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 brought to a pediatric clinic for a
scheduled visit. The child has no acute symptoms. During the
encounter, the clinician reviews nutrition, sleep, physical activity,
developmental progress, immunization status, oral health, safety
practices, and family concerns. Which description best captures the
purpose of this encounter?
A. Treatment of an acute illness
B. Comprehensive pediatric primary care
C. Tertiary prevention of a known complication
D. Emergency stabilization
Correct Answer: B. Comprehensive pediatric primary care
Rationale: Pediatric primary care is broader than treating illness. It
includes ongoing health supervision, prevention, developmental and
psychosocial monitoring, screening, counseling, management of
common acute and chronic conditions, and coordination of services. A
well-child encounter is therefore a comprehensive primary-care
interaction rather than a single disease-focused intervention. (Sources
1,2)
Why the Other Options Are Incorrect:
A. The child has no acute complaint, and the visit addresses multiple
dimensions of health rather than treating a specific illness.
, C. Tertiary prevention focuses on limiting disability or complications of
established disease; this encounter is directed toward overall health
and prevention.
D. The visit is scheduled and nonurgent, with no indication of a need for
emergency stabilization.
Question 2
Question: A nurse practitioner explains pediatric care to a student
nurse. Which statement best differentiates primary care from primary
prevention?
A. Primary care is limited to immunizations, whereas primary
prevention includes treatment of acute illness.
B. Primary care is the first-contact, continuing care process; primary
prevention is the prevention of disease before it occurs.
C. Primary care occurs only in hospitals, whereas primary prevention
occurs only in community settings.
D. Primary care and primary prevention are interchangeable terms in
pediatrics.
Correct Answer: B. Primary care is the first-contact, continuing care
process; primary prevention is the prevention of disease before it
occurs.
Rationale: Primary care is a broad model of health care delivery
characterized by first contact, continuity, comprehensiveness,
coordination, and attention to the individual and family. Primary
prevention is one component of care and refers to actions intended to
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 brought to a pediatric clinic for a
scheduled visit. The child has no acute symptoms. During the
encounter, the clinician reviews nutrition, sleep, physical activity,
developmental progress, immunization status, oral health, safety
practices, and family concerns. Which description best captures the
purpose of this encounter?
A. Treatment of an acute illness
B. Comprehensive pediatric primary care
C. Tertiary prevention of a known complication
D. Emergency stabilization
Correct Answer: B. Comprehensive pediatric primary care
Rationale: Pediatric primary care is broader than treating illness. It
includes ongoing health supervision, prevention, developmental and
psychosocial monitoring, screening, counseling, management of
common acute and chronic conditions, and coordination of services. A
well-child encounter is therefore a comprehensive primary-care
interaction rather than a single disease-focused intervention. (Sources
1,2)
Why the Other Options Are Incorrect:
A. The child has no acute complaint, and the visit addresses multiple
dimensions of health rather than treating a specific illness.
, C. Tertiary prevention focuses on limiting disability or complications of
established disease; this encounter is directed toward overall health
and prevention.
D. The visit is scheduled and nonurgent, with no indication of a need for
emergency stabilization.
Question 2
Question: A nurse practitioner explains pediatric care to a student
nurse. Which statement best differentiates primary care from primary
prevention?
A. Primary care is limited to immunizations, whereas primary
prevention includes treatment of acute illness.
B. Primary care is the first-contact, continuing care process; primary
prevention is the prevention of disease before it occurs.
C. Primary care occurs only in hospitals, whereas primary prevention
occurs only in community settings.
D. Primary care and primary prevention are interchangeable terms in
pediatrics.
Correct Answer: B. Primary care is the first-contact, continuing care
process; primary prevention is the prevention of disease before it
occurs.
Rationale: Primary care is a broad model of health care delivery
characterized by first contact, continuity, comprehensiveness,
coordination, and attention to the individual and family. Primary
prevention is one component of care and refers to actions intended to
