A nurse manager at a clinic is reviewing the preventative services offered to clients.
Which of the following activities should the nurse identify as a secondary prevention activity?
Provide a smoking cessation class.
Refer a client who is recovering from a substance use disorder to a social service program.
Encourage a pregnant client to participate in prenatal care.
Advocate for laws that prohibit texting while driving.
The Correct Answer is C
Choice A rationale: Primary prevention: smoking cessation reduces risk before disease onset through behavior modification, nicotine dependence treatment, and health education. It does not involve screening or early detection characteristic of secondary prevention.
Choice B rationale: Tertiary prevention: referral aids rehabilitation, relapse prevention, and functional recovery after established disorder. Emphasizes reducing complications and improving life quality, not early detection or screening characteristic of secondary prevention measures.
Choice C rationale: Secondary prevention: prenatal care conducts screening and early detection of maternal–fetal complications, enabling interventions to limit progression and improve outcomes. This focuses on detection, not education typical of primary prevention.
Choice D rationale: Primary prevention: advocating anti-texting laws targets upstream determinants to prevent injuries before occurrence by reducing distracted driving risk. This is policy, not screening or early detection characteristic of secondary prevention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
The guardian’s statement about inspecting the child’s mouth for sores indicates an understanding of the teaching. Children with leukemia are at a higher risk for infection due to the chemotherapy drugs used in treatment, which can also kill healthy cells, including white blood cells that fight infection. Sores in the mouth could be a sign of infection, and regular inspection can help detect any issues early. This is a crucial part of managing side effects in children receiving leukemia treatment.
Choice B rationale
The statement about ensuring the child gets a measles, mumps, and rubella vaccine this week is incorrect. Children with leukemia have weakened immune systems due to their disease and treatment, and live vaccines such as the MMR vaccine are generally not recommended. Live
vaccines contain a weakened form of the virus or bacteria they protect against, which could cause serious illness in a child with a weakened immune system.
Choice C rationale
The statement about the child feeling better now that he can ride his bicycle is not necessarily indicative of an understanding of the teaching. While physical activity is important for overall health, children with leukemia may need to limit some activities to reduce the risk of injury and infection. It’s important to balance the child’s activity level with their overall health status and risk of complications.
Choice D rationale
The statement about taking the child’s rectal temperature daily is not necessarily indicative of an understanding of the teaching. While monitoring for fever is important in children with leukemia, as it could be a sign of infection, rectal temperatures are generally not recommended due to the risk of causing injury or introducing bacteria.
Correct Answer is ["A","B","D"]
Explanation
Choice A rationale
If one parent appears frightened of the other, it could indicate a situation of domestic violence or abuse in the home. Children living in such environments are at increased risk of abuse.
Choice B rationale
A parent’s history of alcohol use disorder can increase the risk of child abuse. Substance abuse can impair a parent’s judgment and ability to care for a child, leading to neglect or abuse.
Choice C rationale
The fact that a child spends weekends with their grandparents does not inherently place them at risk for child abuse.
Choice D rationale
Financial instability can create stress and frustration, which can increase the risk of child abuse.
Choice E rationale
Having an indoor cat that sleeps with the child does not inherently place them at risk for child abuse.
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