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:
Which statement best distinguishes pediatric primary care from primary
prevention?
A. Primary care focuses only on treatment, whereas primary prevention
focuses only on screening.
B. Primary care is a broad, ongoing approach to health needs; primary
prevention specifically aims to prevent disease or injury before it
occurs.
C. Primary care occurs in hospitals, whereas primary prevention occurs
only in community settings.
D. Primary care is performed by nurses, whereas primary prevention is
performed by physicians.
Correct Answer: B. Primary care is a broad, ongoing approach to health
needs; primary prevention specifically aims to prevent disease or injury
before it occurs.
Rationale:
Pediatric primary care is a comprehensive level of care that includes
health supervision, prevention, screening, diagnosis and treatment of
acute and chronic problems, coordination, and referral when needed.
Primary prevention is narrower: it targets risk factors or behaviors
before disease or injury develops, such as immunization and safety
counseling. The two concepts overlap, but they are not
interchangeable. [1]
, Why the Other Options Are Incorrect:
A. Primary care includes prevention as well as diagnosis and
management; it is not limited to treatment.
C. Both primary care and preventive services may be delivered in
ambulatory, community, and other healthcare settings.
D. Primary prevention is not assigned to one profession; effective
pediatric prevention is a team and family responsibility.
Question 2
Question:
A 4-year-old child presents for a scheduled well-child visit. The child has
no current complaints. Which action most clearly reflects the role of
pediatric primary care?
A. Limit the encounter to documenting the child's weight and height.
B. Focus only on identifying an acute infection.
C. Assess development, provide anticipatory guidance, complete
indicated screening, and address family health concerns.
D. Refer the child to a pediatric subspecialist because the child has no
acute diagnosis.
Correct Answer: C. Assess development, provide anticipatory guidance,
complete indicated screening, and address family health concerns.
Rationale:
A health-supervision visit is multidimensional. Pediatric primary care
includes developmental monitoring, age-appropriate screening, health
promotion, disease prevention, anticipatory guidance, and attention to
psychosocial and family needs even when the child is well. [2]
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,Question 1
Question:
Which statement best distinguishes pediatric primary care from primary
prevention?
A. Primary care focuses only on treatment, whereas primary prevention
focuses only on screening.
B. Primary care is a broad, ongoing approach to health needs; primary
prevention specifically aims to prevent disease or injury before it
occurs.
C. Primary care occurs in hospitals, whereas primary prevention occurs
only in community settings.
D. Primary care is performed by nurses, whereas primary prevention is
performed by physicians.
Correct Answer: B. Primary care is a broad, ongoing approach to health
needs; primary prevention specifically aims to prevent disease or injury
before it occurs.
Rationale:
Pediatric primary care is a comprehensive level of care that includes
health supervision, prevention, screening, diagnosis and treatment of
acute and chronic problems, coordination, and referral when needed.
Primary prevention is narrower: it targets risk factors or behaviors
before disease or injury develops, such as immunization and safety
counseling. The two concepts overlap, but they are not
interchangeable. [1]
, Why the Other Options Are Incorrect:
A. Primary care includes prevention as well as diagnosis and
management; it is not limited to treatment.
C. Both primary care and preventive services may be delivered in
ambulatory, community, and other healthcare settings.
D. Primary prevention is not assigned to one profession; effective
pediatric prevention is a team and family responsibility.
Question 2
Question:
A 4-year-old child presents for a scheduled well-child visit. The child has
no current complaints. Which action most clearly reflects the role of
pediatric primary care?
A. Limit the encounter to documenting the child's weight and height.
B. Focus only on identifying an acute infection.
C. Assess development, provide anticipatory guidance, complete
indicated screening, and address family health concerns.
D. Refer the child to a pediatric subspecialist because the child has no
acute diagnosis.
Correct Answer: C. Assess development, provide anticipatory guidance,
complete indicated screening, and address family health concerns.
Rationale:
A health-supervision visit is multidimensional. Pediatric primary care
includes developmental monitoring, age-appropriate screening, health
promotion, disease prevention, anticipatory guidance, and attention to
psychosocial and family needs even when the child is well. [2]
