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
A pediatric primary care nurse practitioner explains the scope
of pediatric primary care to a new parent. Which statement
best reflects pediatric primary care?
A. It focuses only on treatment of acute illness
B. It includes health promotion, disease prevention, and
management of common conditions
C. It is limited to children younger than 5 years
D. It excludes developmental surveillance
,Correct Answer: B
Rationale:
Pediatric primary care includes comprehensive services such as
health promotion, preventive care, developmental surveillance,
and management of acute and chronic conditions. Acute illness
treatment alone is too narrow. Care is not limited by early
childhood age. Developmental surveillance is a core function.
Source:
Burns’ Pediatric Primary Care, 8th Edition – Chapter 1 Pediatric
Primary Care
Question 2
During a well-child visit, the nurse practitioner discusses
primary prevention with a caregiver. Which intervention is the
best example of primary prevention?
A. Ordering a lead level after suspected exposure
B. Administering routine immunizations
C. Referring for speech therapy after delay is identified
D. Prescribing antibiotics for otitis media
Correct Answer: B
Rationale:
Primary prevention aims to prevent disease before it occurs.
Routine immunizations are a classic example. Lead screening is
secondary prevention through early detection. Therapy after
,identified delay and treatment of infection occur after a
problem exists.
Source:
Burns’ Pediatric Primary Care, 8th Edition – Chapter 1 Pediatric
Primary Care
Question 3
Which provider activity best demonstrates family-centered
pediatric primary care?
A. Directing the visit only to the child and ignoring the caregiver
B. Making decisions without discussing options
C. Including the family in planning goals of care
D. Avoiding discussion of family stressors
Correct Answer: C
Rationale:
Family-centered care recognizes the family as an essential
partner and includes them in planning and decision-making.
Ignoring caregivers, unilateral decisions, and avoiding
psychosocial concerns are inconsistent with pediatric primary
care principles.
Source:
Burns’ Pediatric Primary Care, 8th Edition – Chapter 1 Pediatric
Primary Care
, Question 4
A 6-year-old presents for routine care. Which concept reflects
the “two-generation” or “dual patient” approach?
A. Focusing only on the child’s physical findings
B. Assessing caregiver well-being and family factors affecting
the child
C. Limiting discussion to school performance
D. Referring all parent concerns elsewhere
Correct Answer: B
Rationale:
The two-generation approach recognizes that child health is
closely linked to caregiver health, family functioning, and
environmental factors. Child-only focus may miss key influences
on outcomes.
Source:
Burns’ Pediatric Primary Care, 8th Edition – Chapter 1 Pediatric
Primary Care
Question 5
Which history finding is most associated with adverse
childhood experiences (ACEs) that may affect lifelong health?
A. Participation in organized sports
B. Stable housing and regular meals
C. Exposure to violence in the home
D. Daily reading with caregivers
8th Edition
Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G.
Duderstadt, Nan M. Gaylord
TEST BANK
Question 1
A pediatric primary care nurse practitioner explains the scope
of pediatric primary care to a new parent. Which statement
best reflects pediatric primary care?
A. It focuses only on treatment of acute illness
B. It includes health promotion, disease prevention, and
management of common conditions
C. It is limited to children younger than 5 years
D. It excludes developmental surveillance
,Correct Answer: B
Rationale:
Pediatric primary care includes comprehensive services such as
health promotion, preventive care, developmental surveillance,
and management of acute and chronic conditions. Acute illness
treatment alone is too narrow. Care is not limited by early
childhood age. Developmental surveillance is a core function.
Source:
Burns’ Pediatric Primary Care, 8th Edition – Chapter 1 Pediatric
Primary Care
Question 2
During a well-child visit, the nurse practitioner discusses
primary prevention with a caregiver. Which intervention is the
best example of primary prevention?
A. Ordering a lead level after suspected exposure
B. Administering routine immunizations
C. Referring for speech therapy after delay is identified
D. Prescribing antibiotics for otitis media
Correct Answer: B
Rationale:
Primary prevention aims to prevent disease before it occurs.
Routine immunizations are a classic example. Lead screening is
secondary prevention through early detection. Therapy after
,identified delay and treatment of infection occur after a
problem exists.
Source:
Burns’ Pediatric Primary Care, 8th Edition – Chapter 1 Pediatric
Primary Care
Question 3
Which provider activity best demonstrates family-centered
pediatric primary care?
A. Directing the visit only to the child and ignoring the caregiver
B. Making decisions without discussing options
C. Including the family in planning goals of care
D. Avoiding discussion of family stressors
Correct Answer: C
Rationale:
Family-centered care recognizes the family as an essential
partner and includes them in planning and decision-making.
Ignoring caregivers, unilateral decisions, and avoiding
psychosocial concerns are inconsistent with pediatric primary
care principles.
Source:
Burns’ Pediatric Primary Care, 8th Edition – Chapter 1 Pediatric
Primary Care
, Question 4
A 6-year-old presents for routine care. Which concept reflects
the “two-generation” or “dual patient” approach?
A. Focusing only on the child’s physical findings
B. Assessing caregiver well-being and family factors affecting
the child
C. Limiting discussion to school performance
D. Referring all parent concerns elsewhere
Correct Answer: B
Rationale:
The two-generation approach recognizes that child health is
closely linked to caregiver health, family functioning, and
environmental factors. Child-only focus may miss key influences
on outcomes.
Source:
Burns’ Pediatric Primary Care, 8th Edition – Chapter 1 Pediatric
Primary Care
Question 5
Which history finding is most associated with adverse
childhood experiences (ACEs) that may affect lifelong health?
A. Participation in organized sports
B. Stable housing and regular meals
C. Exposure to violence in the home
D. Daily reading with caregivers
