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 A

Explanation

A. Place locks at the top of doors: Installing locks high on doors helps prevent wandering, a common safety risk in clients with dementia. These locks are harder for the client to notice or reach, reducing the likelihood of unsupervised exits.

B. Provide clothing that has zippers instead of buttons: While zippers may seem easier, they can actually pose challenges for clients with cognitive or motor impairments. Velcro closures are typically safer and more manageable for both clients and caregivers.

C. Discourage group activities: Group activities can provide valuable social interaction, cognitive stimulation, and emotional support. Discouraging them may increase isolation and contribute to a decline in function or mood.

D. Keep the client's bedroom dark at night: A completely dark room can increase disorientation and agitation in clients with dementia. A soft nightlight is preferable to reduce confusion and promote safety during nighttime waking or wandering.

A. Insert an NG tube for a client who requires enteral feedings. B. Transfer a client to physical therapy. C. Obtain a client's vital signs every 4 hr. D. Instruct a client on the use of an incentive spirometer. E. Record a client's intake after each meal.

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

Explanation

A. Insert an NG tube for a client who requires enteral feedings: Inserting an NG tube requires nursing knowledge, assessment skills, and sterile technique. This is beyond the scope of practice for assistive personnel and must be performed by a licensed nurse.

B. Transfer a client to physical therapy: Transferring stable clients is within the role of assistive personnel, especially when proper transfer techniques are used and the client does not require complex assessments during the transfer.

C. Obtain a client's vital signs every 4 hr: Monitoring and recording routine vital signs is a standard task for assistive personnel. The nurse retains responsibility for interpreting the findings and acting on abnormal values.

D. Instruct a client on the use of an incentive spirometer: Teaching or reinforcing client education requires nursing judgment and is not within the scope of practice for assistive personnel. This task should be performed by a licensed nurse.

E. Record a client's intake after each meal: Documenting intake, including the amount consumed, is appropriate for assistive personnel. The nurse will then interpret this data as part of the client’s fluid or nutritional status monitoring.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a family how to manage the at-home care of a client who has dementia. Which of the following instructions should the nurse Include?

Correct Answer is A

Explanation

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

Explanation

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