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 4-year-old child is brought to a pediatric primary care clinic for a
routine health visit. The child has no acute complaints. Which action
best demonstrates the defining role of pediatric primary care?
A. Treating only conditions reported by the caregiver
B. Providing continuous preventive care, screening, health supervision,
and management of acute or chronic conditions
C. Referring every abnormal screening result directly to a subspecialist
D. Focusing primarily on immunizations because disease prevention is
the main purpose of primary care
Correct Answer: B. Providing continuous preventive care, screening,
health supervision, and management of acute or chronic conditions
Rationale:
Pediatric primary care is broader than disease prevention alone. It
includes first-contact care, health supervision, anticipatory guidance,
developmental monitoring, age-appropriate screening, diagnosis and
treatment of acute and chronic conditions, and coordination or referral
when more specialized services are needed.
Why the Other Options Are Incorrect:
A. This approach limits primary care to problems already identified and
neglects prevention, screening, and health supervision.
, B. This is the correct description because pediatric primary care
encompasses prevention, assessment, treatment, continuity, and
coordination.
C. Referral is appropriate when a child's needs exceed the clinician's
scope or require specialty expertise, but routine primary care does not
require automatic referral.
D. Immunization is an important preventive service, but pediatric
primary care includes substantially more than immunization.
Question 2
Question:
A pediatric nurse practitioner explains to a group of nursing students
that primary care and primary prevention are related but not
synonymous. Which statement by a student indicates correct
understanding?
A. "Primary prevention is the same as providing comprehensive primary
care."
B. "Primary care is limited to care provided before illness occurs."
C. "Primary prevention is one component of primary care that aims to
prevent disease or injury before it occurs."
D. "Primary prevention begins only after a child has been diagnosed
with a chronic illness."
Correct Answer: C. "Primary prevention is one component of primary
care that aims to prevent disease or injury before it occurs."
Rationale:
Primary prevention is directed toward preventing disease, injury, or
other adverse outcomes before they develop. Pediatric primary care is a
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,Question 1
Question:
A 4-year-old child is brought to a pediatric primary care clinic for a
routine health visit. The child has no acute complaints. Which action
best demonstrates the defining role of pediatric primary care?
A. Treating only conditions reported by the caregiver
B. Providing continuous preventive care, screening, health supervision,
and management of acute or chronic conditions
C. Referring every abnormal screening result directly to a subspecialist
D. Focusing primarily on immunizations because disease prevention is
the main purpose of primary care
Correct Answer: B. Providing continuous preventive care, screening,
health supervision, and management of acute or chronic conditions
Rationale:
Pediatric primary care is broader than disease prevention alone. It
includes first-contact care, health supervision, anticipatory guidance,
developmental monitoring, age-appropriate screening, diagnosis and
treatment of acute and chronic conditions, and coordination or referral
when more specialized services are needed.
Why the Other Options Are Incorrect:
A. This approach limits primary care to problems already identified and
neglects prevention, screening, and health supervision.
, B. This is the correct description because pediatric primary care
encompasses prevention, assessment, treatment, continuity, and
coordination.
C. Referral is appropriate when a child's needs exceed the clinician's
scope or require specialty expertise, but routine primary care does not
require automatic referral.
D. Immunization is an important preventive service, but pediatric
primary care includes substantially more than immunization.
Question 2
Question:
A pediatric nurse practitioner explains to a group of nursing students
that primary care and primary prevention are related but not
synonymous. Which statement by a student indicates correct
understanding?
A. "Primary prevention is the same as providing comprehensive primary
care."
B. "Primary care is limited to care provided before illness occurs."
C. "Primary prevention is one component of primary care that aims to
prevent disease or injury before it occurs."
D. "Primary prevention begins only after a child has been diagnosed
with a chronic illness."
Correct Answer: C. "Primary prevention is one component of primary
care that aims to prevent disease or injury before it occurs."
Rationale:
Primary prevention is directed toward preventing disease, injury, or
other adverse outcomes before they develop. Pediatric primary care is a
