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 pediatric primary care nurse practitioner is explaining the difference
between primary care and primary prevention to a group of nursing
students. Which statement is most accurate?
A. Primary care focuses only on preventing disease, whereas primary
prevention focuses on treating illness.
B. Primary care is an ongoing, comprehensive approach to an individual
child's health, whereas primary prevention consists of interventions
intended to prevent disease or injury before it occurs.
C. Primary care and primary prevention are interchangeable because
both occur during well-child visits.
D. Primary prevention is provided only in community settings and is not
part of pediatric primary care.
Correct Answer: B. Primary care is an ongoing, comprehensive
approach to an individual child's health, whereas primary prevention
consists of interventions intended to prevent disease or injury before
it occurs.
Rationale:
Pediatric primary care is broader than prevention alone. It encompasses
first-contact care, health supervision, diagnosis and management of
acute and chronic conditions, coordination, health promotion, and
continuity of care. Primary prevention refers specifically to actions that
reduce the likelihood that disease or injury will occur, such as
immunization, safety counseling, and other risk-reduction interventions.
The two concepts overlap substantially but are not synonymous.
, Why the Other Options Are Incorrect:
A. Primary care includes prevention as well as diagnosis and treatment;
primary prevention does not mean treatment of established illness.
C. The concepts overlap during well-child encounters, but primary care
is a broader model of ongoing health services.
D. Primary prevention occurs in clinical and community settings and is
an important component of pediatric primary care.
Question 2
Question:
A 7-year-old who regularly receives care at a pediatric primary care
practice presents with fever, sore throat, and decreased appetite.
Which action best demonstrates the role of pediatric primary care?
A. Referring the child immediately to a pediatric subspecialist because
fever requires specialty evaluation
B. Evaluating the child's acute illness while also considering preventive
needs, chronic conditions, and follow-up
C. Providing only an antipyretic because acute illnesses are managed
independently from primary care
D. Postponing evaluation until the next scheduled preventive visit
Correct Answer: B. Evaluating the child's acute illness while also
considering preventive needs, chronic conditions, and follow-up
Rationale:
Primary care is not limited to well-child examinations. Pediatric primary
care provides first-contact evaluation and management of acute
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,Question 1
Question:
A pediatric primary care nurse practitioner is explaining the difference
between primary care and primary prevention to a group of nursing
students. Which statement is most accurate?
A. Primary care focuses only on preventing disease, whereas primary
prevention focuses on treating illness.
B. Primary care is an ongoing, comprehensive approach to an individual
child's health, whereas primary prevention consists of interventions
intended to prevent disease or injury before it occurs.
C. Primary care and primary prevention are interchangeable because
both occur during well-child visits.
D. Primary prevention is provided only in community settings and is not
part of pediatric primary care.
Correct Answer: B. Primary care is an ongoing, comprehensive
approach to an individual child's health, whereas primary prevention
consists of interventions intended to prevent disease or injury before
it occurs.
Rationale:
Pediatric primary care is broader than prevention alone. It encompasses
first-contact care, health supervision, diagnosis and management of
acute and chronic conditions, coordination, health promotion, and
continuity of care. Primary prevention refers specifically to actions that
reduce the likelihood that disease or injury will occur, such as
immunization, safety counseling, and other risk-reduction interventions.
The two concepts overlap substantially but are not synonymous.
, Why the Other Options Are Incorrect:
A. Primary care includes prevention as well as diagnosis and treatment;
primary prevention does not mean treatment of established illness.
C. The concepts overlap during well-child encounters, but primary care
is a broader model of ongoing health services.
D. Primary prevention occurs in clinical and community settings and is
an important component of pediatric primary care.
Question 2
Question:
A 7-year-old who regularly receives care at a pediatric primary care
practice presents with fever, sore throat, and decreased appetite.
Which action best demonstrates the role of pediatric primary care?
A. Referring the child immediately to a pediatric subspecialist because
fever requires specialty evaluation
B. Evaluating the child's acute illness while also considering preventive
needs, chronic conditions, and follow-up
C. Providing only an antipyretic because acute illnesses are managed
independently from primary care
D. Postponing evaluation until the next scheduled preventive visit
Correct Answer: B. Evaluating the child's acute illness while also
considering preventive needs, chronic conditions, and follow-up
Rationale:
Primary care is not limited to well-child examinations. Pediatric primary
care provides first-contact evaluation and management of acute
