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 7-year-old child presents to a pediatric primary care clinic for a
routine health visit. The child has no acute complaints and is meeting
expected developmental milestones. Which activity best represents a
core function of pediatric primary health care?
A. Waiting to intervene until the child develops a significant illness
B. Combining health supervision with screening, anticipatory guidance,
and management of health problems
C. Limiting the encounter to immunizations because the child is
asymptomatic
D. Referring all concerns to pediatric subspecialists rather than
managing them in primary care
Correct Answer: B. Combining health supervision with screening,
anticipatory guidance, and management of health problems
Rationale:
Pediatric primary health care is broader than disease treatment. It
includes health supervision, anticipatory guidance, monitoring growth
and development, age-appropriate screening, diagnosis and treatment
of acute and chronic disorders, coordination of care, and referral when
needed. The AAP describes pediatric primary care as first-contact,
continuous, comprehensive, coordinated, accessible, and family-
centered care.
Why the Other Options Are Incorrect:
A. Primary care includes prevention and early detection rather than
, waiting for serious disease to appear.
C. A well-child visit should address multiple preventive and
developmental needs, not immunization alone.
D. Primary care manages many common acute and chronic problems
and coordinates specialty referral when appropriate rather than
automatically transferring care.
Question 2
Question:
The pediatric nurse practitioner explains to a student that primary
health care and primary prevention are related but not synonymous.
Which statement best demonstrates this distinction?
A. Primary health care is limited to preventing disease before it begins.
B. Primary prevention includes diagnosis and treatment of established
disease.
C. Primary health care provides comprehensive first-contact care, while
primary prevention focuses on preventing disease or injury before it
occurs.
D. Primary prevention is provided only in community settings, whereas
primary health care is provided only in hospitals.
Correct Answer: C. Primary health care provides comprehensive first-
contact care, while primary prevention focuses on preventing disease
or injury before it occurs.
Rationale:
Primary health care is a broad delivery model that includes prevention,
screening, diagnosis, treatment, follow-up, and coordination. Primary
prevention is one component of this work and specifically targets
prevention before disease or injury develops.
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 a
routine health visit. The child has no acute complaints and is meeting
expected developmental milestones. Which activity best represents a
core function of pediatric primary health care?
A. Waiting to intervene until the child develops a significant illness
B. Combining health supervision with screening, anticipatory guidance,
and management of health problems
C. Limiting the encounter to immunizations because the child is
asymptomatic
D. Referring all concerns to pediatric subspecialists rather than
managing them in primary care
Correct Answer: B. Combining health supervision with screening,
anticipatory guidance, and management of health problems
Rationale:
Pediatric primary health care is broader than disease treatment. It
includes health supervision, anticipatory guidance, monitoring growth
and development, age-appropriate screening, diagnosis and treatment
of acute and chronic disorders, coordination of care, and referral when
needed. The AAP describes pediatric primary care as first-contact,
continuous, comprehensive, coordinated, accessible, and family-
centered care.
Why the Other Options Are Incorrect:
A. Primary care includes prevention and early detection rather than
, waiting for serious disease to appear.
C. A well-child visit should address multiple preventive and
developmental needs, not immunization alone.
D. Primary care manages many common acute and chronic problems
and coordinates specialty referral when appropriate rather than
automatically transferring care.
Question 2
Question:
The pediatric nurse practitioner explains to a student that primary
health care and primary prevention are related but not synonymous.
Which statement best demonstrates this distinction?
A. Primary health care is limited to preventing disease before it begins.
B. Primary prevention includes diagnosis and treatment of established
disease.
C. Primary health care provides comprehensive first-contact care, while
primary prevention focuses on preventing disease or injury before it
occurs.
D. Primary prevention is provided only in community settings, whereas
primary health care is provided only in hospitals.
Correct Answer: C. Primary health care provides comprehensive first-
contact care, while primary prevention focuses on preventing disease
or injury before it occurs.
Rationale:
Primary health care is a broad delivery model that includes prevention,
screening, diagnosis, treatment, follow-up, and coordination. Primary
prevention is one component of this work and specifically targets
prevention before disease or injury develops.
