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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A reason: Voice alteration. Voice alteration is not a common adverse effect of ECT. The procedure typically does not impact vocal cords or speech directly.

B reason: Neck pain. While discomfort and muscle soreness can occur, neck pain is not a primary or common adverse effect specifically associated with ECT.

C reason: Memory deficit. Memory deficits, particularly short-term memory loss, are a well-documented adverse effect of ECT. Clients may experience difficulty recalling recent events before and after treatment.

D reason: Headache. Headache can occur after ECT but is less concerning compared to cognitive side effects like memory deficits. Monitoring for memory changes is crucial.

A. Lack of eye contact. B. Inability to play quietly. C. Constant spinning of a toy. D. Withdrawal from physical contact. E. Repeated voicing in clothes.

Correct Answer is ["A","C","D"]

Explanation

A reason: Lack of eye contact. Children with autism spectrum disorder (ASD) often exhibit reduced or lack of eye contact, which can be a key indicator of social communication difficulties associated with ASD.

B reason: Inability to play quietly. While some children with autism might exhibit hyperactive behavior, an inability to play quietly is not a specific characteristic of ASD. It can be seen in various conditions, including attention deficit hyperactivity disorder (ADHD).

C reason: Constant spinning of a toy. Repetitive behaviors, such as spinning objects, are common in children with ASD. These behaviors provide sensory input and can be calming for the child.

D reason: Withdrawal from physical contact. Children with ASD often withdraw from physical contact due to sensory sensitivities. They might find certain touches uncomfortable or overwhelming.

E reason: Repeated voicing in clothes. Repeating phrases or sounds, known as echolalia, is common in ASD, but "repeated voicing in clothes" does not accurately describe this behavior. It seems like a typographical error.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has undergone electroconvulsive therapy (ECT). The nurse should monitor the client for which of the following adverse effects of ECT?

Correct Answer is C

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Correct Answer is ["A","C","D"]

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