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?
Advocate for laws that prohibit texting while driving.
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.
The Correct Answer is B
The correct answer is Choice B because "Provide a smoking cessation class." Secondary prevention activities aim to detect and treat a disease in its early stages. In the case of smoking cessation classes, it is a secondary prevention activity because it aims to detect and treat the harmful effects of smoking before it progresses to a more serious condition such as lung cancer or chronic obstructive pulmonary disease.
Choice A is wrong because, "Advocate for laws that prohibit texting while driving," is not the correct answer because it is an example of primary prevention, which aims to prevent the onset of a disease or injury. Choice C is wrong because, "Refer a client who is recovering from a substance use disorder to a social service program," is an example of tertiary prevention, which aims to prevent complications or further progression of a disease. Choice D is wrong because, "Encourage a pregnant client to participate in prenatal care," is also an example of primary prevention, which focuses on preventing the onset of a disease or condition.
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Correct Answer is D
Explanation
The correct answer is choice D, Scratching or piercing the skin. This behavior is known as self-harm or non-suicidal self-injury, and it is a maladaptive coping mechanism that can result from unmanaged stress or negative emotions. The nurse should identify this behavior as a priority and provide resources for the adolescent to seek professional help, including counseling or therapy.
Choice A, staying up all night playing online video games, can be a form of procrastination or avoidance but does not necessarily indicate a need for immediate intervention.
Choice B, listening to loud music for several hours, can also be a coping mechanism, but it is not necessarily harmful or maladaptive.
Choice C, talking about others on social media, maybe a negative behavior, but it does not indicate a need for immediate intervention unless it leads to cyberbullying or harassment.
Correct Answer is D
Explanation
The correct answer is choice D, analyzing findings from a facility tabletop disaster simulation. A tabletop exercise is a comprehensive method to test the disaster plan by simulating a disaster scenario in a non-threatening environment, allowing for the identification of strengths and weaknesses in the plan and the development of improvements. Option A assesses only the knowledge of staff members, but does not test the application of the plan in a disaster. Option B focuses on discussing disaster scenarios without testing the ability to apply the plan. Option C only evaluates staff's response to a disaster drill, which is not an ideal method for testing the plan's effectiveness since it is not a real disaster scenario. Therefore, analyzing findings from a facility tabletop disaster simulation is the most comprehensive method to determine the effectiveness of the disaster plan.
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