8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,Question 1
Question:
A 3-year-old child presents to a pediatric primary care clinic for a
routine health-supervision visit. The child has no acute complaints, and
the parent reports normal appetite, activity, and sleep. Which action
best reflects the role of pediatric primary care?
A. Focus exclusively on identifying illnesses that are already
symptomatic
B. Provide health supervision, age-appropriate screening,
developmental assessment, and anticipatory guidance
C. Refer the child to a specialist because preventive care is outside
primary care
D. Limit the visit to immunization review
Correct Answer: B. Provide health supervision, age-appropriate
screening, developmental assessment, and anticipatory guidance
Rationale:
Pediatric primary care is broader than treatment of acute illness. It
includes preventive health supervision, screening, monitoring growth
and development, anticipatory guidance, diagnosis and management of
acute and chronic conditions, and referral when more specialized care is
needed.
Why the Other Options Are Incorrect:
A. This approach misses the preventive and developmental functions of
pediatric primary care.
B. Correct.
, C. Specialist referral is not routinely required for a healthy child
receiving comprehensive primary care.
D. Immunizations are important, but they represent only one
component of preventive pediatric care.
Question 2
Question:
A pediatric primary care provider is explaining the difference between
primary care and primary prevention to a nursing student. Which
statement is most accurate?
A. Primary care refers only to disease prevention, whereas primary
prevention refers to treatment of illness
B. Primary care is a broad first-contact and continuing health service,
whereas primary prevention aims to prevent disease or injury before it
occurs
C. Primary care and primary prevention are interchangeable terms
D. Primary prevention begins only after a child develops symptoms
Correct Answer: B. Primary care is a broad first-contact and continuing
health service, whereas primary prevention aims to prevent disease or
injury before it occurs
Rationale:
Primary care is an ongoing health-care function that includes
prevention, health maintenance, diagnosis, treatment, coordination,
and referral. Primary prevention is specifically directed toward
preventing disease or injury before onset, such as immunization and
anticipatory counseling.