The nurse is providing education about the levels of prevention in the Public Health Model to a group of clients. Which of the following statements made by the client indicates an understanding of secondary prevention?

Promoting rehabilitation directed toward achievement of each individual's maximum level of functioning.

Services aimed at reducing the residual defects that are associated with severe and persistent mental illness.

Services aimed at reducing the incidence of mental disorders within the population.

Interventions aimed at minimizing early symptoms of psychiatric illness and directed toward reducing the prevalence and duration of the illness.

Answer and Explanation

The Correct Answer is D

A. Promoting rehabilitation directed toward achievement of each individual's maximum level of functioning: This describes tertiary prevention, which focuses on reducing the impact of an ongoing illness that has lasting effects by helping people manage long-term, complex health problems.

B. Services aimed at reducing the residual defects that are associated with severe and persistent mental illness: This is also an aspect of tertiary prevention, which involves managing chronic conditions to prevent further deterioration.

C. Services aimed at reducing the incidence of mental disorders within the population: This describes primary prevention, which involves efforts to prevent the onset of illness before it occurs, typically through community health initiatives and education.

D. Interventions aimed at minimizing early symptoms of psychiatric illness and directed toward reducing the prevalence and duration of the illness: This correctly defines secondary prevention, which involves early detection and treatment of disease to halt progression and reduce the severity and duration of the condition.

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Correct Answer is D

Explanation

A. Family conflict: Family conflict can contribute to suicidal ideation, but the presence of an active psychiatric disorder is a more direct risk factor.

B. Homosexuality: Sexual orientation itself is not a risk factor for suicide, but discrimination and lack of acceptance related to sexual orientation can contribute to risk.

C. Availability of firearms: Access to firearms increases the lethality of suicide attempts but is not as significant as the presence of an active psychiatric disorder.

D. Active psychiatric disorder: This is the correct answer. Conditions such as depression, bipolar disorder, and substance use disorders significantly increase the risk of suicide in adolescents.

A. "I just don't remember what I did this morning." B. "This morning, this morning, this morning..." C. "It was good. The Queen of England visited me there." D. "Snip, snap. Take a nap."

Correct Answer is C

Explanation

A. "I just don't remember what I did this morning." This statement reflects an inability to recall the events of the morning, which is a common symptom in Alzheimer's disease but does not constitute confabulation. It simply indicates memory loss.

B. "This morning, this morning, this morning..." Repetition of words or phrases can indicate a language or communication issue often seen in Alzheimer's disease but is not an example of confabulation. It may reflect confusion or perseverance.

C. "It was good. The Queen of England visited me there." Confabulation involves the creation of false memories or statements to fill in gaps in memory. The client's statement about the Queen of England visiting is a fabricated or distorted memory and is an example of confabulation. This choice is correct.

D. "Snip, snap. Take a nap." This phrase is nonsensical and may indicate disorganized thinking or speech, which can occur in Alzheimer's disease, but it is not an example of confabulation. It does not fill a memory gap with a fabricated story. Therefore, this choice is incorrect.

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The nurse is providing education about the levels of prevention in the Public Health Model to a group of clients. Which of the following statements made by the client indicates an understanding of secondary prevention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from an adolescent. Which of the following should the nurse identify as the greatest risk for suicide?

Correct Answer is D

Explanation

A nurse in an acute care facility is assessing a client who had hip surgery and has Alzheimer's disease. The nurse asks the client how therapy went that morning. Which of the following statements by the client should the nurse document as confabulation?

Correct Answer is C

Explanation

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