BURNS' PEDIATRIC PRIMARY CARE
8TH EDITION
• AUTHOR(S)DAWN LEE GARZON, MARY
DIRKS, MARTHA DRIESSNACK, KAREN
G. DUDERSTADT, NAN M. GAYLORD
TEST BANK
1)
Reference
Ch. 1 — Primary Care Versus Primary Prevention
Question Stem
A 2-week-old infant presents for a routine newborn visit. The
parent asks whether well-child visits are necessary if the baby
appears healthy. Which statement best explains the difference
between primary care and primary prevention?
Options
A. Primary prevention delivers acute illness treatment; primary
care provides vaccines and screening.
B. Primary care is continuous, relationship-based management
,of health; primary prevention focuses on reducing risk before
disease develops.
C. Primary care only treats chronic conditions; primary
prevention happens in public health programs.
D. Primary prevention is the responsibility of schools; primary
care is handled solely by physicians.
Correct Answer
B
Rationales
• Correct (B): Primary care emphasizes continuous,
relationship-based health management across the lifespan;
primary prevention specifically aims to reduce risk factors
and prevent disease (e.g., immunizations, counseling).
• A (incorrect): Primary prevention is not limited to vaccines
and screening; primary care also manages acute and
chronic problems.
• C (incorrect): Primary care addresses acute and chronic
conditions as well as prevention; primary prevention is
broader than public health programs alone.
• D (incorrect): Primary prevention is not solely the
responsibility of schools; it's a broad set of interventions
across healthcare and community settings.
Teaching Point
Primary care = continuous, relationship-based care; primary
prevention = actions to prevent disease before it starts.
,Citation
Garzon et al. (2024). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1 — Primary Care Versus Primary Prevention.
2)
Reference
Ch. 1 — Primary Care Versus Primary Prevention
Question Stem
During a well-child visit, a parent declines routine
immunizations citing that the child “never gets sick.” Using an
evidence-based primary prevention approach, what is the most
appropriate initial clinician response?
Options
A. Insist the child receive vaccines immediately or refuse care.
B. Provide empathic, evidence-based information and discuss
risks, benefits, and vaccine schedule.
C. Agree and defer all vaccinations until the parent changes
their mind.
D. Dismiss the parent for noncompliance and document refusal.
Correct Answer
B
Rationales
• Correct (B): Effective primary prevention counseling in
primary care uses family-centered, empathic
, communication and provides evidence-based information
to support informed decision-making.
• A (incorrect): Forcing or threatening care damages trust
and violates family-centered principles; coercion is not
initial best practice.
• C (incorrect): Passive agreement misses an opportunity for
education and risk-reduction; deferred vaccination
increases preventable disease risk.
• D (incorrect): Dismissal is rarely appropriate as initial
action; it undermines continuity and preventive aims of
primary care.
Teaching Point
Use empathic, evidence-based counseling to support
vaccination decisions and promote prevention.
Citation
Garzon et al. (2024). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1 — Primary Care Versus Primary Prevention.
3)
Reference
Ch. 1 — Pediatric Primary Care Providers
Question Stem
A 9-year-old with recurrent otitis media is referred to you by a
pediatrician. As a pediatric primary care nurse practitioner in a
8TH EDITION
• AUTHOR(S)DAWN LEE GARZON, MARY
DIRKS, MARTHA DRIESSNACK, KAREN
G. DUDERSTADT, NAN M. GAYLORD
TEST BANK
1)
Reference
Ch. 1 — Primary Care Versus Primary Prevention
Question Stem
A 2-week-old infant presents for a routine newborn visit. The
parent asks whether well-child visits are necessary if the baby
appears healthy. Which statement best explains the difference
between primary care and primary prevention?
Options
A. Primary prevention delivers acute illness treatment; primary
care provides vaccines and screening.
B. Primary care is continuous, relationship-based management
,of health; primary prevention focuses on reducing risk before
disease develops.
C. Primary care only treats chronic conditions; primary
prevention happens in public health programs.
D. Primary prevention is the responsibility of schools; primary
care is handled solely by physicians.
Correct Answer
B
Rationales
• Correct (B): Primary care emphasizes continuous,
relationship-based health management across the lifespan;
primary prevention specifically aims to reduce risk factors
and prevent disease (e.g., immunizations, counseling).
• A (incorrect): Primary prevention is not limited to vaccines
and screening; primary care also manages acute and
chronic problems.
• C (incorrect): Primary care addresses acute and chronic
conditions as well as prevention; primary prevention is
broader than public health programs alone.
• D (incorrect): Primary prevention is not solely the
responsibility of schools; it's a broad set of interventions
across healthcare and community settings.
Teaching Point
Primary care = continuous, relationship-based care; primary
prevention = actions to prevent disease before it starts.
,Citation
Garzon et al. (2024). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1 — Primary Care Versus Primary Prevention.
2)
Reference
Ch. 1 — Primary Care Versus Primary Prevention
Question Stem
During a well-child visit, a parent declines routine
immunizations citing that the child “never gets sick.” Using an
evidence-based primary prevention approach, what is the most
appropriate initial clinician response?
Options
A. Insist the child receive vaccines immediately or refuse care.
B. Provide empathic, evidence-based information and discuss
risks, benefits, and vaccine schedule.
C. Agree and defer all vaccinations until the parent changes
their mind.
D. Dismiss the parent for noncompliance and document refusal.
Correct Answer
B
Rationales
• Correct (B): Effective primary prevention counseling in
primary care uses family-centered, empathic
, communication and provides evidence-based information
to support informed decision-making.
• A (incorrect): Forcing or threatening care damages trust
and violates family-centered principles; coercion is not
initial best practice.
• C (incorrect): Passive agreement misses an opportunity for
education and risk-reduction; deferred vaccination
increases preventable disease risk.
• D (incorrect): Dismissal is rarely appropriate as initial
action; it undermines continuity and preventive aims of
primary care.
Teaching Point
Use empathic, evidence-based counseling to support
vaccination decisions and promote prevention.
Citation
Garzon et al. (2024). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1 — Primary Care Versus Primary Prevention.
3)
Reference
Ch. 1 — Pediatric Primary Care Providers
Question Stem
A 9-year-old with recurrent otitis media is referred to you by a
pediatrician. As a pediatric primary care nurse practitioner in a
