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 supervision visit. The child has no acute complaints, and
the parent reports normal school performance and development.
Which activity best demonstrates the broad purpose of pediatric
primary health care?
A. Treating only illnesses that are currently causing symptoms
B. Providing health supervision, preventive services, developmental
monitoring, and care coordination
C. Referring all children to subspecialists for routine health concerns
D. Limiting care to immunizations and physical examinations
Correct Answer: B. Providing health supervision, preventive services,
developmental monitoring, and care coordination
Rationale:
Pediatric primary health care is comprehensive and includes preventive
health supervision, anticipatory guidance, growth and developmental
monitoring, screening, diagnosis and treatment of acute and chronic
conditions, and coordination or referral when needed. It is not limited
to treatment of illness or immunization services.
Why the Other Options Are Incorrect:
A. Pediatric primary care includes care of healthy children as well as
diagnosis and management of illness; it is not limited to symptomatic
treatment.
, C. Subspecialty referral is appropriate when a child's needs exceed
primary care expertise, but routine care should remain coordinated
through primary care.
D. Immunizations and physical examinations are important
components, but pediatric primary care also addresses development,
behavioral health, chronic disease, prevention, and care coordination.
Question 2
Question:
A pediatric nurse practitioner explains pediatric primary care to a group
of nursing students. Which statement best describes the meaning of
primary care?
A. Care provided only before disease develops
B. Care focused exclusively on emergency treatment
C. Accessible, continuous, comprehensive, coordinated first-contact
care
D. Care provided only by physicians in a hospital setting
Correct Answer: C. Accessible, continuous, comprehensive,
coordinated first-contact care
Rationale:
Primary care is characterized by first-contact access and continuity,
comprehensiveness, and coordination. Pediatric primary care applies
these principles while addressing the health needs of infants, children,
adolescents, and families.