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 group of nursing students. Which
statement best describes pediatric primary care?
A. Care focused exclusively on preventing infectious diseases in healthy
children
B. Episodic treatment of acute illnesses without ongoing follow-up
C. Continuous, comprehensive, coordinated care addressing preventive,
acute, chronic, developmental, and family needs
D. Specialty care provided after a child has been referred by another
clinician
Correct Answer: C. Continuous, comprehensive, coordinated care
addressing preventive, acute, chronic, developmental, and family needs
Rationale:
Pediatric primary care is broader than disease prevention alone. It
includes first-contact care, health supervision, anticipatory guidance,
developmental monitoring, screening, diagnosis and treatment of acute
and chronic conditions, coordination of services, and referral when
more specialized care is needed. It is ideally delivered in a family-
centered medical home with continuity across childhood and
adolescence. (American Academy of Pediatrics)
Why the Other Options Are Incorrect:
A. Primary care includes prevention, but it is not limited to prevention
of infectious diseases. It also encompasses treatment, development,
, behavioral health, chronic disease management, and coordination of
care.
B. Pediatric primary care emphasizes continuity rather than isolated
encounters. Follow-up and longitudinal monitoring are essential
components.
D. Specialty care is not synonymous with primary care. Pediatric
primary care serves as a first point of contact and coordinates referral
when specialty expertise is required.
Question 2
Question:
Which clinical activity is the best example of primary prevention during
a pediatric primary care visit?
A. Referring a child with persistent wheezing to a pulmonologist
B. Administering an age-appropriate immunization to a healthy child
C. Evaluating a child with suspected appendicitis
D. Monitoring a child already diagnosed with type 1 diabetes
Correct Answer: B. Administering an age-appropriate immunization to a
healthy child
Rationale:
Primary prevention aims to prevent disease or injury before it occurs.
Immunization of a healthy child is a classic primary-prevention
intervention because it reduces the likelihood of developing vaccine-
preventable disease. Pediatric primary care incorporates primary
prevention as one component of broader health supervision. (AAP)
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 group of nursing students. Which
statement best describes pediatric primary care?
A. Care focused exclusively on preventing infectious diseases in healthy
children
B. Episodic treatment of acute illnesses without ongoing follow-up
C. Continuous, comprehensive, coordinated care addressing preventive,
acute, chronic, developmental, and family needs
D. Specialty care provided after a child has been referred by another
clinician
Correct Answer: C. Continuous, comprehensive, coordinated care
addressing preventive, acute, chronic, developmental, and family needs
Rationale:
Pediatric primary care is broader than disease prevention alone. It
includes first-contact care, health supervision, anticipatory guidance,
developmental monitoring, screening, diagnosis and treatment of acute
and chronic conditions, coordination of services, and referral when
more specialized care is needed. It is ideally delivered in a family-
centered medical home with continuity across childhood and
adolescence. (American Academy of Pediatrics)
Why the Other Options Are Incorrect:
A. Primary care includes prevention, but it is not limited to prevention
of infectious diseases. It also encompasses treatment, development,
, behavioral health, chronic disease management, and coordination of
care.
B. Pediatric primary care emphasizes continuity rather than isolated
encounters. Follow-up and longitudinal monitoring are essential
components.
D. Specialty care is not synonymous with primary care. Pediatric
primary care serves as a first point of contact and coordinates referral
when specialty expertise is required.
Question 2
Question:
Which clinical activity is the best example of primary prevention during
a pediatric primary care visit?
A. Referring a child with persistent wheezing to a pulmonologist
B. Administering an age-appropriate immunization to a healthy child
C. Evaluating a child with suspected appendicitis
D. Monitoring a child already diagnosed with type 1 diabetes
Correct Answer: B. Administering an age-appropriate immunization to a
healthy child
Rationale:
Primary prevention aims to prevent disease or injury before it occurs.
Immunization of a healthy child is a classic primary-prevention
intervention because it reduces the likelihood of developing vaccine-
preventable disease. Pediatric primary care incorporates primary
prevention as one component of broader health supervision. (AAP)
