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 provider is explaining the difference
between primary care and primary prevention to a new nursing
student. Which statement by the student demonstrates correct
understanding?
A. Primary care focuses only on preventing disease before symptoms
occur.
B. Primary prevention includes routine treatment of acute illnesses in
children.
C. Primary care includes comprehensive ongoing healthcare, while
primary prevention focuses on preventing disease or injury before it
occurs.
D. Primary prevention and primary care are interchangeable terms for
routine pediatric visits.
Correct Answer: C. Primary care includes comprehensive ongoing
healthcare, while primary prevention focuses on preventing disease or
injury before it occurs.
Rationale: Primary care is the broader framework of accessible,
continuous, comprehensive healthcare for children and families.
Primary prevention is specifically directed toward preventing illness,
injury, or other health problems before they develop. Preventive
counseling, immunization, and anticipatory guidance are examples of
primary prevention within pediatric primary care.
Why the Other Options Are Incorrect:
A. Primary care is not limited to disease prevention; it also includes
assessment, diagnosis, management, follow-up, and coordination of
care.
, B. Treatment of an existing acute illness is part of primary care but is
not primary prevention.
D. The terms are related but not interchangeable; primary prevention is
one component of pediatric primary care.
Question 2
Question: A 6-year-old child presents to a pediatric primary care clinic
for a scheduled health supervision visit. The child has no acute
complaints. Which action best reflects the role of the pediatric primary
care provider?
A. Focus exclusively on identifying undiagnosed disease
B. Provide comprehensive assessment, preventive care, health
promotion, and anticipatory guidance
C. Refer the child immediately to a pediatric subspecialist
D. Limit the visit to measurement of height and weight
Correct Answer: B. Provide comprehensive assessment, preventive
care, health promotion, and anticipatory guidance
Rationale: Pediatric primary care is comprehensive and includes much
more than disease identification. A health supervision visit provides an
opportunity to evaluate growth and development, address safety and
nutrition, review preventive needs, identify risks, and provide
anticipatory guidance appropriate to the child's developmental stage.
Why the Other Options Are Incorrect:
A. Screening for disease is important, but a preventive visit should
address the child's overall health and development.
C. Subspecialty referral is indicated when a specific concern requires