A mental health nurse is providing preventive care for a group of clients in the community. Which of the following actions by the nurse demonstrates a secondary prevention strategy?
Leading a group discussion with several clients who have schizophrenia and are dealing with tardive dyskinesia.
Screening college students who demonstrate manifestations of depressive disorder.
Training volunteers in an adult day care facility to communicate effectively with clients who have cognitive impairments.
Teaching personal coping skills to a group of adults whose parents have Alzheimer's disease.
The Correct Answer is B
A reason: Leading a group discussion with several clients who have schizophrenia and are dealing with tardive dyskinesia. This action represents tertiary prevention, as it involves managing long-term symptoms and complications of an existing condition (tardive dyskinesia) in clients with schizophrenia.
B reason: Screening college students who demonstrate manifestations of depressive disorder. Screening for depressive disorders is a form of secondary prevention. It aims to identify and treat mental health conditions early before they become more severe, thus preventing further complications.
C reason: Training volunteers in an adult day care facility to communicate effectively with clients who have cognitive impairments. This action is an example of tertiary prevention, focusing on improving care and support for clients with existing cognitive impairments, rather than preventing the onset or progression of the condition.
D reason: Teaching personal coping skills to a group of adults whose parents have Alzheimer's disease. This action represents tertiary prevention, as it aims to help individuals cope with the stress and challenges of caregiving for relatives with Alzheimer's disease, rather than preventing the condition itself.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A reason: Dissociation. Dissociation involves a disconnection between thoughts, identity, consciousness, and memory. The inability to recall details of a traumatic event is a common dissociative response in PTSD, where the mind separates from the distressing experience.
B reason: Rationalization. Rationalization involves creating a logical explanation to justify unacceptable feelings or behaviors. It does not involve memory loss or detachment from the event, making it an incorrect choice in this context.
C reason: Undoing. Undoing is a defense mechanism where a person tries to reverse or undo feelings by doing something that indicates the opposite feeling. It does not involve forgetting or dissociating from traumatic events.
D reason: Reaction formation. Reaction formation involves expressing the opposite behavior or emotion of what one truly feels. It does not involve memory loss or dissociation from the traumatic event, making it an incorrect choice in this context.
Correct Answer is B
Explanation
A reason: Polyphagia. Polyphagia, or excessive eating, is not typically associated with cocaine use. Cocaine often suppresses appetite rather than increasing it.
B reason: Fever. Cocaine use can lead to hyperthermia or elevated body temperature due to increased metabolic activity and stimulation of the central nervous system.
C reason: Bradycardia. Bradycardia, or a slow heart rate, is not a typical response to cocaine use. Cocaine is a stimulant that usually causes tachycardia, or a rapid heart rate.
D reason: Oliguria. Oliguria, or reduced urine output, is not a typical finding associated with acute cocaine use. The drug's immediate effects are more related to cardiovascular and neurological systems.
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