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. Leading a group discussion with several clients who have schizophrenia and are dealing with tardive dyskinesia: This activity involves providing support and education to individuals already experiencing a mental health condition and its associated complications. It falls under tertiary prevention, which focuses on minimizing the impact of established disease through treatment and rehabilitation.
B. Screening college students who demonstrate manifestations of depressive disorder: Screening individuals for depressive disorder symptoms, especially in a population known to be at risk (e.g., college students), aims to identify mental health issues early and intervene promptly. This falls under secondary prevention, which involves early detection and treatment to prevent the progression of a condition.
C. Training volunteers in an adult day care facility to communicate effectively with clients who have cognitive impairments: This activity focuses on improving communication and interaction skills with clients who have cognitive impairments. It falls under tertiary prevention, aiming to improve the quality of life and function of individuals already affected by cognitive impairment.
D. Teaching personal coping skills to a group of adults whose parents have Alzheimer's disease: This activity aims to empower individuals with coping skills to manage the stress and challenges associated with having a parent with Alzheimer's disease. It falls under tertiary prevention, focusing on minimizing the negative consequences of an already existing condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A client who has a new diagnosis of major depressive disorder: While major depressive disorder can significantly impact functioning and may require treatment, it typically does not meet the criteria for ACT, which is primarily designed for individuals with severe and persistent mental illness.
B. A client who has repeated acute care admissions due to schizophrenia: Repeated acute care admissions due to schizophrenia suggest significant challenges in managing the illness and maintaining stability in the community. This client may benefit from the intensive support and comprehensive services provided by ACT to prevent future hospitalizations and promote community integration.
C. A client who has requested family therapy following the death of a family member: Family therapy may be an appropriate intervention for supporting this client's grieving process and addressing family dynamics. However, it does not necessarily indicate the need for ACT, which is focused on individuals with severe and persistent mental illness.
D. A client who has physical injuries following an incident of partner violence: While this client may require support and interventions to address the effects of partner violence, it does not specifically indicate the need for ACT unless there are underlying severe and persistent mental health issues contributing to the situation.
Correct Answer is A
Explanation
A. "Has a family member indicated that you should cut down on your drinking?”: This question assesses whether there have been any external concerns or criticisms related to the client's alcohol consumption, which is a common feature in alcohol use disorder.
B. “Have you had a glass of wine in the last week?”: While this question assesses recent alcohol consumption, it does not specifically address problematic drinking patterns or consequences associated with alcohol use disorder.
C. “Do you drink alcohol with your friends?”: This question addresses social drinking behavior but does not specifically focus on the potential for alcohol use disorder or problematic drinking patterns.
D. "Do you enjoy drinking alcohol?”: While enjoyment of alcohol may be relevant to the overall assessment, it does not specifically address problematic drinking patterns or consequences associated with alcohol use disorder.
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