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.
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Related Questions
Correct Answer is D
Explanation
A. To provide oversight to potential exposure: Inspections are proactive, not just a response to potential exposure to hazards.
B. To enforce local laws and regulations: While enforcement is part of the inspection process, the primary goal is preventing foodborne illnesses through compliance monitoring.
C. To monitor employee safety: Employee safety is overseen by OSHA (Occupational Safety and Health Administration), not local health departments.
D. To ensure compliance with food safety regulations: Public health departments conduct restaurant inspections to ensure hygienic food preparation, storage, and service in compliance with local food safety laws.
Correct Answer is A
Explanation
A. Having the knowledge and skill set needed to advocate for the patient, but not being able to act on it due to not having the authority to do so. Moral distress occurs when a nurse knows the right action to take but is constrained by external factors such as policies, hierarchy, or legal limitations.
B. Having the authority to call off a code, then realizing the decision was harmful to the patient. This describes moral regret or ethical uncertainty, not moral distress. Moral distress occurs when a nurse is unable to act according to their ethical beliefs.
C. Having the authority to override a physician's order for pain medication. This describes an ethical dilemma rather than moral distress. Moral distress arises when a nurse cannot act despite knowing the right course of action.
D. Having the knowledge and skill set needed to provide culturally competent care. Cultural competence is an important aspect of nursing, but it does not describe moral distress, which involves ethical conflict and external barriers.
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