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 A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
The first action when planning a program on early detection of breast cancer for employees at a local business should be to determine the employee’s knowledge level of breast self- examination. This is crucial because the effectiveness of the program will depend on the current understanding and practices of the employees. If the employees already have a good understanding of breast self-examination, the program can focus more on other aspects such as the importance of regular check-ups and early detection. However, if the employees have limited knowledge about breast self-examination, the program should prioritize teaching this skill.
Choice B rationale
While scheduling a guest speaker to talk about breast cancer to employees can be an effective way to provide information and motivate employees, it should not be the first action.
Understanding the employees’ current knowledge and practices should come first to tailor the program effectively.
Choice C rationale
Developing educational materials for employees is an important part of a breast cancer early detection program. However, these materials should be developed based on the needs and current understanding of the employees, which is why determining the employees’ knowledge level of breast self-examination should come first.
Choice D rationale
Having breast models available to employees during teaching sessions can be a useful tool for demonstrating breast self-examination. However, this should not be the first action. The first step should be to assess the employees’ current knowledge and practices.
Correct Answer is C
Explanation
Choice A rationale
Down syndrome does not typically require a modification in the standard immunization schedule. Children with Down syndrome should receive all recommended vaccinations according to the standard schedule.
Choice B rationale
Failure to thrive does not typically require a modification in the standard immunization schedule. Children with failure to thrive should receive all recommended vaccinations according to the standard schedule.
Choice C rationale
This is the correct answer. Children with leukemia or other cancers that weaken the immune system may require modifications to the standard immunization schedule. These children may need to avoid certain vaccines or delay vaccination until their immune system is stronger.
Choice D rationale
Sickle cell disease does not typically require a modification in the standard immunization schedule. Children with sickle cell disease should receive all recommended vaccinations according to the standard schedule.
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