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 (PNP) is explaining the
purpose of pediatric primary care to a parent of a healthy 6-year-old.
Which statement best describes pediatric primary care?
A. Care provided only when a child develops an acute illness
B. Comprehensive, continuous care that includes prevention, health
supervision, treatment, and coordination of services
C. Specialty care focused primarily on children with chronic disorders
D. Public health services delivered independently of the child’s family
and community
Correct Answer: B. Comprehensive, continuous care that includes
prevention, health supervision, treatment, and coordination of services
Rationale:
Pediatric primary care is broader than episodic treatment of illness. It
includes health supervision, anticipatory guidance, monitoring growth
and development, age-appropriate screening, management of acute
and chronic conditions, referral when needed, and coordination of
services within a family-centered medical-home model.
Why the Other Options Are Incorrect:
A. Primary care is not limited to illness visits; prevention and health
supervision are core components.
C. Primary care serves the broad pediatric population, not only children
with chronic disease.
, D. Pediatric primary care is intentionally family-centered and
incorporates family, community, and sociocultural factors.
Question 2
Question:
Which activity performed during a routine visit for a healthy 10-year-old
is the best example of primary prevention?
A. Evaluating a child for newly detected hypertension
B. Screening a child for depression
C. Counseling the family about regular physical activity and healthy
nutrition
D. Assessing a child after symptoms of pneumonia develop
Correct Answer: C. Counseling the family about regular physical activity
and healthy nutrition
Rationale:
Primary prevention occurs before disease develops and seeks to reduce
exposure to risk factors or strengthen protection against disease.
Health-promoting counseling about physical activity and nutrition is
therefore a primary-prevention intervention. Immunization and other
protective measures also fall within primary prevention.
Why the Other Options Are Incorrect:
A. Evaluating an already identified abnormal finding is assessment of a
possible existing condition, not prevention of disease onset.
B. Screening is generally considered secondary prevention because it
seeks to detect disease or risk early.
D. Assessment after symptoms appear is diagnostic care rather than
primary prevention.
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 (PNP) is explaining the
purpose of pediatric primary care to a parent of a healthy 6-year-old.
Which statement best describes pediatric primary care?
A. Care provided only when a child develops an acute illness
B. Comprehensive, continuous care that includes prevention, health
supervision, treatment, and coordination of services
C. Specialty care focused primarily on children with chronic disorders
D. Public health services delivered independently of the child’s family
and community
Correct Answer: B. Comprehensive, continuous care that includes
prevention, health supervision, treatment, and coordination of services
Rationale:
Pediatric primary care is broader than episodic treatment of illness. It
includes health supervision, anticipatory guidance, monitoring growth
and development, age-appropriate screening, management of acute
and chronic conditions, referral when needed, and coordination of
services within a family-centered medical-home model.
Why the Other Options Are Incorrect:
A. Primary care is not limited to illness visits; prevention and health
supervision are core components.
C. Primary care serves the broad pediatric population, not only children
with chronic disease.
, D. Pediatric primary care is intentionally family-centered and
incorporates family, community, and sociocultural factors.
Question 2
Question:
Which activity performed during a routine visit for a healthy 10-year-old
is the best example of primary prevention?
A. Evaluating a child for newly detected hypertension
B. Screening a child for depression
C. Counseling the family about regular physical activity and healthy
nutrition
D. Assessing a child after symptoms of pneumonia develop
Correct Answer: C. Counseling the family about regular physical activity
and healthy nutrition
Rationale:
Primary prevention occurs before disease develops and seeks to reduce
exposure to risk factors or strengthen protection against disease.
Health-promoting counseling about physical activity and nutrition is
therefore a primary-prevention intervention. Immunization and other
protective measures also fall within primary prevention.
Why the Other Options Are Incorrect:
A. Evaluating an already identified abnormal finding is assessment of a
possible existing condition, not prevention of disease onset.
B. Screening is generally considered secondary prevention because it
seeks to detect disease or risk early.
D. Assessment after symptoms appear is diagnostic care rather than
primary prevention.
