A nurse case manager is arranging for the delivery of medical equipment to a patient’s home as part of discharge planning.
In which of the following roles is the nurse functioning?

Choice A rationale

Providing a smoking cessation class is an example of secondary prevention. Secondary prevention aims to reduce the impact of a disease or injury that has already occurred. This is done by detecting and treating disease or injury as soon as possible to halt or slow its progress,

encouraging personal strategies to prevent reinjury or recurrence, and implementing programs to return people to their original health and function to prevent long-term problems. In this case, a smoking cessation class can help individuals who are already smoking to quit, thereby preventing further harm from the disease.

Choice B rationale

Referring a client who is recovering from a substance use disorder to a social service program is more aligned with tertiary prevention. Tertiary prevention aims to soften the impact of an ongoing illness or injury that has lasting effects. This is done by helping people manage long- term, often-complex health problems and injuries (e.g. chronic diseases, permanent impairments) in order to improve as much as possible their ability to function, their quality of life and their life expectancy.

Choice C rationale

Encouraging a pregnant client to participate in prenatal care is an example of primary prevention. Primary prevention aims to prevent disease or injury before it ever occurs. This is done by preventing exposures to hazards that cause disease or injury, altering unhealthy or unsafe behaviours that can lead to disease or injury, and increasing resistance to disease or injury should exposure occur.

Choice D rationale

Advocating for laws that prohibit texting while driving is an example of primary prevention. Primary prevention aims to prevent disease or injury before it ever occurs. This is done by preventing exposures to hazards that cause disease or injury, altering unhealthy or unsafe behaviours that can lead to disease or injury, and increasing resistance to disease or injury should exposure occur.

Choice A rationale

Implementing a disaster triage plan with a local medical facility is an important part of disaster response, but it is not necessarily indicative of disaster preparedness. Disaster preparedness involves planning and preparing for potential disasters before they occur.

Choice B rationale

Assisting with the identification of a biological agent is more related to disaster response than disaster preparedness. While it is important for nurses to be knowledgeable about potential biological threats, this action does not necessarily indicate that they are participating in disaster preparedness efforts.

Choice C rationale

This is the correct answer. Organizing a mass casualty drill for community members is a clear indication of disaster preparedness. These drills help to prepare the community for potential disasters and ensure that everyone knows what to do in the event of a disaster.

Choice D rationale

Functioning as a manager at a temporary shelter is an important role during a disaster response, but it does not necessarily indicate participation in disaster preparedness efforts. Disaster preparedness involves actions taken before a disaster occurs to ensure an effective response.