8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,Question 1
Question 1
Question:
A 4-year-old child is brought to a pediatric primary care clinic for a
scheduled well-child visit. The child has no acute complaints. Which
activity best illustrates the primary care role of the pediatric provider?
A. Administering an antibiotic for confirmed bacterial otitis media
B. Evaluating growth and development, providing anticipatory guidance,
and identifying health risks
C. Providing emergency stabilization for a child with respiratory failure
D. Performing a surgical procedure for an inguinal hernia
Correct Answer: B. Evaluating growth and development, providing
anticipatory guidance, and identifying health risks
Rationale:
Pediatric primary care is designed to provide continuous,
comprehensive, accessible, and coordinated care across childhood.
Health supervision includes monitoring physical and psychosocial growth
and development, screening, prevention, health promotion, and
anticipatory guidance in addition to diagnosis and treatment of illness.
Why the Other Options Are Incorrect:
A. Treating otitis media is an appropriate primary care function, but it
represents illness management rather than the broad preventive and
health-promotion focus highlighted in this scenario.
, C. Emergency stabilization is an important component of pediatric
healthcare but is not the primary purpose of a routine well-child
encounter.
D. Surgical treatment may ultimately be necessary, but operative care is
generally outside the routine scope of a primary care visit and may
require specialty referral.
Question 2
Question:
Which statement most accurately distinguishes primary care from
primary prevention?
A. Primary care focuses only on preventing disease, whereas primary
prevention focuses on treating disease early.
B. Primary care is a level of healthcare delivery, whereas primary
prevention consists of actions intended to prevent disease before it
occurs.
C. Primary care occurs only in hospitals, whereas primary prevention
occurs only in community settings.
D. Primary care and primary prevention are interchangeable terms.
Correct Answer: B. Primary care is a level of healthcare delivery, whereas
primary prevention consists of actions intended to prevent disease
before it occurs.
Rationale:
Primary care refers to first-contact, continuous, comprehensive,
coordinated care that addresses a broad range of health needs. Primary
prevention is a preventive strategy directed at avoiding the initial
occurrence of disease, such as immunization, risk-reduction counseling,