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) is explaining the
purpose of a routine health-supervision visit to the parent of a healthy
4-year-old child. Which statement best describes the primary purpose
of pediatric primary care?
A. To treat acute illnesses after symptoms become clinically significant
B. To provide continuous health promotion, disease prevention,
assessment, and early identification of health concerns
C. To provide specialty-level management for children with complex
diseases
D. To focus primarily on immunizations and physical examinations
Correct Answer: B. To provide continuous health promotion, disease
prevention, assessment, and early identification of health concerns
Rationale:
Pediatric primary care encompasses much more than treatment of
illness. It provides comprehensive, ongoing care that integrates health
promotion, prevention, developmental surveillance, screening,
anticipatory guidance, assessment, and management of health
concerns. Current Bright Futures guidance similarly emphasizes
comprehensive health supervision, health promotion, disease
prevention, and continuity of care.
Why the Other Options Are Incorrect:
A. Treating acute illness is one component of primary care but does not
represent its entire purpose.
C. Specialty care is appropriate for selected complex conditions, but
pediatric primary care addresses the broader health needs of children
, and families.
D. Immunizations and physical examinations are important components
but represent only part of comprehensive pediatric primary care.
Question 2
Question:
A PNP sees an 8-year-old child for a routine visit. The child has no acute
complaints. Which action best demonstrates the preventive focus of
pediatric primary care?
A. Waiting until the child develops symptoms before discussing health
risks
B. Reviewing developmental, behavioral, nutritional, safety, and
psychosocial concerns
C. Ordering extensive diagnostic testing despite the absence of
concerning findings
D. Referring the child to multiple specialists for routine health
supervision
Correct Answer: B. Reviewing developmental, behavioral, nutritional,
safety, and psychosocial concerns
Rationale:
Preventive pediatric care seeks to identify health risks and promote
optimal development before significant disease or dysfunction occurs.
Comprehensive health supervision incorporates physical,
developmental, psychosocial, behavioral, and family-related factors
rather than focusing exclusively on disease treatment.
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) is explaining the
purpose of a routine health-supervision visit to the parent of a healthy
4-year-old child. Which statement best describes the primary purpose
of pediatric primary care?
A. To treat acute illnesses after symptoms become clinically significant
B. To provide continuous health promotion, disease prevention,
assessment, and early identification of health concerns
C. To provide specialty-level management for children with complex
diseases
D. To focus primarily on immunizations and physical examinations
Correct Answer: B. To provide continuous health promotion, disease
prevention, assessment, and early identification of health concerns
Rationale:
Pediatric primary care encompasses much more than treatment of
illness. It provides comprehensive, ongoing care that integrates health
promotion, prevention, developmental surveillance, screening,
anticipatory guidance, assessment, and management of health
concerns. Current Bright Futures guidance similarly emphasizes
comprehensive health supervision, health promotion, disease
prevention, and continuity of care.
Why the Other Options Are Incorrect:
A. Treating acute illness is one component of primary care but does not
represent its entire purpose.
C. Specialty care is appropriate for selected complex conditions, but
pediatric primary care addresses the broader health needs of children
, and families.
D. Immunizations and physical examinations are important components
but represent only part of comprehensive pediatric primary care.
Question 2
Question:
A PNP sees an 8-year-old child for a routine visit. The child has no acute
complaints. Which action best demonstrates the preventive focus of
pediatric primary care?
A. Waiting until the child develops symptoms before discussing health
risks
B. Reviewing developmental, behavioral, nutritional, safety, and
psychosocial concerns
C. Ordering extensive diagnostic testing despite the absence of
concerning findings
D. Referring the child to multiple specialists for routine health
supervision
Correct Answer: B. Reviewing developmental, behavioral, nutritional,
safety, and psychosocial concerns
Rationale:
Preventive pediatric care seeks to identify health risks and promote
optimal development before significant disease or dysfunction occurs.
Comprehensive health supervision incorporates physical,
developmental, psychosocial, behavioral, and family-related factors
rather than focusing exclusively on disease treatment.
