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?
Encourage a pregnant client to participate in prenatal care.
Advocate for laws that prohibit texting while driving.
Refer a client who is recovering from a substance use disorder to a social service program.
Provide a smoking cessation class.
The Correct Answer is C
The nurse should identify option C, "Refer a client who is recovering from a substance use disorder to a social service program," as a secondary prevention activity. This intervention focuses on early identification and intervention to prevent further harm or complications related to substance use disorder.
Option A is a primary prevention activity, as it focuses on preventing the development of complications through early intervention and education.
Option B is a tertiary prevention activity, as it focuses on reducing the impact of a disease or injury that has already occurred.
Option D is also a tertiary prevention activity, as it focuses on reducing the impact of a disease that has already occurred.
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Correct Answer is D
Explanation
When working with a family following a client's diagnosis of heart disease, the first action the nurse should take is to ask family members about the impact of the disease on relationships within the family.
This will help the nurse to assess the emotional and psychological impact of the diagnosis on the family members and identify any areas of stress or concern that may require additional support or resources. It will also help the nurse to develop a holistic care plan that addresses the needs of both the client and the family.
Once the nurse has assessed the family's needs and concerns, she can then proceed to offer to accompany the client and the client's partner during health care provider visits, assist the client and the client's partner with finding an affordable exercise program, and discuss the benefits of eating a well-balanced diet with the client's family as needed.
Correct Answer is ["B","C","E"]
Explanation
The client can receive hospice care in the hospital or at home, depending on their preferences and circumstances.
Option c is correct. The client can discontinue hospice care at any time if they choose to do so.
Choice e is correct. Hospice care involves a team approach to care, and the client will receive care from a variety of interprofessional team members, including a nurse, social worker, chaplain, and others.
Option a is incorrect. Hospice care is covered by Medicare, so the client will not need private insurance to receive hospice services.
Option d is incorrect. Hospice care can be initiated when a client has a prognosis of 6 months or less to live, but there is no requirement that the client has exactly 1 year left to live.
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