,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 evaluating a 4-
month-old infant whose caregiver reports difficulty with feeding,
frequent crying, and poor sleep. During the visit, the caregiver appears
exhausted and reports feeling overwhelmed by financial pressures and
limited social support. Which action best reflects the two-generation or
dual-patient approach to pediatric primary care?
A. Focus on the infant’s feeding and sleep concerns because the
caregiver’s difficulties are outside the scope of pediatric primary care.
B. Assess the infant’s health and development while also exploring the
caregiver’s well-being, available support, and barriers to providing care.
C. Refer the caregiver for mental health services before addressing the
infant’s presenting concerns.
D. Provide written infant-care instructions and schedule a routine
follow-up without further assessment of family circumstances.
Correct Answer: B. Assess the infant’s health and development while
also exploring the caregiver’s well-being, available support, and barriers
to providing care.
Rationale:
The two-generation or dual-patient approach recognizes that a child’s
health and development are closely connected to the health,
functioning, and circumstances of the caregiver. Assessing both the
infant and caregiver can identify factors affecting feeding, sleep,
attachment, safety, and the family’s ability to follow the care plan. The
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 evaluating a 4-
month-old infant whose caregiver reports difficulty with feeding,
frequent crying, and poor sleep. During the visit, the caregiver appears
exhausted and reports feeling overwhelmed by financial pressures and
limited social support. Which action best reflects the two-generation or
dual-patient approach to pediatric primary care?
A. Focus on the infant’s feeding and sleep concerns because the
caregiver’s difficulties are outside the scope of pediatric primary care.
B. Assess the infant’s health and development while also exploring the
caregiver’s well-being, available support, and barriers to providing care.
C. Refer the caregiver for mental health services before addressing the
infant’s presenting concerns.
D. Provide written infant-care instructions and schedule a routine
follow-up without further assessment of family circumstances.
Correct Answer: B. Assess the infant’s health and development while
also exploring the caregiver’s well-being, available support, and barriers
to providing care.
Rationale:
The two-generation or dual-patient approach recognizes that a child’s
health and development are closely connected to the health,
functioning, and circumstances of the caregiver. Assessing both the
infant and caregiver can identify factors affecting feeding, sleep,
attachment, safety, and the family’s ability to follow the care plan. The
