Chapter 02: Unique Issues in Pediatrics Garzon Maaks: Burns’ Pediatric Primary Care, 7th Edition

1. What is the foundational basis of patient-and-family centered care (PFCC)? a. The family is to be considered when patient care is being planned b. The patient has ultimate control over health care decisions c. A family member acts as the patient’s surrogate decision makes d. The patient is the focus of the primary care provider’s attention ANS: B While all options are correct statements, the foundational basis of PFCC is the patient has ultimate control over health care decisions. 2. Which assessment question best demonstrates the primary care provider’s understanding of effectively dealing with the greatest challenge to providing dual patient care? a. To the parent: “Do you feel comfortable providing in-home care for your child?” b. To the child: “When would you like your physical therapy sessions to be scheduled?” c. To the parent: “What are your feelings about going to family therapy to help with this transition?” d. To the child: “When did you first notice the pain in your knees?” ANS: B One of the greatest challenges is how to access, acknowledge, and include the child’s voice, which is often lost and/or overridden in health care. By directly asking the child their opinion or feelings, the PCP is providing for the child’s voice to be heard and acknowledged. None of the other options addresses that need