A community health nurse is educating a group of clients about the levels of prevention. Which scenario is an example of the primary level of prevention?
A nurse develops a pamphlet about testicular self-examination (TSE).
A client participates in weekly respiratory rehabilitation after discharge.
A triage nurse in the emergency room administers oxygen to a client.
An older adult client completes routine blood pressure screening.
The Correct Answer is A
Choice A reason: Developing educational materials about TSE is a primary prevention strategy. It aims to prevent disease before it occurs by promoting awareness and early detection behaviors in healthy individuals.
Choice B reason: Respiratory rehabilitation is a tertiary prevention strategy. It focuses on managing and improving quality of life after disease onset, not preventing the disease itself.
Choice C reason: Administering oxygen in the emergency room is a secondary or tertiary intervention, depending on context. It addresses acute symptoms and does not prevent disease.
Choice D reason: Routine blood pressure screening is a secondary prevention strategy. It aims to detect disease early and intervene before complications arise, but it does not prevent the initial occurrence of hypertension.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Difficulty breathing is a threat to physiological stability, the most basic level in Maslow’s hierarchy. Airway and breathing are critical priorities in nursing care, and this client requires immediate intervention to preserve life.
Choice B reason: Anxiety about surgery reflects emotional and psychological needs, which are important but secondary to physiological survival. Once the client’s physical safety is ensured, emotional support can be provided.
Choice C reason: Loneliness and isolation pertain to love and belonging needs. While these are essential for mental health, they do not take precedence over life-threatening conditions like respiratory distress.
Choice D reason: Interest in a diet plan reflects self-improvement and health promotion, which align with Maslow’s higher-level needs such as self-actualization. This client is stable and can wait while more urgent needs are addressed.
Correct Answer is B
Explanation
Choice A reason: Educational materials may help the client understand grief, but they do not directly address spiritual distress or faith-related concerns. This approach is more cognitive and less personalized.
Choice B reason: Facilitating a visit from the client’s clergy or spiritual advisor directly supports spiritual wellness by connecting the client with their faith community. This intervention respects the client’s beliefs and provides comfort, guidance, and meaning during a time of loss, which is essential for spiritual healing.
Choice C reason: Exercise routines support physical and emotional health but do not specifically address spiritual needs. While beneficial, this intervention is not targeted toward the client’s expressed struggle with faith.
Choice D reason: Grief support groups offer emotional and social support, which may indirectly benefit spiritual wellness. However, they may not provide the faith-based guidance the client is seeking, making this a secondary option.
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