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 is explaining the
difference between primary care and primary prevention to a group of
nursing students. Which statement best describes primary care?
A. Providing immunizations to prevent communicable diseases
B. Providing ongoing, accessible healthcare for a child across a range of
health needs
C. Screening healthy children only for conditions with known risk factors
D. Providing treatment only when a child develops an acute illness
Correct Answer: B. Providing ongoing, accessible healthcare for a child
across a range of health needs
Rationale: Primary care is comprehensive, continuous, accessible care
that addresses health promotion, prevention, assessment, diagnosis,
treatment, and follow-up. Primary prevention is one component of
primary care and focuses specifically on preventing disease or injury
before it occurs.
Why the Other Options Are Incorrect:
A. Immunizations are an example of primary prevention, rather than a
definition of primary care itself.
C. Screening is a preventive service and may be part of primary care,
but primary care extends beyond screening.
D. Primary care includes management of acute illness, but it is not
limited to episodic treatment after disease develops.
Question 2
, Question: A parent brings a healthy 4-year-old to the pediatric clinic for
a scheduled health maintenance visit. Which activity best demonstrates
the pediatric primary care provider's role in health promotion?
A. Prescribing an antibiotic because the child attends preschool
B. Discussing nutrition, physical activity, sleep, safety, and
developmental progress
C. Ordering a CT scan to identify occult disease
D. Waiting for the parent to identify a problem before discussing
preventive care
Correct Answer: B. Discussing nutrition, physical activity, sleep, safety,
and developmental progress
Rationale: Health maintenance visits provide opportunities to assess
growth and development, identify risks, deliver preventive services, and
provide anticipatory guidance. Pediatric primary care emphasizes
prevention and promotion of optimal health even when the child is
currently well.
Why the Other Options Are Incorrect:
A. Antibiotics are not indicated simply because a child attends
preschool and may increase exposure to infectious organisms.
C. CT imaging is not a routine health-promotion intervention for an
asymptomatic preschool child.
D. Preventive care should be proactive rather than dependent on a
caregiver first identifying a concern.
Question 3
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 is explaining the
difference between primary care and primary prevention to a group of
nursing students. Which statement best describes primary care?
A. Providing immunizations to prevent communicable diseases
B. Providing ongoing, accessible healthcare for a child across a range of
health needs
C. Screening healthy children only for conditions with known risk factors
D. Providing treatment only when a child develops an acute illness
Correct Answer: B. Providing ongoing, accessible healthcare for a child
across a range of health needs
Rationale: Primary care is comprehensive, continuous, accessible care
that addresses health promotion, prevention, assessment, diagnosis,
treatment, and follow-up. Primary prevention is one component of
primary care and focuses specifically on preventing disease or injury
before it occurs.
Why the Other Options Are Incorrect:
A. Immunizations are an example of primary prevention, rather than a
definition of primary care itself.
C. Screening is a preventive service and may be part of primary care,
but primary care extends beyond screening.
D. Primary care includes management of acute illness, but it is not
limited to episodic treatment after disease develops.
Question 2
, Question: A parent brings a healthy 4-year-old to the pediatric clinic for
a scheduled health maintenance visit. Which activity best demonstrates
the pediatric primary care provider's role in health promotion?
A. Prescribing an antibiotic because the child attends preschool
B. Discussing nutrition, physical activity, sleep, safety, and
developmental progress
C. Ordering a CT scan to identify occult disease
D. Waiting for the parent to identify a problem before discussing
preventive care
Correct Answer: B. Discussing nutrition, physical activity, sleep, safety,
and developmental progress
Rationale: Health maintenance visits provide opportunities to assess
growth and development, identify risks, deliver preventive services, and
provide anticipatory guidance. Pediatric primary care emphasizes
prevention and promotion of optimal health even when the child is
currently well.
Why the Other Options Are Incorrect:
A. Antibiotics are not indicated simply because a child attends
preschool and may increase exposure to infectious organisms.
C. CT imaging is not a routine health-promotion intervention for an
asymptomatic preschool child.
D. Preventive care should be proactive rather than dependent on a
caregiver first identifying a concern.
Question 3
