A school nurse is planning preventative care for middle school students. As a school nurse, which action best exemplifies secondary prevention?

Conducting vision screenings for all students at the beginning of the school year

Administering annual flu vaccinations to students

Providing counseling to a student experiencing anxiety symptoms

Educating students about healthy eating habits and exercise

Answer and Explanation

The Correct Answer is A

A. Conducting vision screenings is a secondary prevention strategy as it involves early detection of problems to prevent further issues.
B. Administering annual flu vaccinations is a primary prevention measure to prevent disease.
C. Providing counseling for anxiety is a supportive intervention but is more aligned with treatment rather than the prevention of a condition.
D. Educating about healthy eating and exercise is a primary prevention strategy aimed at preventing the onset of health issues.

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Correct Answer is B

Explanation

A. While the husband is deeply involved in the care, he may not fully know the wife’s preferences for end-of-life care.
B. The dying wife is the most reliable source of her own preferences for end-of-life care, as she can directly communicate her wishes.
C. Hospice staff can provide guidance and support but are not the primary source of the patient’s personal preferences.
D. A priest may offer spiritual guidance but does not have the authority to determine the individual’s personal end-of-life care preferences.

A. A general systems approach that considers the multiple components, such as socioeconomics, environmental and cultural aspects of community B. An experimental approach that considers the various community characteristics to compare individuals in different settings C. A long-term cohort approach that is used to document the health of a community over many years in terms of community characteristics D. A hierarchical approach that focuses on the ability of the population in the community to implement successful health promotion activities

Correct Answer is A

Explanation

A. "A general systems approach that considers the multiple components, such as socioeconomics, environmental and cultural aspects of community." This is correct. The social ecological model takes into account various levels of influence, including individual, interpersonal, community, and societal factors, to address health issues comprehensively.
B. "An experimental approach that considers the various community characteristics to compare individuals in different settings." This is incorrect. The social ecological model is not experimental; it is more focused on understanding the interplay between different levels of influence.
C. "A long-term cohort approach that is used to document the health of a community over many years in terms of community characteristics." This is incorrect. The social ecological model does not specifically involve long-term cohort studies but rather a multi-level approach to understanding health impacts.
D. "A hierarchical approach that focuses on the ability of the population in the community to implement successful health promotion activities." This is incorrect. The social ecological model does not follow a hierarchical approach but rather considers various levels of influence simultaneously.

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A school nurse is planning preventative care for middle school students. As a school nurse, which action best exemplifies secondary prevention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While caring for his dying wife, the husband states that his wife is a devout Roman Catholic, but he is a Baptist. Who is considered the most reliable source of preferences concerning end-of-life (EOL) care for his dying wife?

Correct Answer is B

Explanation

The nurse is discussing the social ecological model in planning community-based programs. Which of the following statements would the nurse identify as the approach that this model uses?

Correct Answer is A

Explanation

The nurse is educating a group of staff nurses about the significance of respecting religious beliefs when providing care to clients nearing the end of life. Which of the following statements would the nurse incorporate? (Select all that apply)

A nurse is providing education about Medicaid to a client who is pregnant and cannot pay for medical insurance. The nurse should recognize that which of the following statements by the client indicates an understanding of the teaching?

When teaching a group of new community health nurses, what would the instructor identify as the primary goals of community nursing? (Select all that apply)

The nurse is developing a community health promotion program and identifies the need to understand the impact of health disparities. Which of the following statements would the nurse identify as a crucial factor to consider when developing this program?

The nurse is discussing the ecological model of health care and includes characteristics related to marital status, level of education, race, attitudes, and beliefs. Which of the following influences in terms of the ecological model would cover these characteristics?

Which level of prevention focuses on early detection and prompt treatment of a disease or condition to prevent further progression?