A community health nurse is helping a group of nursing students plan a tertiary prevention program for a local community clinic that serves a majority Hispanic population. Which service project meets the requirement of a tertiary prevention program and would best serve this population?

Teach clients about recommended immunizations for children.

Instruct teens about prevention of sexually transmitted diseases.

Take blood pressures at a local shopping mall in the community.

Demonstrate foot care to a group of clients who have diabetes.

Answer and Explanation

The Correct Answer is D

A. Teach clients about recommended immunizations for children:
Teaching about immunizations is a form of primary prevention, as it aims to prevent diseases before they occur. It is not classified as tertiary prevention.

B. Instruct teens about prevention of sexually transmitted diseases:
Instructing about the prevention of sexually transmitted diseases (STDs) is a form of secondary prevention. It focuses on preventing the spread of disease and identifying it early.

C. Take blood pressures at a local shopping mall in the community:
Measuring blood pressure is an example of secondary prevention, which involves screening for health issues to detect them early. It does not fall under tertiary prevention, which focuses on managing existing conditions.

D. Demonstrate foot care to a group of clients who have diabetes:
Demonstrating foot care to clients with diabetes is an example of tertiary prevention. It involves managing and preventing complications in individuals who already have a chronic condition (diabetes). This helps in minimizing the impact of the disease and improving the quality of life for those affected.

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Correct Answer is A

Explanation

A. Diabetes mellitus:
Given that a large percentage of Hispanic children in the elementary school are overweight, diabetes mellitus is a significant health concern. Overweight and obesity are major risk factors for type 2 diabetes, which is increasingly prevalent in children with these conditions. Screening for diabetes mellitus is crucial for early identification and management to prevent complications associated with this condition.

B. Hypothyroidism:
While hypothyroidism can contribute to weight gain, it is less directly linked to the prevalence of overweight in the general population compared to diabetes mellitus. Screening for hypothyroidism would be less prioritized unless there are specific indications or symptoms related to thyroid dysfunction.

C. English proficiency:
Although English proficiency is important for academic success and communication, it is not directly related to the health concerns associated with overweight and obesity. Addressing health issues like diabetes is more urgent for managing the overweight problem.

D. Iron deficiency anemia:
Iron deficiency anemia is a concern in some populations, but it is less directly associated with overweight and obesity compared to diabetes mellitus. Screening for iron deficiency anemia would be relevant in different contexts but is not the highest priority in addressing the immediate health impact of obesity-related conditions.

A. Instruct on technique of "stop, drop & roll" at assembly. B. Involve the parent teacher association (PTA) in a fund raising event for the new gym. C. Invite 1st grade parents to a "Meet the Teachers" event. D. Send letters to parents regarding a recent lice infestation.

Correct Answer is D

Explanation

A) Instruct on technique of "stop, drop & roll" at assembly:
This is a primary prevention intervention aimed at educating students on how to prevent burns in the event of a fire. It does not address a specific identified problem but rather provides general safety education.

B) Involve the parent teacher association (PTA) in a fund raising event for the new gym:
This action focuses on raising funds for a new gym, which is related to school improvement and development rather than addressing an immediate health issue. It does not fall under secondary intervention for an identified problem.

C) Invite 1st grade parents to a "Meet the Teachers" event:
This intervention focuses on fostering relationships between parents and teachers and improving school engagement. While valuable, it does not address a specific health problem that requires secondary intervention.

D) Send letters to parents regarding a recent lice infestation:
This is a secondary prevention intervention aimed at addressing an already identified problem—in this case, a lice infestation. By informing parents, the nurse is helping to manage and control the spread of lice among students, which is a direct response to an identified health issue.

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A community health nurse is helping a group of nursing students plan a tertiary prevention program for a local community clinic that serves a majority Hispanic population. Which service project meets the requirement of a tertiary prevention program and would best serve this population?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The school health nurse observes that a large percentage of Hispanic children in the elementary school are overweight. Which screening program should the nurse choose to target the highest priority health concern for this population?

Correct Answer is A

Explanation

The elementary school nurse has identified a problem requiring a secondary intervention. Which intervention should the nurse implement?

Correct Answer is D

Explanation

A nurse designs a series of four weekly classes for clients with type 2 diabetes mellitus. Which information should the nurse use as an outcome evaluation for the classes?

During a community health screening fair for older adults, the nurse observes a client who has pale, bluish feet, with sores an both lower extremities that are healing poorly. Which intervention should the nurse implement?

A 66-year-old client is retiring and will no longer have health insurance through a place of employment. Which agency should the client be referred to by the employee health nurse for health insurance needs?

Four students come to the school clinic simultaneously, seeking help from the school nurse. In which order of priority should the nurse provide care to these students? (Arrange the client with the highest priority first, on top, and lowest priority last, on bottom.)

A nurse is interested in studying the incidence of infant death in a particular city and wants to compare that city's rate to the state's rate. Which state resource should the nurse select to gather this information?

An adolescent tells the school nurse that she is pregnant. Her last menstrual period was 4 months ago, and she has not yet received any medical care. She smokes but denies any other substance use. Which interventions should the nurse implement? (Select all that apply.)

A prescription for discharge is written for an elderly client who has asked to be discharged to home. The client lives alone and is able to walk 10 to 15 feet (3 to 4.5 meters) with assistance. Which action should the nurse implement first?

The nurse notes that the influenza immunization rates are much lower for certain demographic groups than for others. Which intervention is likely to be most useful in increasing the rates of immunization in these under-served immunization groups?