8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,Question 1
Question 1
Question: A parent brings a healthy 4-year-old to the pediatric clinic and
asks, “Why does my child need primary care when there is nothing
wrong?” Which response by the pediatric primary care provider is most
accurate?
A. “Primary care is mainly used when a child develops an acute illness.”
B. “Primary care provides ongoing comprehensive care that includes
prevention, health promotion, screening, and management of illness.”
C. “Primary care and primary prevention are interchangeable terms for
avoiding disease.”
D. “Primary care is primarily a referral service for children who need
specialists.”
Correct Answer: B. “Primary care provides ongoing comprehensive care
that includes prevention, health promotion, screening, and
management of illness.”
Rationale: Pediatric primary care is broader than prevention alone. It
includes first-contact access, continuity, comprehensive assessment and
management, health supervision, screening, anticipatory guidance,
treatment of acute and chronic conditions, and coordination or referral
when needed. A well-child visit therefore remains an important primary
care encounter even when the child appears healthy.
, Why the Other Options Are Incorrect:
A. This limits primary care to episodic sick care and ignores health
supervision, prevention, screening, and longitudinal care.
B. Correct.
C. Primary care and primary prevention overlap but are not synonymous;
primary prevention describes actions intended to prevent disease or
injury before it occurs.
D. Referral is one component of comprehensive primary care, not its
defining or primary purpose.
Question 2
Question: Which activity best represents primary prevention rather than
the broader function of pediatric primary care?
A. Evaluating a child with recurrent abdominal pain
B. Coordinating follow-up after a cardiology consultation
C. Administering an age-appropriate vaccine to a healthy child
D. Monitoring a child’s growth over multiple well-child visits
Correct Answer: C. Administering an age-appropriate vaccine to a
healthy child
Rationale: Primary prevention aims to reduce the likelihood that a
disease or injury will occur. Immunization of a healthy child is a classic
preventive intervention, whereas evaluation, longitudinal monitoring,
and coordination represent broader components of primary care.
Pediatric primary care incorporates many preventive interventions but is
not limited to them.