Chapter 22: Immunizations Garzon Maaks: Burns' Pediatric Primary Care, 7th Edition
Chapter 22: Immunizations Garzon Maaks: Burns' Pediatric Primary Care, 7th Edition
Chapter 22: Immunizations Garzon Maaks: Burns' Pediatric Primary Care, 7th Edition
MULTIPLE RESPONSE
1. What new vaccine delivery systems are being investigated? (Select all that apply.)
a. Skin-patch
b. Edible
c. Nasal
d. Rectal
e. Topical
ANS: A, B, C
New vaccine delivery systems are being investigated that include skin-patch vaccines, edible
vaccines, additional applications for nasal delivery, and needle-free injections.
2. What reasons are commonly given by parents and caregivers for failing to have their children
vaccinated? (Select all that apply.)
a. Religious beliefs
b. Distrust of government agencies
c. Immunizations are too expensive
d. Believed connection to the development of autism
e. Inoculation is too physically and emotionally traumatic
ANS: A, B, D, E
Parents commonly express concerns that vaccines are not safe and may cause autism, overload
or are traumatic for children. Others distrust government agencies or have personal religious
beliefs against immunization. Cost is not a commonly expressed concern.
MULTIPLE CHOICE
1. Which PCP question, posed to a parent, best demonstrates participatory care when addressing
the topic of childhood immunizations?
a. “Do you want to hold your child while I give the shots due today?”
b. “What are your feelings about childhood vaccinations?”
c. “What shots do you want your child to receive at this visit?”
d. “Do you have any questions about the shots that are due at this visit?”
ANS: C
Providers who are presumptive (e.g., “these shots are due today”) rather than participatory
(e.g., “what shots do you want your child to receive today”) in their discussion of childhood
vaccines had fewer refusals by vaccine-hesitant parents even within the context of initial
vaccine resistance on the part of the parent. The remaining options all present with the
assumption that the vaccinations will be given.