-term follow-up with a pediatric cardiologist for
congenital heart disease
C. Providing age-appropriate health supervision, screening, and
anticipatory guidance
D. Referring the child to an emergency department for evaluation of
respiratory distress
Correct Answer: C. Providing age-appropriate health supervision,
screening, and anticipatory guidance
Rationale:
Pediatric primary care encompasses comprehensive health supervision,
anticipatory guidance, developmental monitoring, age-appropriate
screening, and care for acute and chronic conditions. For a healthy child
attending a routine visit, preventive health supervision is the most
appropriate primary-care activity.
Why the Other Options Are Incorrect:
A. Managing an asthma exacerbation is part of treating an acute
manifestation of an established condition rather than the primary focus
of a routine health supervision visit.
, B. Coordinating specialty care is an important primary-care function,
but this scenario describes a healthy child without a current complex
condition requiring specialty coordination.
D. Emergency referral is appropriate for an unstable or seriously ill child,
not for a healthy child presenting for routine preventive care.
Question 2
Question:
A parent tells the PNP, “I thought primary care meant preventing
diseases before they happen.” Which response best distinguishes
primary care from primary prevention?
A. Primary care refers only to immunizations, whereas primary
prevention includes screening.
B. Primary care is a level and approach to healthcare delivery; primary
prevention refers to interventions intended to prevent disease or injury
before it occurs.
C. Primary care is provided only to healthy children, whereas primary
prevention is provided to children with chronic illnesses.
D. Primary care begins after disease develops, whereas primary
prevention is performed only by public health professionals.
Correct Answer: B. Primary care is a level and approach to healthcare
delivery; primary prevention refers to interventions intended to
prevent disease or injury before it occurs.
Rationale:
Primary care is a first-contact, accessible, continuous, comprehensive,
and coordinated approach to delivering healthcare. Primary prevention
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) sees a 4-year-old child
for a scheduled health supervision visit. The child is healthy, has normal
growth and development, and has no current complaints. Which action
best represents primary pediatric care?
A. Managing the child's established asthma exacerbation
B. Coordinating long-term follow-up with a pediatric cardiologist for
congenital heart disease
C. Providing age-appropriate health supervision, screening, and
anticipatory guidance
D. Referring the child to an emergency department for evaluation of
respiratory distress
Correct Answer: C. Providing age-appropriate health supervision,
screening, and anticipatory guidance
Rationale:
Pediatric primary care encompasses comprehensive health supervision,
anticipatory guidance, developmental monitoring, age-appropriate
screening, and care for acute and chronic conditions. For a healthy child
attending a routine visit, preventive health supervision is the most
appropriate primary-care activity.
Why the Other Options Are Incorrect:
A. Managing an asthma exacerbation is part of treating an acute
manifestation of an established condition rather than the primary focus
of a routine health supervision visit.
, B. Coordinating specialty care is an important primary-care function,
but this scenario describes a healthy child without a current complex
condition requiring specialty coordination.
D. Emergency referral is appropriate for an unstable or seriously ill child,
not for a healthy child presenting for routine preventive care.
Question 2
Question:
A parent tells the PNP, “I thought primary care meant preventing
diseases before they happen.” Which response best distinguishes
primary care from primary prevention?
A. Primary care refers only to immunizations, whereas primary
prevention includes screening.
B. Primary care is a level and approach to healthcare delivery; primary
prevention refers to interventions intended to prevent disease or injury
before it occurs.
C. Primary care is provided only to healthy children, whereas primary
prevention is provided to children with chronic illnesses.
D. Primary care begins after disease develops, whereas primary
prevention is performed only by public health professionals.
Correct Answer: B. Primary care is a level and approach to healthcare
delivery; primary prevention refers to interventions intended to
prevent disease or injury before it occurs.
Rationale:
Primary care is a first-contact, accessible, continuous, comprehensive,
and coordinated approach to delivering healthcare. Primary prevention
