A community health nurse has funding to develop secondary prevention strategies to combat tobacco use among the town's citizens. Which intervention should the nurse select?
Enroll pregnant teens who use tobacco in a smoking cessation program offered at a hospital.
Distribute pamphlets supporting an ordinance that prohibits smoking in public places.
Refer former smokers to follow-up programs or support groups designed to prevent relapse.
Provide school nurses with a child-oriented health curriculum on the importance of smoking prevention.
The Correct Answer is A
Choice A reason: Secondary prevention focuses on early detection and intervention to halt or slow the progression of a condition. Enrolling pregnant teens in cessation programs targets individuals already using tobacco and aims to prevent further harm, especially to fetal development. This aligns with secondary prevention goals.
Choice B reason: Distributing pamphlets about public smoking ordinances is a form of policy advocacy and environmental control, which falls under primary or tertiary prevention depending on context.
Choice C reason: Referring former smokers to relapse prevention programs is considered tertiary prevention, as it targets individuals who have already quit and aims to maintain abstinence.
Choice D reason: Providing educational curricula to school nurses is a primary prevention strategy aimed at preventing tobacco use before it begins.
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Correct Answer is D
Explanation
Choice A reason: Monitoring for disease progression is important but falls under secondary prevention. Tertiary prevention focuses on rehabilitation and optimizing function after disease onset.
Choice B reason: Family history is relevant for risk assessment and primary prevention. Compliance with the medical regimen is important but does not fully address the rehabilitative goals of tertiary care.
Choice C reason: Postoperative wound assessment is part of acute care and early recovery, not long-term rehabilitation. It is more aligned with secondary prevention.
Choice D reason: Evaluating exercise tolerance and psychosocial adaptation supports recovery and reintegration into daily life. These are key components of tertiary prevention, aimed at minimizing disability and improving quality of life.
Correct Answer is A
Explanation
Choice A reason: State law governs mandatory reporting requirements for suspected abuse. It provides legal guidance on when and how to report, and protects the nurse from liability when reporting in good faith. Compliance with state law is essential in safeguarding vulnerable populations.
Choice B reason: The ANA Code of Ethics outlines professional responsibilities and moral obligations but does not provide legal mandates or procedures for reporting abuse.
Choice C reason: The Nurse Practice Act defines scope of practice and licensure requirements but does not specifically address abuse reporting protocols.
Choice D reason: Facility procedures may offer internal guidance but cannot override legal obligations. They are secondary to state law in determining the nurse’s duty to report.
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