A school nurse is planning primary prevention activities for the upcoming school year. Which of the following should be included in the nurse’s plan? (Select all that apply)

Organize a program to promote skateboard safety.

Lobby for funding for health promotion efforts.

Teach a class about the risks of cigarette smoking.

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

Answer and Explanation

The Correct Answer is A

The correct answers are A. Organize a program to promote skateboard safety and C. Teach a class about the risks of cigarette smoking.

Primary prevention focuses on activities that prevent disease or injury before they occur. This includes education, safety programs, and health promotion efforts to reduce risk factors in the community.

Here’s why these choices align with primary prevention:

A. Organize a program to promote skateboard safety – Encouraging safe practices and protective equipment use helps prevent injuries before they happen.
C. Teach a class about the risks of cigarette smoking – Educating students on health risks helps prevent smoking initiation, reducing future complications like lung disease.

The other options represent different levels of prevention:

B. Lobby for funding for health promotion efforts – While important, lobbying is an advocacy action, not direct prevention. It supports primary prevention efforts but isn't a standalone preventive measure.
D. Recommend a seating arrangement for a child in a body cast – This falls under tertiary prevention, which focuses on adapting care for existing conditions rather than preventing health issues in the first place.

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Correct Answer is C

Explanation

Choice A rationale

The Local Red Cross chapter is not responsible for reporting cases of Lyme disease to the CDC. The Red Cross is primarily involved in disaster response, blood donation, health and safety training and education, and support to military families.

Choice B rationale

The Hospital infection control department is not responsible for reporting cases of Lyme disease to the CDC. While hospital infection control departments play a crucial role in preventing and controlling infections within healthcare settings, they do not typically report cases of diseases like Lyme disease to national public health agencies.

Choice C rationale

The State health department is responsible for reporting cases of Lyme disease to the CDC. Reports of Lyme disease are routinely collected and verified by state and local health departments in accordance with their legal mandate and surveillance practices. After removal of personal identifiers, selected information on cases is shared with the CDC through the National Notifiable Diseases Surveillance System (NNDSS)4.

Choice D rationale

The Office of the Surgeon General is not responsible for reporting cases of Lyme disease to the CDC. The Office of the Surgeon General provides leadership and coordination of U.S. Public Health Service commissioned corps and communicates the best available scientific information to advance the health of the nation.

A. Refer the client to a diabetes mellitus support group. B. Identify the client’s dietary preferences. C. Develop a nutritional program. D. Teach the client about appropriate food choices.

Correct Answer is B

Explanation

The correct answer is Choice B

Choice A rationale: Referring the client to a diabetes mellitus support group is beneficial but not the initial action. The nurse should first gather information about the client's preferences and needs to tailor the intervention effectively.

Choice B rationale: Identifying the client's dietary preferences is essential for developing a personalized nutritional plan. Understanding the client's likes, dislikes, and cultural factors ensures that dietary recommendations are realistic and sustainable, promoting better adherence and management of diabetes.

Choice C rationale: Developing a nutritional program is a crucial step but should follow the assessment of the client's dietary preferences. A personalized approach based on the client's individual needs and lifestyle is necessary for effective diabetes management.

Choice D rationale: Teaching the client about appropriate food choices is important but should be done after understanding the client's dietary preferences. This ensures that the education is relevant and practical, helping the client make informed decisions about their diet

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A school nurse is planning primary prevention activities for the upcoming school year. Which of the following should be included in the nurse’s plan? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse working in an infectious disease clinic is caring for a client who has a new diagnosis of Lyme disease.Which agency is responsible for voluntarily reporting cases of this disease to the Centers for Disease Control and Prevention?

Correct Answer is C

Explanation

A home health nurse is visiting a client who has recently been diagnosed with diabetes mellitus. What should be the nurse’s initial action?

Correct Answer is B

Explanation

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