A registered nurse is giving a talk to a local community group on the importance of proper diet and regular exercise. This is an example of which type of health promotion?
Chronic
Tertiary
Secondary
Primary
The Correct Answer is D
Choice A rationale:
Chronic health promotion focuses on managing and preventing complications of long-term, ongoing conditions. The nurse's talk is not addressing a specific chronic condition or its management, so it does not fall under this category.
Choice B rationale:
Tertiary health promotion aims to minimize the impact of an existing disease or disability and restore function as much as possible. The nurse's talk is not addressing a current disease or disability, but rather preventing them from occurring in the first place, so it does not fall under this category.
Choice C rationale:
Secondary health promotion focuses on early detection and treatment of diseases to prevent or slow their progression. The nurse's talk is not focused on early detection or treatment of specific diseases, but rather on preventing them from developing in the first place, so it does not fall under this category.
Choice D rationale:
Primary health promotion emphasizes preventing diseases and promoting overall wellness before any health problems arise. This aligns directly with the nurse's talk on diet and exercise, as these are key lifestyle factors that can significantly reduce the risk of many chronic diseases and promote overall health.
Here's a breakdown of why this is primary health promotion:
Focus on prevention: The talk is not about managing existing conditions or detecting diseases early; it's about preventing them from occurring in the first place.
Addressing root causes: Diet and exercise are fundamental factors that influence overall health and can contribute to the development of many chronic diseases. By addressing these root causes, the nurse is working to prevent these diseases from developing.
Promoting healthy behaviors: The talk encourages individuals to adopt healthy behaviors that can have a lasting impact on their health. This aligns with primary health promotion's focus on empowering individuals to take control of their own health.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale for Choice A:
Sims' position is a side-lying position with the lower arm and leg flexed and the upper arm and leg extended. It is not ideal for bladder scanning because it can displace the bladder and potentially lead to inaccurate readings. While it can be used for other purposes, such as inserting rectal suppositories or performing vaginal exams, it's not the optimal choice for bladder scanning.
Rationale for Choice B:
Dorsal recumbent position is a supine position with the knees bent and feet flat on the bed. While it provides some exposure of the bladder, it may not fully visualize the entire bladder due to potential compression from the abdominal contents. This can also result in inaccurate readings.
Rationale for Choice D:
High Fowler's position is a semi-sitting position with the head of the bed elevated at a 45- to 60-degree angle. This position is not suitable for bladder scanning because it can cause the bladder to shift upward and out of the optimal scanning range. It's typically used for respiratory comfort and procedures involving the head and upper body.
Rationale for Choice C:
Supine position is the best position for bladder scanning because it allows for the most accurate visualization of the bladder. In this position, the patient lies flat on their back with their legs extended. This position allows the bladder to rest naturally in the pelvic cavity, ensuring optimal positioning for the bladder scanner to capture a clear image and provide an accurate measurement of bladder volume. It also promotes patient comfort and relaxation during the procedure.
Correct Answer is D
Explanation
Choice A rationale:
While adequate supervision is essential for safe delegation, it's not the primary question the nurse should ask. The nurse must first determine if delegation is legally and organizationally permissible.
If the nurse practice act or facility policy prohibits delegation of medication administration to UAPs, no amount of supervision can override those regulations.
Ensuring compliance with legal and professional standards is paramount to protect patient safety and the nurse's license.
Choice B rationale:
The client's response and approval are important considerations, but they don't supersede legal and organizational guidelines. If delegation isn't permitted, the client's preferences cannot justify a violation of these standards. Obtaining client consent is a crucial aspect of ethical care, but it must align with established regulations.
Choice C rationale:
UAP training is crucial for safe delegation, but it's again not the primary question.
If delegation itself isn't allowed, the UAP's level of training becomes irrelevant.
It's essential to verify the UAP's competency only after confirming the legality and organizational acceptability of delegation.
Choice D rationale:
This is the primary question because it addresses the fundamental legality and appropriateness of delegation within the specific context of the nurse's practice and workplace.
Nurse practice acts outline the scope of nursing practice and define which tasks can be delegated to unlicensed personnel.
Healthcare facility policies further delineate delegation guidelines within the institution, ensuring consistency and adherence to best practices.
By consulting these regulations first, the nurse can make an informed decision that aligns with professional standards and protects patient safety.
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