8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,Question 1
Question:
A parent brings a healthy 6-year-old to a scheduled pediatric visit and
asks, “Why does my child need to come in when nothing is wrong?”
Which response best explains the purpose of pediatric primary care?
A. Pediatric primary care is primarily for treating acute illnesses after
symptoms develop.
B. Pediatric primary care provides ongoing health supervision,
prevention, assessment, and management across childhood.
C. Pediatric primary care mainly provides immunizations and other
public-health interventions.
D. Pediatric primary care is needed only when a child requires
evaluation by a specialist.
Correct Answer: B. Pediatric primary care provides ongoing health
supervision, prevention, assessment, and management across
childhood.
Rationale:
Pediatric primary care is broader than treatment of acute illness or
administration of preventive interventions. It provides continuous and
comprehensive care that includes health promotion, preventive
services, developmental and psychosocial surveillance, assessment,
management of common conditions, and coordination or referral when
more specialized care is needed.
Why the Other Options Are Incorrect:
A. Incorrect: Acute illness management is only one component of
, primary care. Pediatric primary care also emphasizes maintaining health
and identifying concerns before they become serious.
C. Incorrect: Immunizations are an important component of prevention,
but they do not define the full scope of primary care.
D. Incorrect: Primary care is often the first and continuing point of care
and does not depend on specialist referral.
Question 2
Question:
Which clinical activity best represents primary prevention during a
pediatric primary care encounter?
A. Screening a 4-year-old for developmental delay
B. Evaluating a child with recurrent abdominal pain
C. Administering a recommended immunization to a healthy child
D. Referring a child with suspected scoliosis for orthopedic evaluation
Correct Answer: C. Administering a recommended immunization to a
healthy child
Rationale:
Primary prevention aims to prevent disease or injury before it occurs.
Immunization is a classic example because it increases protection
against specific infectious diseases before illness develops. Screening,
evaluation of symptoms, and specialist referral involve assessment or
management rather than primary prevention itself.
Why the Other Options Are Incorrect:
A. Incorrect: Developmental screening is an assessment activity