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 D
Explanation
Choice A rationale
While seeking assistance from local spiritual leaders can be helpful in understanding a community’s culture, it is not the only or necessarily the best way to assess a group’s culture. Cultural assessment involves a broader range of activities.
Choice B rationale
Collecting all data on the first visit may not be feasible or appropriate. Cultural assessment is an ongoing process that involves building trust and rapport with the community.
Choice C rationale
Incorporating one’s implicit bias into planned delivery of care is not appropriate. Nurses should strive to provide culturally competent care, which involves recognizing and addressing their own biases.
Choice D rationale
Interviewing community leaders can provide valuable insights into community life and culture. This is an important part of cultural assessment and can help inform the planning of culturally appropriate care.
Correct Answer is B
Explanation
Choice A rationale
Storing used syringes in a biohazard bag before discarding is not the recommended method for disposal of insulin syringes. Used needles and other sharps are considered medical waste and should be placed in FDA-cleared sharps disposal containers.
Choice B rationale
This is the correct answer. Used syringes should be discarded in a hard, plastic container, such as a detergent bottle or a sharps container. These containers prevent needle-stick injuries during the disposal process.
Choice C rationale
Taking containers of used syringes to the local recycling center is not a safe or recommended method for disposal of insulin syringes. Used needles and other sharps are considered medical waste and should not be recycled.
Choice D rationale
While wearing gloves can provide an extra layer of protection when handling used syringes, it is not a sufficient method for safe disposal. Used syringes should be immediately placed in a hard, plastic container after use.
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