A school nurse is planning primary prevention activities for the new school year. Which of the following should the nurse include? (Select all that apply.)

Teaching a class about the risks of cigarette smoking

Creating a plan of care for children who have a diagnosis of diabetes mellitus

Recommending a seating arrangement for a child in a body cast

Organizing a program to promote skateboard safety

Lobbying for funding for health promotion efforts

Answer and Explanation

Correct Answer : A,D,E

The correct answers are A, D, and E. Primary prevention activities aim to prevent the onset of disease or injury. Teaching a class about the risks of cigarette smoking and organizing a program to promote skateboard safety are examples of primary prevention activities. Lobbying for funding for health promotion efforts is also a primary prevention activity because it aims to prevent the occurrence of illness or injury in the community. Creating a plan of care for children who have a diagnosis of diabetes mellitus and recommending a seating arrangement for a child in a body cast are examples of secondary prevention activities, which aim to detect and treat health problems early to prevent complications.

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Correct Answer is B

Explanation

The correct answer is choice B, "Avoid direct sunlight between 10 am and 4 pm." Skin cancer is a prevalent form of cancer, and the primary prevention strategies include avoiding exposure to ultraviolet (UV) radiation. The nurse's statement emphasizes the importance of avoiding the sun's peak intensity, which is between 10 am and 4 pm, to reduce exposure to UV radiation. This primary prevention strategy is effective in reducing the risk of skin cancer, especially for individuals with fair skin, a history of sunburn, or a family history of skin cancer. It is also important to encourage individuals to wear protective clothing, apply sunscreen with a minimum sun protection factor (SPF) of 30, and avoid indoor tanning to further reduce exposure to UV radiation.

A. Occupational therapist B. Speech-language therapist C. Dietitian D. Respiratory therapist

Correct Answer is B

Explanation

A school nurse caring for a child with muscular dystrophy who is having difficulty swallowing at lunch should initiate a referral to a speech-language therapist. Swallowing difficulties, or dysphagia, can lead to aspiration and respiratory complications. Speech-language therapists specialize in the evaluation and treatment of dysphagia. Occupational therapists may also work with clients who have dysphagia to help with positioning and adaptive equipment, but their primary focus is on activities of daily living. Dietitians may be consulted for nutritional support, but they are not trained to evaluate or treat dysphagia. Respiratory therapists may be involved in the care of clients with dysphagia who have respiratory complications, but they are not the primary referral for this issue.

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A school nurse is planning primary prevention activities for the new school year. Which of the following should the nurse include? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

Which of the following statements by the nurse demonstrates a primary prevention strategy for skin cancer?

Correct Answer is B

Explanation

Which of the following referrals should a school nurse initiate when caring for a child with muscular dystrophy who is having difficulty swallowing at lunch?

Correct Answer is B

Explanation

A nurse is serving on a state task force for disaster planning. The nurse is engaging in disaster preparedness efforts when performing which of the following actions?

A nurse is teaching a client who has a terminal illness about hospice care. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.)

A nurse manager at a clinic is reviewing the preventative services offered to clients. Which of the following activities should the nurse identify as a secondary prevention activity?

A public health nurse is developing protocols to use in emergency shelters following a disaster. Which of the following interventions should the nurse include as a secondary prevention strategy for clients who survive a disaster?

When providing teaching to the guardian of a child who has leukemia about methods to prevent complications, which of the following statements by the guardian indicates an understanding of the teaching, as assessed by a home health nurse?

A case manager is completing discharge planning for a client who has alcohol use disorder and cirrhosis of the liver. Which of the following actions should the case manager take first?

Which of the following responses by the client indicates a risk for suicide, as assessed by a home health nurse caring for a client with AIDs?

A nurse is working with a case manager for a client who participates in a health maintenance organization. The nurse should identify that a health maintenance organization provides which of the following payment structures?