A nurse is working to reduce individual and family violence in the local community. Which of the following actions by the nurse is an example of tertiary prevention?

Assessing a couple for relationship issues

Conducting counseling for at-risk parents

Teaching parenting techniques to new parents

Referring perpetrators of violence to counselling

Answer and Explanation

The Correct Answer is D

A. Assessing a couple for relationship issues: This action represents secondary prevention, as it focuses on identifying early signs of potential violence or dysfunction before serious harm occurs. It is aimed at early detection and intervention to prevent escalation of violent behaviors.

B. Conducting counseling for at-risk parents: Counseling at-risk individuals aims to prevent the onset of violence, placing it under secondary prevention. While it addresses those at increased risk, it is still preventative in nature rather than focused on dealing with the aftermath of violence.

C. Teaching parenting techniques to new parents: This is an example of primary prevention, as it involves proactive education to prevent violence before it occurs. Teaching parenting skills promotes healthy family dynamics and decreases the likelihood of future abuse or neglect.

D. Referring perpetrators of violence to counseling: This is an example of tertiary prevention because it involves interventions after violence has already occurred. The goal is to prevent recurrence, reduce complications, and rehabilitate the perpetrator to reduce the long-term impact of the violence on individuals and the community.

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Correct Answer is C

Explanation

A. Community organizations: Community organizations fall under the “social and community context” domain of social determinants of health. They influence social support, civic participation, and interpersonal relationships, but are not considered a component of the physical environment.

B. Level of education: Level of education is categorized under the “education access and quality” domain. It encompasses early childhood education, literacy, and higher education, which are important for long-term health outcomes but not part of the built environment.

C. Quality of housing: Quality of housing is a key element of the “neighborhood and built environment” domain. It directly affects physical health and safety through exposure to hazards such as lead, mold, and inadequate heating or ventilation. Poor housing conditions are linked to higher rates of chronic illness and injury.

D. Health insurance coverage: Health insurance coverage is part of the “health care access and quality” domain. It affects an individual’s ability to seek medical services but is unrelated to the physical or structural aspects of a neighborhood’s environment.

A. Teach the client about support groups in the community. B. Inform the client about home health visits to monitor effectiveness of care. C. Teach the client about modifications for activities of daily living skills. D. Inform the client about ongoing screening for high risk conditions.

Correct Answer is D

Explanation

A. Teach the client about support groups in the community: This is an example of tertiary prevention because it aims to support clients in coping with an existing health condition and prevent further complications through emotional and social support.

B. Inform the client about home health visits to monitor effectiveness of care: This represents tertiary prevention, as it focuses on monitoring and managing a diagnosed condition to prevent further deterioration or readmission.

C. Teach the client about modifications for activities of daily living skills: This is tertiary prevention, targeting improved function and adaptation to chronic illness or disability and helping the client maintain independence.

D. Inform the client about ongoing screening for high-risk conditions: This is secondary prevention, as it involves early detection and prompt intervention for conditions like hypertension or diabetes, aiming to halt progression before complications develop.

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A nurse is working to reduce individual and family violence in the local community. Which of the following actions by the nurse is an example of tertiary prevention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing the social determinants of health for community members. Which of the following factors should the nurse identify as part of the neighborhood and built environment?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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