A nurse is concerned about the prevalence of tuberculosis among migrant farm workers. Which of the following activities would be best to use when implementing tertiary prevention?
Use skin tests to screen migrant health workers for tuberculosis infection.
Provide education about the prevention of tuberculosis to members of the migrant community.
Initiate directly observed therapy (DOT) for tuberculosis treatment.
Administer purified protein derivative (PPD) to contacts of those with tuberculosis.
The Correct Answer is C
Choice A reason: Skin tests are secondary screening, not tertiary treatment. DOT manages TB, per nursing standards. This errors in level. It’s universally distinct.
Choice B reason: Education is primary prevention; tertiary treats existing TB. DOT fits, per public health. This misaligns with level. It’s universally distinct.
Choice C reason: DOT treats active TB, a tertiary prevention strategy effectively. This aligns with nursing standards. It’s universally applied, distinctly post-diagnosis care.
Choice D reason: PPD screening is secondary; DOT addresses confirmed cases. This errors per prevention levels. It’s universally distinct, not treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Bruises suggest abuse, not neglect directly. Weight and clothes indicate neglect, per nursing standards. This errors in category. It’s universally distinct, physical harm.
Choice B reason: Lack of weight gain and dirty clothes signal neglect, poor care. This aligns with nursing assessment standards. It’s universally recognized, distinctly neglect-related.
Choice C reason: Parent unresponsiveness is indirect; weight/clothes are direct signs. This misaligns with neglect findings, per nursing. It’s universally distinct, less specific.
Choice D reason: Lice can occur despite care; weight/clothes are stronger neglect indicators. This errors per nursing standards. It’s universally distinct, less conclusive.
Correct Answer is A
Explanation
Choice A reason: Assurance ensures a competent workforce for vulnerable groups. This fits public health core functions, per nursing standards. It’s universally recognized, distinctly providing service capacity.
Choice B reason: Assessment identifies needs, not workforce competence directly. Assurance fits better, per public health. This errors as it’s not about staff. It’s universally distinct.
Choice C reason: Health policy isn’t a core function; assurance ensures staff readiness. This misaligns with nursing definitions. It’s universally distinct, not a standard category here.
Choice D reason: Policy development creates rules, not staff competence. Assurance ensures it, per public health. This errors in focus. It’s universally distinct, not workforce-related.
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