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 B

Explanation

A. Administer diazepam: This is not a first-line treatment for delirium and could exacerbate confusion or sedation, potentially worsening delirium.

B. Obtain a medical history: Delirium is often caused by underlying medical conditions such as infections, electrolyte imbalances, or medication side effects. Obtaining a medical history is crucial for identifying and treating the underlying cause, making it the priority action.

C. Start intravenous fluids: While IV fluids might be necessary in cases of dehydration or electrolyte imbalances, identifying the underlying cause of delirium through medical history is more urgent.

D. Raise 3 of the 4 side rails of the bed: This action may help prevent falls but does not address the underlying cause of delirium. Moreover, the use of side rails can sometimes increase the risk of injury or entrapment.

A. Financial exploitation B. Emotional abuse C. Neglect D. Physical abuse

Correct Answer is D

Explanation

A. Financial exploitation: Financial exploitation involves the illegal or improper use of an elder's funds, property, or assets. It does not involve the direct infliction of physical or psychological harm .

B. Emotional abuse: Emotional abuse involves inflicting psychological harm through verbal or non-verbal acts, such as intimidation, humiliation, or isolation. It directly impacts the elder’s emotional and mental well-being.

C. Neglect: Neglect is the failure to provide necessary care or assistance, leading to harm or distress. It may not involve active infliction of harm but results in harm due to omission of care.

D. Physical abuse: Physical abuse involves the intentional infliction of bodily harm through actions such as hitting, shaking, or restraining. It directly results in physical injury and can also lead to psychological harm. This choice is correct

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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

The nurse is caring for an older adult client who is experiencing delirium. Which of the following should be the priority action by the nurse?

Correct Answer is B

Explanation

The nurse recognizes that which of the following types of elder abuse involves the intentional infliction of physical and psychological harm on an older adult?

Correct Answer is D

Explanation

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