A community health nurse is developing a budget for strategies that target the primary level of prevention. Which of the following interventions should the nurse include in the budget?

Scheduling healthy cooking classes for clients who have hypertension

Performing environmental assessments to identify local safety issues

Hosting early detection programs for substance use at local high schools

Implementing influenza immunization clinics for older adults

Answer and Explanation

The Correct Answer is D

A. Scheduling healthy cooking classes for clients who have hypertension: This intervention is secondary or tertiary prevention because it targets individuals who already have a chronic condition. The goal is to manage or prevent complications, not to prevent the disease.

B. Performing environmental assessments to identify local safety issues: Environmental assessments are considered part of community diagnosis and planning rather than direct primary prevention.

C. Hosting early detection programs for substance use at local high schools: This is an example of secondary prevention, as it focuses on identifying and intervening early in substance use behavior rather than preventing it from starting in the first place.

D. Implementing influenza immunization clinics for older adults: Immunizations are a classic example of primary prevention because they are designed to prevent the onset of disease before it occurs. Vaccination protects individuals from acquiring infections like influenza.

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Correct Answer is C

Explanation

A. "Give your son plenty of alone time with his sister." While supervised interaction is important, unsupervised alone time is not recommended for preschoolers and newborns due to safety concerns. Young children may not fully understand appropriate handling or boundaries.

B. "Plan for your son to meet his sister for the first time at home." Introducing the baby at the hospital is generally encouraged, as it allows for early bonding in a supportive environment. Waiting until home may delay adjustment and could create feelings of exclusion.

C. "Give your son a little gift from his new sister." This strategy helps reduce feelings of jealousy and promotes positive associations with the new baby. It can make the older sibling feel acknowledged and included in the family transition.

D. "Hold your daughter when your son first meets her." Holding the baby during the first introduction may make the older child feel displaced. Allowing the parent to focus attention on the older sibling during the initial meeting can foster reassurance and connection.

A. 1 cup of strawberries B. 1 stalk of celery C. 1 cup of oatmeal D. 1 oz of peanuts

Correct Answer is C

Explanation

A. 1 cup of strawberries: While strawberries provide some dietary fiber and vitamins, they are not as fiber-dense per serving compared to whole grains or legumes. One cup contains about 3 grams of fiber.

B. 1 stalk of celery: Celery has minimal fiber content—about 1 gram per stalk—and is mostly water. It can be part of a high-fiber diet but is not the best source among the options listed.

C. 1 cup of oatmeal: Oatmeal is an excellent source of soluble fiber, particularly beta-glucan, which helps improve bowel regularity and reduce cholesterol. One cup contains around 4–5 grams of fiber, making it the highest in this list.

D. 1 oz of peanuts: Peanuts contain some fiber (around 2–3 grams per ounce) and protein, but their fat content is high, and they are not primarily used as a fiber-rich food source. They are less beneficial for increasing bulk in stool compared to oatmeal.

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A community health nurse is developing a budget for strategies that target the primary level of prevention. Which of the following interventions should the nurse include in the budget?

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