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. Documenting the time of death is not an immediate concern during the process of terminal delirium and does not directly address the patient's comfort.
B. Limiting environmental noise helps reduce stimulation, which can be beneficial for a patient experiencing terminal delirium and unresponsiveness, helping to maintain a calm environment.
C. While taking respite time may be necessary for family members, it does not directly address the needs of the patient with terminal delirium.
D. Telling the patient it is okay to let go is emotionally supportive but does not address the immediate need to manage symptoms and provide comfort during terminal delirium.

A. Inform the client's partner that they will be unable to care for the client B. Consult case management C. Obtain referral for occupational therapy services D. Facilitate the client’s discharge to home

Correct Answer is B

Explanation

A. Informing the partner they are unable to care for the client without further assessment and support is not appropriate.
B. Consulting case management is crucial to evaluate the home care situation, including the partner’s ability to provide care, and to arrange appropriate resources or support services.
C. Referring for occupational therapy is important for rehabilitation but does not address the overall home care planning or the partner’s capability to provide care.
D. Facilitating discharge to home without assessing the adequacy of home care arrangements could put the client at risk, so consulting case management is a more comprehensive approach.

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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

The nurse is assessing a terminally ill client who is on home hospice care and notes that the client is demonstrating signs of terminal delirium and becoming more unresponsive. Which of the following instructions should the nurse give to the client’s children?

Correct Answer is B

Explanation

A nurse is admitting a client who has a hip fracture from a recent fall at home. During the admission interview, the client's partner, who is frail, informs the nurse that they will be the client's caregiver upon discharge to home. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

The family of a client on home hospice care who is nearing the end of life tells the nurse that the client is refusing to eat. Which of the following statements is appropriate for the nurse to make?

The nurse is discussing the Health Belief Model as it relates to health promotion and wellness. Which of the following strategies is a typical component of this model?

A nurse is providing diet education to children who are attending a health fair. This is an example of which of the following levels of disease prevention?

A primary care office nurse is assessing clients for suitability for a telehealth visit. Which client would the nurse prioritize for a telehealth appointment?

The family of a client on home hospice care who is nearing the end of life tell the nurse that the client is refusing to eat. Which of the following statements would be appropriate for the nurse to make?

The nurse is engaged in primary prevention in a community health environment. Which of the following strategies would the nurse identify as being an example of primary prevention?

A hospice nurse educator is instructing nursing staff on providing fundamental care and comfort for hospice clients. The educator would recognize effective staff if they correctly identify which of the following interventions as essential for comfort and care?