A school nurse wants to decrease the incidence of obesity in elementary school children. Which of the following describes a secondary prevention intervention that the nurse could implement?
Putting students on a diet if they weigh greater than 20% of their ideal weight
Weighing students to identify those who are overweight
Giving a presentation on the importance of exercise and physical fitness
Designing a game in which students select healthy food choices
The Correct Answer is B
A. Putting students on a diet if they weigh greater than 20% of their ideal weight: This is a tertiary prevention strategy, as it focuses on managing obesity after it has been diagnosed rather than early detection.
B. Weighing students to identify those who are overweight: Secondary prevention focuses on early detection and intervention to prevent disease progression. Weighing students allows for early identification of obesity and timely interventions.
C. Giving a presentation on the importance of exercise and physical fitness: This is primary prevention, which aims to prevent obesity before it occurs by promoting healthy habits.
D. Designing a game in which students select healthy food choices: This is also primary prevention, as it promotes healthy behaviors rather than identifying or managing existing obesity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Study the beliefs and traditions of persons living in other cultures: While learning about other cultures is important, it should follow self-reflection to prevent ethnocentric judgments.
B. Complete a survey of all the various ethnicities represented in the nurse's community: This provides demographic knowledge but does not help the nurse develop personal cultural competence.
C. Consider how the nurse's own personal beliefs and decisions are reflective of his or her culture. Cultural competence begins with self-awareness. Nurses must first recognize how their own cultural background, beliefs, and biases influence their interactions with patients before effectively understanding and respecting others' cultures.
D. Invite a family from another culture to join the nurse for an event: While engaging with diverse groups is beneficial, it is not the first step in cultural competence.
Correct Answer is D
Explanation
A. "These medications are important. Do your best to pay for them." This dismisses the patient's financial hardship and does not offer assistance or alternatives.
B. "Let's go through these medications and see which ones we can delete." Nurses should not arbitrarily stop medications. Only a healthcare provider (e.g., physician, pharmacist) should determine if any medications can be discontinued or adjusted.
C. "You can get these medicines at a clinic for free." This is misleading because not all clinics offer free medications. The nurse should verify available programs before making such a statement.
D. "Let's see if we can get some help from Medicare to help you pay for these medications." This response provides a realistic solution by exploring financial assistance options, such as Medicare Part D, Medicaid, or other drug assistance programs.
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