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 4-year-old child is seen in a pediatric clinic for a scheduled well-child
visit. The clinician reviews growth, developmental progress,
immunizations, oral health, safety risks, family concerns, and age-
appropriate screening. Which feature best demonstrates that this
encounter is pediatric primary care rather than a single disease-
prevention intervention?
A. The clinician administers a vaccine to prevent infection.
B. The clinician provides comprehensive, continuous, coordinated care
addressing multiple health needs.
C. The clinician performs a screening test for an asymptomatic
condition.
D. The clinician provides counseling about bicycle helmet use.
Correct Answer: B. The clinician provides comprehensive, continuous,
coordinated care addressing multiple health needs.
Rationale:
Pediatric primary care is a broad model of care characterized by first-
contact accessibility, comprehensiveness, continuity, and coordination.
It includes health supervision, screening, prevention, diagnosis and
treatment, and referral when needed; therefore, the feature that most
clearly identifies the overall primary-care model is comprehensive and
coordinated care across the child's health needs. [1]
Why the Other Options Are Incorrect:
A. Vaccination is an example of a preventive intervention, but it
, represents one service within primary care rather than defining the
whole care model.
B. This is correct because comprehensive, continuous, coordinated care
is central to the definition of pediatric primary health care.
C. Screening is an important primary-care activity, but a single screening
intervention does not encompass the full scope of pediatric primary
care.
D. Safety counseling is an important preventive service, but it is one
component of the broader primary-care encounter.
Question 2
Question:
The parent of a healthy 7-year-old asks, “What is the difference
between primary care and primary prevention?” Which response by the
pediatric nurse practitioner is most accurate?
A. “Primary care means treating illness early, whereas primary
prevention begins after symptoms appear.”
B. “Primary care is a level and model of health service delivery, whereas
primary prevention aims to prevent disease or injury before it occurs.”
C. “Primary care is limited to well-child visits, whereas primary
prevention is limited to immunizations.”
D. “Primary care focuses on specialists, whereas primary prevention is
provided only by public health agencies.”
Correct Answer: B. “Primary care is a level and model of health service
delivery, whereas primary prevention aims to prevent disease or injury
before it occurs.”
Rationale:
Primary care describes accessible first-contact care that is continuous,
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,Question 1
Question:
A 4-year-old child is seen in a pediatric clinic for a scheduled well-child
visit. The clinician reviews growth, developmental progress,
immunizations, oral health, safety risks, family concerns, and age-
appropriate screening. Which feature best demonstrates that this
encounter is pediatric primary care rather than a single disease-
prevention intervention?
A. The clinician administers a vaccine to prevent infection.
B. The clinician provides comprehensive, continuous, coordinated care
addressing multiple health needs.
C. The clinician performs a screening test for an asymptomatic
condition.
D. The clinician provides counseling about bicycle helmet use.
Correct Answer: B. The clinician provides comprehensive, continuous,
coordinated care addressing multiple health needs.
Rationale:
Pediatric primary care is a broad model of care characterized by first-
contact accessibility, comprehensiveness, continuity, and coordination.
It includes health supervision, screening, prevention, diagnosis and
treatment, and referral when needed; therefore, the feature that most
clearly identifies the overall primary-care model is comprehensive and
coordinated care across the child's health needs. [1]
Why the Other Options Are Incorrect:
A. Vaccination is an example of a preventive intervention, but it
, represents one service within primary care rather than defining the
whole care model.
B. This is correct because comprehensive, continuous, coordinated care
is central to the definition of pediatric primary health care.
C. Screening is an important primary-care activity, but a single screening
intervention does not encompass the full scope of pediatric primary
care.
D. Safety counseling is an important preventive service, but it is one
component of the broader primary-care encounter.
Question 2
Question:
The parent of a healthy 7-year-old asks, “What is the difference
between primary care and primary prevention?” Which response by the
pediatric nurse practitioner is most accurate?
A. “Primary care means treating illness early, whereas primary
prevention begins after symptoms appear.”
B. “Primary care is a level and model of health service delivery, whereas
primary prevention aims to prevent disease or injury before it occurs.”
C. “Primary care is limited to well-child visits, whereas primary
prevention is limited to immunizations.”
D. “Primary care focuses on specialists, whereas primary prevention is
provided only by public health agencies.”
Correct Answer: B. “Primary care is a level and model of health service
delivery, whereas primary prevention aims to prevent disease or injury
before it occurs.”
Rationale:
Primary care describes accessible first-contact care that is continuous,
