An occupational health nurse at a factory is planning upcoming health programs for employees. Which of the following actions demonstrates the use of secondary prevention strategies?
Providing education about safety and injury prevention for employees
Screening employees who were exposed to high levels of noise for hearing loss
Coordinating disaster planning efforts at the factory
Providing nutrition education to employees who have a BMI of greater than 30
The Correct Answer is B
Choice A reason: This statement is an example of primary prevention, which aims to prevent disease or injury before it occurs. Education about safety and injury prevention can help employees avoid exposure to harmful factors.
Choice B reason: This statement is an example of secondary prevention, which aims to detect and treat disease or injury early. Screening employees for hearing loss can help identify those who need intervention and prevent further complications.
Choice C reason: This statement is an example of tertiary prevention, which aims to reduce the impact and complications of disease or injury. Coordinating disaster planning efforts can help employees cope with and recover from a potential crisis.
Choice D reason: This statement is an example of primary prevention, which aims to prevent disease or injury before it occurs. Providing nutrition education can help employees adopt healthy behaviors and reduce the risk of obesity-related diseases
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Correct Answer is C
Explanation
Choice A reason:While involving a social worker can provide additional support, it is secondary to first communicating the client's treatment decisions to the primary healthcare provider.
Choice B reason: Understanding the client's reasoning is important; however, the priority is to respect their decision and communicate it to the provider.
Choice C reason: Respect for Autonomy: Clients have the right to make informed decisions about their healthcare, including the refusal of treatment.Effective Communication: By discussing the client's wishes with their healthcare provider, the nurse facilitates a collaborative approach to care planning, ensuring that the client's preferences are acknowledged and respected.
Choice D reason: Instructing the client to change their advance directives may be necessary if the client decides to refuse all treatments, but it is not the first action the nurse should take. Understanding the client's wishes should be the priority.
Correct Answer is C
Explanation
Choice A reason: Teaching the client about appropriate food choices is an important intervention for diabetes mellitus, but it is not the first action the nurse should take. The nurse needs to assess the client's current dietary habits and preferences before providing education.
Choice B reason: Referring the client to a diabetes mellitus support group is a helpful strategy to promote coping and self-management, but it is not the first action the nurse should take. The nurse needs to address the client's immediate needs and priorities before making referrals.
Choice C reason: Identifying the client's dietary preferences is the first action the nurse should take. This is an assessment step that will help the nurse tailor the nutritional program to the client's individual needs and preferences. It will also help the nurse establish rapport and trust with the client.
Choice D reason: Developing a nutritional program is a planning step that requires assessment data. The nurse should not develop a nutritional program without first identifying the client's dietary preferences and needs.
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