Download Chapter 1 Pediatric Primary Care Exam Questions & Answers (Grade A+) and more Exams Pediatrics in PDF only on Docsity!
Exam Questions & Answers (Grade
A+)
is one level of care in the healthcare system. - correct answer ✅primary care primary care -subsequent levels involve increased ____________, additional ___________ and specialized __________? - correct answer ✅complexity, additional specialists and specialized equipment levels of care - correct answer ✅primary secondary tertiary quaternary primary care - correct answer ✅generalist care secondary care requires both - correct answer ✅requires specialized expertise
Exam Questions & Answers (Grade
A+)
tertiary requires what - correct answer ✅both specialized expertise and specialized equipment Quaternary care requires highly specialized - correct answer ✅expertise and highly unusual or specialized equipment Primary Care - A different focus - correct answer ✅ Primary care is more - correct answer ✅person-centered than disease- centered Provides continuous, relationship-oriented care overtime, rather than being a series of limited disease-based interactions - correct answer ✅primary care
Exam Questions & Answers (Grade
A+)
Primary care is not - correct answer ✅site-specific primary care It is often incorrectly used synonymously with - correct answer ✅outpatient or ambulatory care primary care While subsequent levels of care are typically associated with - correct answer ✅inpatient or acute care Primary Care Providers (PCPs) First contact point in the health system (not simply a point of entry) - correct answer ✅Central position: Primary Care Providers (PCPs)
Exam Questions & Answers (Grade
A+)
Central position: Provides comprehensive, continuous, - correct answer ✅person-centered care Primary Care Providers (PCPs) Hub of coordination Integrates subsequent/ - correct answer ✅specialty care Types of PCPs - correct answer ✅PNPs, FNPs, Pediatricians, Family Medicine, Physician Assistants Serves as the primary interface between the child/family and the health system, except in the case of serious emergencies - correct answer ✅Pediatric PCP (P-PCP)
Exam Questions & Answers (Grade
A+)
Within a community-based - correct answer ✅system ("medical neighborhood") Pediatric Medical Home At the core of the medical home is the PCP Provides high-quality, developmentally appropriate - correct answer ✅healthcare services Pediatric Medical Home At the core of the medical home is the PCP Which needs to continue uninterrupted as the child moves within/ and when transitioning from - correct answer ✅across the healthcare system,
Exam Questions & Answers (Grade
A+)
pediatric to adult care Primary 'Care' vs. Primary 'Prevention' Levels of 'care' (primary, secondary, tertiary, quaternary) are sometimes confused with levels of ' - correct answer ✅disease prevention' (primary, secondary, tertiary) Primary 'Care' vs. Primary 'Prevention' Levels of 'disease prevention' are best understood in terms of the - correct answer ✅natural history of disease Primary 'Care' vs. Primary 'Prevention'
Exam Questions & Answers (Grade
A+)
Preventive actions are taken before the onset of disease to remove the possibility that a disease - correct answer ✅ever occurs. Primary Prevention Two (2) subcategories: involves health maintenance and education efforts, including lifestyle changes/choices, nutrition, and maintenance of safe environments - correct answer ✅Health promotion Primary Prevention involves actions targeted at specific diseases, such as immunizations, antimalarial prophylaxis, and environmental modifications (such as fluoride) - correct answer ✅Specific protection Secondary Prevention
Exam Questions & Answers (Grade
A+)
Secondary prevention efforts involve early diagnosis and - correct answer ✅prompt treatment secondary prevention The goal of secondary prevention efforts is to cure the disease at the _______ stage, _____disease onset and/or ________, and reduce or reverse the transmission of disease - correct answer ✅earliest stage, delay duration secondary prevention Focus is on efforts that: interrupt the disease process before it becomes ________or halt the disease process
Exam Questions & Answers (Grade
A+)
As with primary prevention, there are two (2) subcategories: - correct answer ✅disability limitation rehabilitation focuses on early symptomatic disease • Correct anatomic and/or physiologic components of disease • Prevent/limit impairment or disability caused by the disease - correct answer ✅Disability limitation focuses on late symptomatic disease • Mitigate the ultimate effects of the disease • Prevent total social and/or functional disability • Restore persons with disabilities to a self-sufficient role in society - correct answer ✅• Rehabilitation Unique Issues in Pediatrics The Two-Generation or
Exam Questions & Answers (Grade
A+)
Lifelong Impact of Protective and Adverse - correct answer ✅Dual Patient Childhood Experiences Unique Issues in Pediatrics Transition to Caring for Children and Youth With - correct answer ✅Adult Care Special Healthcare Needs The TwoGeneration or Dual Patient
Exam Questions & Answers (Grade
A+)
Balancing the needs and wishes within the context of the dual patient can create difficult and challenging care decisions, especially as children's cognitive and executive function mature:
- While parents are clearly authorities and caregivers, they are not complete
- P-PCPs are the child's advocate and need to seek out their voices, actively engaging them in care and healthrelated decision making, and working to ensure that their - correct answer ✅surrogates voices are heard Lifelong Impact of Protective & Adverse Childhood Experiences (ACES) A life course perspective highlights that an individual's physical, mental, socioemotional, and spiritual health
Exam Questions & Answers (Grade
A+)
results from multiple risk and protective factors that operate throughout the lifespan, and the impact of those factors varies based on the - correct answer ✅life stage and context. Lifelong Impact of Protective & Adverse Childhood Experiences (ACES) Early exposure to protective and adverse experiences can promote or disrupt - correct answer ✅healthy development. Lifelong Impact of Protective & Adverse Childhood Experiences (ACES) Unique time period - First 1000 Days of Life seen as the brain's "___________" when the foundations of health, growth, and neurodevelopment across the life span are established - correct answer ✅window of opportunity"
Exam Questions & Answers (Grade
A+)
low life potential (graduation rates, academic achievement, ____________ early death - correct answer ✅lost time from work) The scope of ACEs adverse experiences is evolving to include new factors - correct answer ✅(e.g., racism, weight stigma) Protective Factors Paralleling the work on ACES is the science that identifies/promotes protective factors which: Buffer_______ Build ________ - correct answer ✅adversity resilience
Exam Questions & Answers (Grade
A+)
Protective Factors These efforts are particularly evident in the attachment and biobehavioral catch-up (ABC) interventions being introduced in - correct answer ✅foster care The PCP is well positioned to seek out, assess, and support protective factors at each Two examples: Safe, stable, and nurturing_____________(SSNRs) Exposure to nature and/or _________ - correct answer ✅well-child visit. relationships green space
