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 C
Explanation
The mother reporting vomiting in choice A may be concerning, but it is a known side effect of methylphenidate, and the client should be monitored for any further symptoms. A client who has COPD and reports an oxygen saturation of 90%. An oxygen saturation of 90% in COPD is within normal due to the chronic hypoxia.The purple appearance of a colostomy stoma in choice C may indicate ischemia or necrosis, and is an urgent concern.The feeling of a vibration in a new arteriovenous graft for dialysis in choice D may indicate an arterial steal syndrome, but it is not a medical emergency, and the client can be instructed to follow up with the provider. Therefore, the correct answer is choice B.
Correct Answer is B
Explanation
The correct answer is Choice B because, "Clients receive Medicare benefits when eligible." Distributive justice is the ethical principle that resources should be allocated fairly among members of society. The outcome of clients receiving Medicare benefits when eligible is an example of distributive justice because it ensures that eligible clients have access to healthcare resources that are distributed fairly based on their need for them.
Choice A is wrong because, "Clients demonstrate completion of advance directives," is not the correct answer because it is an example of autonomy, which is the ethical principle that individuals have the right to make decisions about their own healthcare. Choice C is wrong because, "Clients verbalize their right to refuse treatment," is an example of informed consent, which is the ethical principle that individuals have the right to make decisions about their own healthcare based on accurate information. Choice D is wrong because, "Clients understand their right to confidentiality," is an example of confidentiality, which is the ethical principle that healthcare information should be kept private and secure.
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