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 D
Explanation
Answer and explanation
The correct answer is Choice D.
Choice A rationale
Checking the client’s temperature, blood sugar, and urine output could be important in certain situations, but in this case, it may not be the most immediate need. The client is wandering and crying, which suggests emotional distress rather than a physical health issue.
Choice B rationale
Arranging for the client to be transported for laboratory tests and an electrocardiogram (ECG) would be an overreaction in this situation. There’s no indication from the client’s behavior that they are experiencing a medical emergency.
Choice C rationale
Delegating care of the crying client to an unlicensed assistant is not the best choice. The client is likely experiencing emotional distress due to the traumatic event, and they would benefit from the care and attention of a trained professional.
Choice D rationale
Directing the client to the shelter’s nutrition center to obtain water and food is the best action in this situation. The client may be dehydrated or hungry, which could be contributing to their distress. Providing for these basic needs can help to calm the client and provide a sense of safety and stability.
Correct Answer is C
Explanation
Answer and explanation
The correct answer is Choice C.
Choice A rationale
While ensuring safe drinking water is important during a disaster, it may not be the most important content for a community health nurse to include in a disaster management class in a Gulf Coast town that caters to tourists.
Choice B rationale
Knowing available evacuation routes from the town is crucial during a disaster. However, in a Gulf Coast town that caters to tourists, the most significant threat is likely to be hurricanes.
Choice C rationale
Given the geographical location of the Gulf Coast town, hurricane preparedness for families and businesses is the most important content to include in the class. Hurricanes are a common natural disaster in this area, and being prepared can help reduce the impact of such events.
Choice D rationale
While it’s important to know what actions to take during a tornado, tornadoes are not as common as hurricanes in Gulf Coast towns. Therefore, hurricane preparedness would be more relevant to include in the class.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.