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)

Recommending a seating arrangement for a child in a body cast.

Lobbying for funding for health promotion eﬀorts.

Teaching a class about the risks of cigarette smoking.

Organizing a program to promote skateboard safety.

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

Answer and Explanation

Correct Answer : B,C,D

Option b, lobbying for funding for health promotion eﬀorts, is an important primary prevention activity that can help fund programs that promote health and wellness in the school.

Option c, teaching a class about the risks of cigarette smoking, is an important primary prevention activity that can help prevent students from starting to smoke and promote smoking cessation.

Option d, organizing a program to promote skateboard safety, is an important primary prevention activity that can help prevent injuries among students who enjoy skateboarding.

Choices a and e are not appropriate for primary prevention activities. Recommending a seating arrangement for a child in a body cast is an example of tertiary prevention, while creating a plan of care for children who have a diagnosis of diabetes mellitus is an example of secondary prevention.

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Correct Answer is B

Explanation

Client safety is a crucial aspect of home health care, and falls are a significant risk for clients who are receiving care at home.

A quality improvement committee should review data related to client falls, including the number of falls, the circumstances surrounding the falls, and the impact of the falls on the client's health and well-being.

The committee can then identify potential causes of falls, such as environmental hazards or medication side eﬀects, and develop strategies to prevent falls from occurring in the future.

While the other topics listed may be important for home health clients, they are not necessarily relevant to a quality improvement committee focused on client safety and outcomes.

A. Middle Eastern cultural practices include hiding pain from close family members. B. Chinese cultural practices include enduring pain to prevent family dishonor. C. Puerto Rican cultural practices include the view that outspoken expressions of pain are shameful. D. Native American cultural practices include being outspoken about pain.

Correct Answer is A

Explanation

Pain expression is highly inﬂuenced by cultural background, and it is important for healthcare providers to understand how diﬀerent cultures may express pain diﬀerently.

In Middle Eastern cultures, it is considered a sign of strength and stoicism to suppress pain and not show any outward signs of discomfort.

In contrast, Chinese culture views pain endurance as a virtue and a way to avoid bringing shame or dishonor to one's family.

Puerto Rican culture may view open expressions of pain as shameful, while Native American culture often views being outspoken about pain as a way of expressing oneself and communicating their needs to healthcare providers.

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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)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is participating in a quality improvement committee for home health clients. Which of the following topics should the nurse recommend for the committee to review?

Correct Answer is B

Explanation

A nurse at a community clinic is preparing an educational guide about cultural variances in expression of pain. Which of the following information should the nurse include?

Correct Answer is A

Explanation

A nurse working in an assisted care facility is developing a disaster plan. Which of the following is the first action the nurse should take?

A nurse is developing health promotion strategies for older adult clients at an assisted living facility. Which of the following strategies is the best to include?

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 school nurse is planning safety education for a group of adolescents. The nurse should give priority to which of the following topics as the leading cause of death for this age group?

A nurse is caring for a patient who has the hepatitis A virus. Which of the following reservoirs should the nurse identify for this infection?

A home health nurse is assessing a client who has AIDS. Which of the following responses by the client indicates a risk for suicide?

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?

A community health nurse is working with a migrant population. The nurse should recognize that which of the following interventions is necessary to provide care to this population?