8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,Question 1
Question: A 7-year-old child presents to a pediatric primary care clinic
for an annual health examination. The provider reviews the child's
growth, development, immunization status, nutrition, safety practices,
and school performance and identifies no acute illness. Which activity
best represents primary prevention?
A. Counseling the family about age-appropriate injury prevention
before an injury occurs
B. Evaluating a child for complications after a diagnosed chronic illness
C. Treating a child who has developed bacterial pharyngitis
D. Referring a child with an established developmental delay for therapy
Correct Answer: A. Counseling the family about age-appropriate injury
prevention before an injury occurs
Rationale: Primary prevention focuses on preventing disease, injury, or
other adverse health outcomes before they occur. Preventive
counseling during pediatric primary care, including safety and
anticipatory guidance, is therefore a primary-prevention activity. The
other options address conditions that are already present and involve
treatment, management, or rehabilitation.
Why the Other Options Are Incorrect:
A. This is correct because safety counseling is intended to prevent an
adverse event before it happens.
B. This is incorrect because managing complications of an established
condition occurs after disease or injury is already present.
, C. This is incorrect because treatment of an active infection is not
primary prevention.
D. This is incorrect because therapy for an established developmental
delay is a management or rehabilitative intervention rather than
prevention.
Question 2
Question: Parents of a 4-year-old ask which professional is most
appropriately trained to provide comprehensive preventive and primary
healthcare for their child, including developmental surveillance, health
promotion, diagnosis of common illnesses, and management of
pediatric conditions. Which response is best?
A. A pediatric primary care nurse practitioner
B. A physical therapist
C. A radiologic technologist
D. A respiratory therapist
Correct Answer: A. A pediatric primary care nurse practitioner
Rationale: Pediatric primary care providers are prepared to address
children's health needs across prevention, health promotion,
assessment, diagnosis, management, and follow-up. A pediatric primary
care nurse practitioner is specifically prepared to provide age-
appropriate primary care across childhood and adolescence. The other
professionals have important specialized roles but do not provide
comprehensive pediatric primary care.
Why the Other Options Are Incorrect: