A nurse is caring for a 20-year-old client who is sexually active and has come to the college health clinic for a first-time checkup. Which of the following interventions sh s should the nurse perform first to determine the client's need for health promotion and disease prevention?
Measure vital signs
Determine risk factors
Instruct the client to use condoms
Encourage HIV screening
The Correct Answer is B
A. While obtaining vital signs is an important part of a physical assessment, it does not identify the client’s specific health promotion or disease prevention needs. It provides baseline physiological data but not behavioral or lifestyle risk information.
B. This should be done first because identifying personal and lifestyle risk factors (such as number of sexual partners, contraceptive use, substance use, or family history) helps the nurse assess the client’s individual needs for education, screening, and preventive care. Once risks are identified, interventions can be tailored appropriately.
C. Teaching about condom use is an important intervention for disease prevention, but it should occur after assessing the client’s risk factors and readiness to learn.
D. HIV screening is a key preventive measure for sexually active adults, but before recommending specific tests, the nurse must first assess risk factors to determine the client’s level of risk and appropriate health promotion needs.
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Related Questions
Correct Answer is D
Explanation
A. While the crash cart is essential for advanced resuscitation, starting chest compressions takes priority. The nurse should begin CPR immediately while another team member retrieves the cart.
B. Ventilation is important, but chest compressions should be initiated first to maintain circulation and perfusion. Once compressions are underway, airway and breathing support can follow according to the CAB (Circulation, Airway, Breathing) sequence of Basic Life Support (BLS).
C. Attaching the AED is a crucial step, but it should occur after or while chest compressions are in progress, as delays in compressions reduce the chances of survival.
D. This is the first action the nurse should take after confirming unresponsiveness and calling for help. Immediate, high-quality compressions restore blood flow to vital organs and are the priority intervention in cardiac arrest management.
Correct Answer is A
Explanation
A. Performing daily exercise is an effective intervention to reduce the risk of compassion fatigue because physical activity helps manage stress, improve mood, and maintain overall physical and mental health.
B. Volunteering at a health clinic on days off could increase workload and emotional stress, potentially worsening compassion fatigue rather than preventing it.
C. Requesting to work additional shifts adds to stress and fatigue, increasing the risk for burnout and compassion fatigue.
D. Working through lunch breaks eliminates necessary rest and recovery time, which can contribute to physical and emotional exhaustion.
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