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 supervision visit. The child has no acute complaints and
is meeting expected developmental milestones. Which action best
demonstrates the comprehensive nature of pediatric primary care?
A. Treating only illnesses reported by the caregiver
B. Performing health screening, developmental surveillance, preventive
counseling, and assessing family concerns
C. Referring all preventive concerns to a public health department
D. Limiting the visit to administration of age-appropriate vaccines
Correct Answer: B. Performing health screening, developmental
surveillance, preventive counseling, and assessing family concerns
Rationale:
Pediatric primary care is comprehensive and includes health
supervision, screening, developmental monitoring, anticipatory
guidance, prevention, diagnosis and treatment of acute and chronic
conditions, and coordination of additional services. A routine well-child
encounter therefore addresses the child's broader physical,
developmental, psychosocial, and family needs rather than focusing
only on disease treatment.
Why the Other Options Are Incorrect:
A. This describes a disease-focused approach and does not reflect the
comprehensive scope of primary care. Preventive and developmental
needs must also be addressed.
, C. Public health services can complement primary care, but the primary
care clinician remains responsible for many preventive and health-
supervision activities.
D. Immunization is important, but limiting the encounter to vaccines
omits screening, developmental assessment, anticipatory guidance, and
other essential components of pediatric primary care.
Question 2
Question:
A pediatric nurse practitioner explains to a nursing student that primary
care and primary prevention are related but not synonymous. Which
statement by the student indicates correct understanding?
A. "Primary care refers only to interventions given before a disease
develops."
B. "Primary prevention is the same as providing treatment for a
diagnosed chronic illness."
C. "Primary care is a broad model of ongoing health services, whereas
primary prevention focuses on preventing disease or injury before it
occurs."
D. "Primary prevention includes only immunizations administered
during well-child visits."
Correct Answer: C. "Primary care is a broad model of ongoing health
services, whereas primary prevention focuses on preventing disease or
injury before it occurs."
Rationale:
Primary care is a broad healthcare function characterized by first-
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 supervision visit. The child has no acute complaints and
is meeting expected developmental milestones. Which action best
demonstrates the comprehensive nature of pediatric primary care?
A. Treating only illnesses reported by the caregiver
B. Performing health screening, developmental surveillance, preventive
counseling, and assessing family concerns
C. Referring all preventive concerns to a public health department
D. Limiting the visit to administration of age-appropriate vaccines
Correct Answer: B. Performing health screening, developmental
surveillance, preventive counseling, and assessing family concerns
Rationale:
Pediatric primary care is comprehensive and includes health
supervision, screening, developmental monitoring, anticipatory
guidance, prevention, diagnosis and treatment of acute and chronic
conditions, and coordination of additional services. A routine well-child
encounter therefore addresses the child's broader physical,
developmental, psychosocial, and family needs rather than focusing
only on disease treatment.
Why the Other Options Are Incorrect:
A. This describes a disease-focused approach and does not reflect the
comprehensive scope of primary care. Preventive and developmental
needs must also be addressed.
, C. Public health services can complement primary care, but the primary
care clinician remains responsible for many preventive and health-
supervision activities.
D. Immunization is important, but limiting the encounter to vaccines
omits screening, developmental assessment, anticipatory guidance, and
other essential components of pediatric primary care.
Question 2
Question:
A pediatric nurse practitioner explains to a nursing student that primary
care and primary prevention are related but not synonymous. Which
statement by the student indicates correct understanding?
A. "Primary care refers only to interventions given before a disease
develops."
B. "Primary prevention is the same as providing treatment for a
diagnosed chronic illness."
C. "Primary care is a broad model of ongoing health services, whereas
primary prevention focuses on preventing disease or injury before it
occurs."
D. "Primary prevention includes only immunizations administered
during well-child visits."
Correct Answer: C. "Primary care is a broad model of ongoing health
services, whereas primary prevention focuses on preventing disease or
injury before it occurs."
Rationale:
Primary care is a broad healthcare function characterized by first-
