A clinic nurse is providing care for a 65-year-old woman diagnosed with chronic heart failure. Despite receiving optimal medical treatment, the client frequently experiences exacerbations that result in hospitalizations. During a routine clinic visit, the nurse emphasizes the significance of tertiary prevention strategies with the client. Which intervention demonstrates tertiary prevention and would offer the most benefit for managing the client's condition?

Teaching the client's family about the signs of worsening heart failure and when to contact the healthcare provider

Educating the client about medication side effects

Administering the influenza vaccine to the client

Educating the client about dietary modifications to manage heart failure symptoms

Answer and Explanation

The Correct Answer is A

A. Teaching the client’s family about recognizing signs of worsening heart failure and when to seek help is a tertiary prevention strategy aimed at managing and reducing complications of an existing condition.
B. Educating about medication side effects is important for managing treatment but is not specifically focused on preventing complications or managing disease progression.
C. Administering the influenza vaccine is a primary prevention strategy to prevent illness rather than managing an existing condition.
D. Educating about dietary modifications helps manage symptoms but does not directly address the prevention of complications in the context of tertiary prevention.

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Correct Answer is ["B","D","E"]

Explanation

A. Poor sanitation is typically categorized under the Environmental Domain in the Omaha System, as it pertains to the physical environment and its impact on health.
B. Anxiety and Depression fall under the Psychosocial Domain, which includes mental health issues and emotional well-being. These conditions affect the individual's psychological state and social interactions.
C. Multiple skin breakdowns are classified under the Physiological Domain, as they relate to physical health and body integrity.
D. Coping difficulties are also categorized under the Psychosocial Domain, as they pertain to an individual's ability to handle stress and manage emotional challenges.
E. Social Isolation is part of the Psychosocial Domain, since it involves an individual's social interactions and support systems, impacting their emotional and psychological well-being.

A. Bandura's Social Learning Theory B. Family Development Theory C. Skinner's Learning Theory D. Fishbein and Ajzen's Theory of Reasoned Action

Correct Answer is A

Explanation

A. Bandura's Social Learning Theory focuses on learning through observation and imitation. The child's behavior of imitating his father and watching a cartoon reflects this theory, as he is learning and mimicking behaviors he has observed.
B. Family Development Theory addresses the stages and changes within a family unit over time, not the specific behavior of individual children imitating adults.
C. Skinner's Learning Theory focuses on reinforcement and punishment rather than observational learning and imitation.
D. Fishbein and Ajzen's Theory of Reasoned Action involves understanding behavioral intentions based on attitudes and norms, which is not directly related to the child's imitation of behavior.

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Naxlex Comprehensive Predictor Exams

The nurse is applying the Omaha System to categorize client issues observed during home visits with a group of clients. Which of the following problems would the nurse classify under the Psychosocial Domain? (Select all that apply)

Correct Answer is ["B","D","E"]

Explanation

Correct Answer is A

Explanation

When evaluating the home for fall risks, which of the following would be classified as intrinsic?

The nurse is discussing the social ecological model in planning community-based programs. Which of the following statements would the nurse identify as the approach that this model uses?

The nurse is teaching a group of community health nurses about the practice to use when teaching clients about the "Ask Me 3" questions concept. Which question, if stated by the group as part of this concept, would indicate that the group needed additional instruction?

Which of the following factors would the nurse identify as reflecting the current trend in caring for terminally ill older adults?

The family of a client who is on home hospice care asks the nurse about the use of complementary therapies that would improve the comfort level of the client. Which following therapies would the nurse identify?

The nurse is completing an Outcome and Assessment Information Set (OASIS) for a client who is on Medicare. Which of the following statements would describe the importance of accuracy in completing this form?

The nurse is organizing care plans for the following clients. Which client will necessitate interventions focused on secondary prevention?

The family of a client on home hospice care who is nearing the end of life tells the nurse that the client is refusing to eat. Which of the following statements is appropriate for the nurse to make?