Burns' Pediatric Primary Care
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,A 6-year-old child is brought to a pediatric primary care clinic for fever,
sore throat, and decreased oral intake. The clinician performs an
assessment, establishes a differential diagnosis, and develops a
treatment plan. Which concept is most directly illustrated by this
encounter?
A. Primary prevention
B. Secondary prevention
C. Primary care
D. Tertiary prevention
Correct answer: C. Primary care
Rationale: Primary care is a first-contact, ongoing, comprehensive
approach that includes evaluation and management of acute and
chronic conditions in addition to preventive services. Pediatric primary
care encompasses diagnosis and treatment as well as health
supervision and prevention.
Why the other options are incorrect:
A. Primary prevention: Primary prevention aims to prevent disease or
injury before it occurs, such as immunization or injury-prevention
counseling. The child in this scenario is already symptomatic.
B. Secondary prevention: Secondary prevention generally focuses on
detecting disease at an early stage, often through screening or early
case finding.
D. Tertiary prevention: Tertiary prevention aims to reduce
complications or disability associated with established disease or injury.
, Question 2
During a well-child visit, a nurse practitioner teaches the parents of a
healthy 2-year-old how to reduce the risk of accidental poisoning in the
home. Which classification best describes this intervention?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Rehabilitation
Correct answer: A. Primary prevention
Rationale: Counseling intended to prevent an injury before it occurs is
primary prevention. Pediatric primary care routinely incorporates
preventive counseling and anticipatory guidance into health-supervision
visits.
Why the other options are incorrect:
B. Secondary prevention: Secondary prevention is directed toward
early identification of an existing disease or problem.
C. Tertiary prevention: Tertiary prevention addresses limitations or
complications resulting from an established condition.
D. Rehabilitation: Rehabilitation restores or maximizes function after
illness, injury, or disability; it is not the goal of this intervention.
Question 3
Which statement by a nursing student demonstrates the best
understanding of the relationship between primary care and primary
prevention?
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,A 6-year-old child is brought to a pediatric primary care clinic for fever,
sore throat, and decreased oral intake. The clinician performs an
assessment, establishes a differential diagnosis, and develops a
treatment plan. Which concept is most directly illustrated by this
encounter?
A. Primary prevention
B. Secondary prevention
C. Primary care
D. Tertiary prevention
Correct answer: C. Primary care
Rationale: Primary care is a first-contact, ongoing, comprehensive
approach that includes evaluation and management of acute and
chronic conditions in addition to preventive services. Pediatric primary
care encompasses diagnosis and treatment as well as health
supervision and prevention.
Why the other options are incorrect:
A. Primary prevention: Primary prevention aims to prevent disease or
injury before it occurs, such as immunization or injury-prevention
counseling. The child in this scenario is already symptomatic.
B. Secondary prevention: Secondary prevention generally focuses on
detecting disease at an early stage, often through screening or early
case finding.
D. Tertiary prevention: Tertiary prevention aims to reduce
complications or disability associated with established disease or injury.
, Question 2
During a well-child visit, a nurse practitioner teaches the parents of a
healthy 2-year-old how to reduce the risk of accidental poisoning in the
home. Which classification best describes this intervention?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Rehabilitation
Correct answer: A. Primary prevention
Rationale: Counseling intended to prevent an injury before it occurs is
primary prevention. Pediatric primary care routinely incorporates
preventive counseling and anticipatory guidance into health-supervision
visits.
Why the other options are incorrect:
B. Secondary prevention: Secondary prevention is directed toward
early identification of an existing disease or problem.
C. Tertiary prevention: Tertiary prevention addresses limitations or
complications resulting from an established condition.
D. Rehabilitation: Rehabilitation restores or maximizes function after
illness, injury, or disability; it is not the goal of this intervention.
Question 3
Which statement by a nursing student demonstrates the best
understanding of the relationship between primary care and primary
prevention?
