An occupational health nurse is planning health promotion activities for a group of workers in a local manufacturing plant. Which of the following are secondary prevention activities the nurse should plan to include? (Select all that apply.)

Refer workers who report difficulty hearing for further auditory testing.

Demonstrate proper lifting techniques for the workers.

Encourage the workers to use back braces provided by the employer.

Conduct visual screenings for workers operating equipment.

Educate the workers on the importance of safety goggles.

Answer and Explanation

Correct Answer : A,D

A. Refer workers who report difficulty hearing for further auditory testing.

This is a secondary prevention activity as it involves identifying and addressing potential hearing issues early on through referral for auditory testing. Early detection and intervention aim to prevent further deterioration or complications.

B. Demonstrate proper lifting techniques for the workers.

Demonstrating proper lifting techniques is a primary prevention activity. It aims to prevent the initial occurrence of musculoskeletal injuries by promoting safe practices.

C. Encourage the workers to use back braces provided by the employer.

Encouraging the use of back braces is a tertiary prevention activity. It focuses on managing and minimizing the impact of existing conditions (such as back strain) rather than preventing their occurrence.

D. Conduct visual screenings for workers operating equipment.

Conducting visual screenings is a secondary prevention activity aimed at detecting potential visual impairments among workers operating equipment. Early identification can help prevent accidents and injuries related to impaired vision.

E. Educate the workers on the importance of safety goggles.

Educating workers on the importance of safety goggles is a primary prevention activity. It aims to prevent initial eye injuries by promoting the use of protective equipment.

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Correct Answer is C

Explanation

A. Clostridium difficile

Clostridium difficile is primarily transmitted via the fecal-oral route, and standard precautions (including hand hygiene and contact precautions) are appropriate for preventing its spread.

B. Respiratory syncytial virus (RSV)

RSV is primarily transmitted through respiratory droplets, and standard precautions, as well as contact precautions, are typically sufficient to prevent transmission.

C. Disseminated herpes zoster

Explanation: Airborne precautions are required for diseases that are transmitted via small droplets that remain suspended in the air. Disseminated herpes zoster (shingles) is one such condition that requires airborne precautions due to the potential for airborne transmission.

D. Influenza

Influenza is primarily transmitted through respiratory droplets, and standard precautions (including hand hygiene, respiratory hygiene, and mask use) are typically employed to prevent transmission. Airborne precautions are not routinely required for influenza.

A. The client has documentation stating he has less than 12 months to live B. The client has declined additional life prolonging treatments C. The client's insurance provides coverage for palliative care D. The client requires inpatient care due to lack of a caregiver

Correct Answer is B

Explanation

A. The client has documentation stating he has less than 12 months to live:

While a prognosis of less than 12 months to live is often considered when determining eligibility for hospice care, it is not the sole criterion. The key factor is the client's choice to forgo aggressive treatments and focus on palliative care.

B. The client has declined additional life-prolonging treatments.

Hospice care is typically provided for individuals who have a terminal illness and have chosen to forgo aggressive, curative treatments. Acceptance of the terminal prognosis and a decision to focus on comfort and quality of life are crucial criteria for hospice eligibility.

C. The client's insurance provides coverage for palliative care:

Insurance coverage is not the primary determinant for hospice eligibility. The decision to enter hospice care is based on the client's clinical condition, prognosis, and their choice to shift the focus from curative to palliative care. Insurance coverage may be a consideration, but it's not the qualifying factor.

D. The client requires inpatient care due to the lack of a caregiver:

Hospice care can be provided in various settings, including inpatient facilities, but the need for inpatient care due to a lack of a caregiver is not a specific criterion for hospice eligibility. The decision to enter hospice is primarily based on the client's clinical condition and their choice to receive palliative rather than life-prolonging care.

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An occupational health nurse is planning health promotion activities for a group of workers in a local manufacturing plant. Which of the following are secondary prevention activities the nurse should plan to include? (Select all that apply.)

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