8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,Question 1
Question:
A 5-year-old child is seen in a pediatric primary care clinic for a
scheduled well-child visit. The child has no current symptoms. Which
activity best represents the central role of pediatric primary health
care?
A. Managing only acute illnesses when symptoms develop
B. Providing continuous, comprehensive care that includes health
supervision, prevention, and management of health problems
C. Referring all abnormal findings to pediatric subspecialists
D. Limiting visits to immunization administration
Correct Answer: B. Providing continuous, comprehensive care that
includes health supervision, prevention, and management of health
problems
Rationale:
Pediatric primary health care is intended to be continuous,
comprehensive, coordinated, accessible, and family-centered. It
includes health supervision, anticipatory guidance, screening,
prevention, diagnosis and treatment of acute and chronic conditions,
and referral when more specialized care is needed.
Why the Other Options Are Incorrect:
A. Primary care is not limited to episodic treatment of illness;
preventive and longitudinal services are fundamental components.
C. Primary care clinicians evaluate and manage many common pediatric
conditions and coordinate referrals rather than automatically referring
, abnormal findings.
D. Immunization is important, but pediatric primary care extends well
beyond vaccine administration.
Question 2
Question:
A parent asks a pediatric primary care nurse practitioner, “What is the
difference between primary care and primary prevention?” Which
response is most accurate?
A. Primary care refers only to preventive services, whereas primary
prevention refers to treatment of illness.
B. Primary care is the first level of ongoing health care delivery, whereas
primary prevention aims to prevent a disease or injury before it occurs.
C. Primary care is delivered only by physicians, whereas primary
prevention is delivered only by nurses.
D. Primary care focuses on population health, whereas primary
prevention focuses only on hospitalized children.
Correct Answer: B. Primary care is the first level of ongoing health care
delivery, whereas primary prevention aims to prevent a disease or
injury before it occurs.
Rationale:
Primary care is a broad model of ongoing health care that serves as an
accessible point of entry and includes preventive, acute, and chronic
care. Primary prevention is a prevention strategy specifically directed at
preventing the initial occurrence of disease or injury. Pediatric primary
care therefore incorporates primary prevention but is broader than