The nurse is engaged in primary prevention in a community health environment. Which of the following strategies would the nurse identify as being an example of primary prevention?

Decreasing exposure to sun

Conducting lead screening in children

Having routine mammograms

Screening for high blood pressure

Answer and Explanation

The Correct Answer is A

A. Decreasing exposure to sun is an example of primary prevention as it aims to prevent skin cancer before it occurs by reducing risk factors.
B. Conducting lead screening in children is an example of secondary prevention, as it involves early detection and intervention of potential lead poisoning.
C. Having routine mammograms is an example of secondary prevention, aimed at early detection of breast cancer before symptoms appear.
D. Screening for high blood pressure is an example of secondary prevention, focusing on early detection and management of hypertension to prevent complications.

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Correct Answer is A

Explanation

A. Medicaid provides health insurance primarily to individuals and families with incomes below the poverty line, including low-income adults, children, pregnant women, and individuals with disabilities.
B. Eligibility for Medicaid is based on income and other criteria, not simply the lack of other health insurance.
C. Being below the age of 18 alone does not determine Medicaid eligibility; it is more dependent on income and other eligibility factors.
D. Individuals aged 65 or older are typically eligible for Medicare, not Medicaid, although low-income seniors may qualify for both Medicare and Medicaid depending on their financial situation.

A. A 68-year-old client with stage 2 thyroid cancer who takes levothyroxine daily B. An 82-year-old client with diabetes mellitus who takes metformin daily C. A 78-year-old client with decompensated heart failure who is dyspneic on exertion D. A 74-year-old client with hypertension taking lisinopril

Correct Answer is C

Explanation

A. Although thyroid cancer and medication use can affect health, they are not the most immediate factors influencing fall risk compared to heart failure symptoms.
B. Diabetes mellitus and metformin use are not directly associated with increased fall risk as much as heart failure and its symptoms.
C. Decompensated heart failure and dyspnea on exertion significantly increase fall risk due to decreased physical stability and balance issues.
D. While hypertension and lisinopril can contribute to fall risk, they are less directly impactful than the symptoms of decompensated heart failure.

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The nurse is engaged in primary prevention in a community health environment. Which of the following strategies would the nurse identify as being an example of primary prevention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the records of a group of clients. Which of the following clients should the nurse identify as eligible to receive health insurance under the Medicaid program?

Correct Answer is A

Explanation

A home health nurse is educating a student nurse about fall risk factors in the home. Which client would the student identify as having the highest risk of falling, demonstrating understanding of the teaching?

Correct Answer is C

Explanation

The nurse is teaching a group of staff nurses about perspectives on death and dying. Which of the following statements would the nurse identify as being a major barrier to seeking quality end-of-life care for individuals?

The nurse is assessing a terminally ill client who is on home hospice care and notes that the client is demonstrating signs of terminal delirium and becoming more unresponsive. Which of the following instructions should the nurse give to the client’s children?

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The family of a client on home hospice care who is nearing the end of life tell the nurse that the client is refusing to eat. Which of the following statements would be appropriate for the nurse to make?

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