A 23-year-old single mother of three visits the Department of Health walk-in clinic with symptoms of abdominal pain, painful urination, fever, and vaginal discharge.
She states that these symptoms began three days ago and she initially thought it was a urinary tract infection (UTI) until the vaginal discharge became purulent and bloody.
She reports having three sexual partners over the past 60 days.
She has visited the clinic three times in the past 12 months for similar concerns, but no sexually transmitted infections were diagnosed on those three prior visits.
Given the history of clinic visits over the past 12 months with similar concerns, the nurse determines that client education should focus on prevention.
What type of preventive education should the nurse identify for this client?
Primary prevention, which would include education on safe sex practices.
Secondary prevention, which would include regular screenings for sexually transmitted infections.
Tertiary prevention, which would include education regarding prescribed treatments for sexually transmitted infections.
Quaternary prevention, which would include strategies to avoid unnecessary or harmful interventions.
The Correct Answer is A
Answer and explanation
The correct answer is Choice A.
Choice A rationale
Primary prevention includes measures that prevent the occurrence of a specific disease or health condition. In the context of sexually transmitted infections (STIs), primary prevention would involve education on safe sex practices. This could include information on the use of condoms, the importance of regular STI testing, and the risks associated with having multiple sexual partners. Given the client’s history of multiple sexual partners and recurrent symptoms suggestive of STIs, education on safe sex practices would be an appropriate preventive strategy.
Choice B rationale
Secondary prevention involves early detection and intervention to prevent the progression of a disease or health condition. Regular screenings for STIs fall under this category. However, given that the client has visited the clinic three times in the past 12 months with similar concerns but no STIs were diagnosed, secondary prevention may not be the most appropriate focus for this client.
Choice C rationale
Tertiary prevention involves managing disease post diagnosis to slow or stop disease progression through measures such as medication management and lifestyle changes. Education regarding prescribed treatments for STIs would fall under this category. However, since the client has not been diagnosed with an STI in her previous visits, tertiary prevention would not be the most appropriate focus for this client.
Choice D rationale
Quaternary prevention involves strategies to reduce or avoid unnecessary interventions in the health care system. This could include avoiding unnecessary diagnostic tests or treatments.
Given the client’s history and current symptoms, focusing on quaternary prevention would not be appropriate as it is important to identify the cause of her symptoms and provide appropriate treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Answer and explanation
The correct answer is Choice A.
Choice A rationale
A graduate nursing student requesting information, including laboratory findings and chest X- ray results, about all clients with symptoms of H1N1 who have been seen during the last month in a community health clinic is asking for sensitive patient information. This information is protected under privacy laws and regulations, such as the Health Insurance Portability and Accountability Act (HIPAA) in the United States. Therefore, the charge nurse should obtain written authorization from clients to release the information. This ensures that the privacy and confidentiality of the patients are maintained, which is a fundamental principle in healthcare.
Choice B rationale
While it’s important to verify if permission has been obtained from the research committee, it’s not the first step in this process. The primary concern should be the patients’ rights to privacy and confidentiality. Therefore, obtaining written authorization from the clients to release their information should be the first step.
Choice C rationale
Asking the student to sign a standard waiver form is not sufficient to protect the privacy and confidentiality of the patients. The charge nurse should first obtain written authorization from the clients before releasing any information.
Choice D rationale
Providing the information for research purposes only does not absolve the healthcare provider from the responsibility of obtaining written consent from the patients. The patients’ rights to privacy and confidentiality must be respected, and their consent is necessary before any information can be released.
Correct Answer is D
Explanation
Answer and explanation
The correct answer is Choice D.
Choice A rationale
Converting written vehicle instructions into a pictorial format can help improve understanding, but it does not directly address the physical dangers associated with the machinery.
Choice B rationale
Educating farm workers not to smoke around farm equipment can prevent fires, but it does not directly reduce the risk of machinery-related injuries.
Choice C rationale
Offering rehabilitation services to injured farm workers is important, but it is a reactive measure. The goal should be to prevent injuries from occurring in the first place.
Choice D rationale
Collaborating with lawmakers to mandate safe tractor design can have a significant impact on reducing farm machinery injuries. By addressing the issue at the design level, many injuries can be prevented.
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