8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,Question 1
Question:
A pediatric nurse practitioner is explaining the difference between
primary care and primary prevention to a parent during a well-child
visit. Which statement by the practitioner is most accurate?
A. Primary care refers only to treatment of acute illnesses, whereas
primary prevention occurs only in hospitals.
B. Primary care is the ongoing delivery of healthcare services, whereas
primary prevention focuses on preventing disease or injury before it
occurs.
C. Primary care and primary prevention are interchangeable terms used
for routine immunization visits.
D. Primary prevention begins only after a child has developed
symptoms of a chronic disease.
Correct Answer: B. Primary care is the ongoing delivery of healthcare
services, whereas primary prevention focuses on preventing disease
or injury before it occurs.
Rationale:
Primary care encompasses continuing, accessible healthcare that
addresses a child's health needs over time. Primary prevention is
specifically directed toward reducing the risk of disease, injury, or other
adverse outcomes before they develop, making the distinction in option
B the most accurate.
Why the Other Options Are Incorrect:
A. Primary care includes much more than acute illness treatment and
may involve prevention, health promotion, chronic care, and follow-up.
Primary prevention is not limited to hospitals.
, C. Although preventive services may be provided in primary care
settings, the concepts are not synonymous.
D. Prevention that occurs before disease develops is the defining
feature of primary prevention; it does not require symptoms to be
present first.
Question 2
Question:
A family asks which healthcare professional is most appropriate for
providing ongoing primary care to their healthy 7-year-old child. Which
response is best?
A. A pediatric primary care provider who is trained to address health
promotion, prevention, assessment, and common health concerns
B. A subspecialist because children require specialist care for routine
health needs
C. An emergency department provider because acute-care clinicians
coordinate all preventive services
D. A hospitalist because preventive care is primarily provided during
hospital encounters
Correct Answer: A. A pediatric primary care provider who is trained to
address health promotion, prevention, assessment, and common
health concerns
Rationale:
Pediatric primary care providers are positioned to provide continuing
care that includes health promotion, preventive services, assessment,
management of common conditions, and coordination of care. This