A nurse at a primary care provider's office is conducting a client history. Which of the following client actions should the nurse identify as a secondary prevention activity?
The client has stopped smoking cigars and now smokes a pipe.
The client increases their intake of St. John's wort to improve sleep.
The client applies sunscreen twice a day when working as a lifeguard.
The client attends a health seminar and has a cholesterol test.
The Correct Answer is D
Choice A reason: Switching from smoking cigars to a pipe is not a prevention activity; it is merely substituting one form of tobacco use for another.
Choice B reason: Increasing the intake of St. John's wort to improve sleep is a complementary therapy, not a secondary prevention activity.
Choice C reason: Applying sunscreen is a primary prevention activity to prevent skin damage from sun exposure.
Choice D reason: Attending a health seminar and having a cholesterol test is a secondary prevention activity as it involves screening to detect diseases early in asymptomatic stages.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: A living will is not a contract but a legal document that outlines a person's wishes regarding medical
treatment if they become unable to communicate their decisions.
Choice B reason: The client's family does not have the authority to revoke a DNR order unless they are the designated health care proxy or have legal authority to make decisions for the client.
Choice C reason: While verbal designations are possible, it is always best to have such designations documented in writing to ensure clarity and legal standing.
Choice D reason: A client has the right to choose anyone they trust, including a non-family member, to serve as their power of attorney for health care decisions.
Correct Answer is A
Explanation
Choice A reason: This demonstrates cultural competence by acknowledging and incorporating the client's cultural practices into their care plan.
Choice B reason: This statement does not demonstrate cultural competence but rather a lack of understanding and respect for the client's cultural practices.
Choice C reason: While family members can be helpful, using a professional interpreter is recommended to ensure accurate communication and to maintain confidentiality.
Choice D reason: Advising against the use of herbal teas does not reflect cultural competence. A culturally competent approach would involve discussing the client's beliefs and providing evidence-based guidance.
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