A school health nurse is conducting drug screening to detect drug use by students before serious problems develop.
Which of the following levels of prevention does this action represent?
Primary prevention.
Secondary prevention.
Primary and secondary prevention.
Tertiary prevention.
The Correct Answer is B
Choice A rationale
Primary prevention involves actions like immunizations and education to prevent diseases or issues before they occur. Drug screening is not aimed at preventing drug use but detecting it early.
Choice B rationale
Secondary prevention focuses on early detection and intervention to reduce the progression of disease or complications. Drug screening detects drug use early to prevent worsening outcomes, making this action a secondary prevention method.
Choice C rationale
Combining primary and secondary prevention involves overlapping strategies to prevent diseases and detect them early. Drug screening alone does not include primary preventive measures, so it cannot be classified as both.
Choice D rationale
Tertiary prevention is aimed at minimizing the impact of ongoing disease or injury, focusing on rehabilitation or management. Drug screening does not involve rehabilitating or managing drug-related complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Workplace bullying is associated with increased absenteeism due to psychological stress and dissatisfaction among affected staff members, harming workplace morale and productivity.
Choice B rationale
Bullying leads to higher medical and legal expenses from managing psychological effects and potential lawsuits, rather than reducing costs.
Choice C rationale
Increased client mortality rates can result from decreased staff cohesion and communication, impacting patient care quality in bullying-affected environments.
Choice D rationale
Workplace bullying decreases client satisfaction scores due to strained staff relationships, negatively affecting patient care and interactions with healthcare workers.
Correct Answer is D
Explanation
Choice A rationale
It is scientifically incorrect to suggest that infants exposed to tobacco smoke will develop tolerance. Tobacco smoke contains harmful chemicals such as nicotine and carbon monoxide, which can damage developing lungs and increase the risk of respiratory illnesses and sudden infant death syndrome (SIDS). Tolerance does not mitigate these risks.
Choice B rationale
Chewing tobacco still contains nicotine and carcinogens. Although it reduces exposure to sidestream smoke, it still poses risks for nicotine addiction and poisoning, particularly through secondhand exposure and accidental ingestion by children. This recommendation is not supported by scientific evidence.
Choice C rationale
Fetal nicotine syndrome, also known as neonatal nicotine withdrawal, can result from prenatal tobacco exposure. However, this syndrome primarily affects babies exposed to nicotine in utero. Postnatal exposure to tobacco smoke is linked to other complications such as respiratory infections and SIDS, which are immediate concerns.
Choice D rationale
Sidestream smoke, emitted from the burning end of a cigarette, contains higher concentrations of carcinogens and toxins compared to mainstream smoke inhaled by the smoker. Infants exposed to secondhand smoke are at greater risk for respiratory conditions, SIDS, and developmental issues due to these higher concentrations.
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