A nurse planning primary disease prevention interventions for a 64-year-old patient includes which of the following? Select all that apply.
Identifying several local smoking cessation support groups.
Giving an influenza vaccination in early autumn of each year.
Suggesting the patient attend "Cooking to Manage Hypertension" classes taught by a registered dietician
Providing the patient with a take-home occult stool screening kit
Giving a pneumococcal vaccination to celebrate the patients 65th birthday.
Correct Answer : A,B,C,E
A. This option is relevant to primary disease prevention because it aims to prevent smoking-related diseases before they occur. By providing information about smoking cessation support groups, the nurse helps the patient reduce or eliminate a major risk factor for many serious diseases, including cancer and cardiovascular disease. This aligns with the goals of primary prevention.
B.A This option is a form of primary disease prevention. The influenza vaccination helps prevent the flu before it starts, thus reducing the risk of illness and its complications. Vaccinations are a classic example of primary prevention, as they protect against diseases before they occur.
C. This option also aligns with primary disease prevention. Teaching the patient about dietary changes to manage hypertension can help prevent the development of hypertension-related complications such as heart disease or stroke. By addressing dietary habits before hypertension develops, this intervention supports primary prevention.
D. This option is not primarily a primary prevention measure. Occult stool screening kits are used for early detection of colorectal cancer, which is more about secondary prevention. Secondary prevention focuses on early detection and intervention to reduce the impact of a disease once it has already developed but before symptoms appear.
E. This option represents primary disease prevention. The pneumococcal vaccine helps prevent pneumonia and other serious infections caused by pneumococcal bacteria. Vaccination, especially in older adults, is an effective method to prevent illness before it occurs, fitting the primary prevention category.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. In Korean culture, silence and avoiding eye contact can be seen as signs of respect and deference, especially towards individuals perceived as having authority or expertise. Therefore, the patient's behavior is likely not a sign of dissatisfaction or discomfort, but rather a cultural expression of respect for the nurse.
B. While it is possible for the patient to be dissatisfied with his care, the nurse should not assume this based solely on his behavior. It's important to consider cultural factors and use other communication strategies to assess the patient's needs and concerns.
C. This is not necessarily the case. The patient may simply be uncomfortable speaking up or asking questions in a language that is not his native tongue.
D. While it is possible for the patient to be uncomfortable discussing personal matters, the nurse should not assume this based solely on his behavior. It's important to consider cultural factors and use other communication strategies to assess the patient's needs and concerns.
Correct Answer is D
Explanation
A. Peripheral vascular disease (PVD) impairs blood flow to the extremities, which can affect the body's ability to regulate temperature, heal wounds, and manage cardiovascular function. Despite having regular home health care, which helps with monitoring and managing the condition, PVD still poses challenges to maintaining homeostasis.
B. Chronic bronchitis is a type of chronic obstructive pulmonary disease (COPD) that impairs lung function and impacts the body's ability to exchange gases efficiently. This condition can lead to chronic hypoxemia (low oxygen levels) and hypercapnia (elevated carbon dioxide levels), which directly affect homeostasis.
C. This individual is undergoing significant life changes, including bereavement and relocation, which can affect emotional and physiological well-being. While these stressors can impact overall health, they are less directly related to physiological processes that maintain homeostasis compared to chronic physical conditions.
D. Alzheimer’s disease leads to significant cognitive decline, which impairs the ability to perform daily activities and manage personal health. This cognitive impairment can result in a reduced ability to recognize and respond to physiological needs, which compromises homeostatic mechanisms. The need for assistance with all ADLs indicates severe functional impairment, making this patient highly vulnerable to disruptions in homeostasis due to their inability to self-manage health and daily activities effectively.
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