The nurse wishes to participate in a community secondary prevention activity. Which activity does the nurse choose?

Administering blood pressure screening at a mall

Fitting impoverished older adults with glasses

Dispensing free flu vaccinations at a clinic

Teaching about the risks of sun exposure

Answer and Explanation

The Correct Answer is A

A.   This activity involves assessing individuals for high blood pressure, which is a common risk factor for cardiovascular diseases. Blood pressure screening is a classic example of secondary prevention because it aims to detect hypertension early so that it can be managed before complications, such as heart disease or stroke, develop. This activity is appropriate for secondary prevention as it helps identify those with undiagnosed hypertension and provides an opportunity for early intervention.
B.   Fitting glasses addresses a specific need related to vision but does not primarily focus on early detection or intervention for diseases. It falls more under the category of tertiary prevention, which aims to manage existing conditions and prevent further complications or disabilities. While improving vision is beneficial, this activity does not primarily fit the secondary prevention model of detecting disease early in asymptomatic individuals.
C.   This activity is an example of primary prevention, not secondary prevention. Primary prevention aims to prevent diseases before they occur, such as through vaccination to prevent influenza. Although flu vaccines are important for public health, they do not fit the secondary prevention model, which is concerned with early detection and intervention for existing or developing health issues.
D.   This activity is also an example of primary prevention. Teaching about sun exposure risks aims to prevent skin cancer by promoting behaviors that reduce the risk of developing the disease. It focuses on educating people to avoid sunburns and protect their skin to prevent skin cancer from developing in the first place. Thus, it does not fit the secondary prevention model.

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Correct Answer is A

Explanation

A. This statement indicates that the patient has been able to form a new, healthy relationship and find support after the loss of her husband. This suggests a positive coping mechanism and resilience in the face of emotional stress.

B. While this indicates the patient has found support from family, it doesn't directly address her ability to cope with emotional stressors.
C. This statement suggests that the patient has been able to cope with the loss, but it doesn't provide specific information about her coping mechanisms.
D. While this demonstrates the patient's resilience and ability to handle challenges, it doesn't necessarily indicate a healthy ability to cope with emotional stressors.

A. Telling potential patients who are Jewish that the facility does not have a kosher kitchen B. Requesting the bridge group only use the game room for 2 hours at a time C. Repeatedly confiscating herbs and food products used in healing D. Encouraging Christian residents to attend mass or church services

Correct Answer is A

Explanation

A. Ethnocentrism is the belief that one's own culture is superior to others. In this case, the nurse is exhibiting ethnocentrism by assuming that the facility's current accommodations are sufficient for all residents, without considering the specific cultural needs of Jewish patients. By informing potential Jewish patients that the facility does not have a kosher kitchen, the nurse is essentially stating that the facility's culture and practices are more important than the cultural needs of the patients.
B. This is a reasonable request to ensure that the facility's resources are shared fairly among all residents. It does not reflect ethnocentrism.
C. While it's important to ensure that medications and treatments are safe and effective, confiscating herbs and food products used for healing without a clear medical reason could be seen as disrespectful of the patient's cultural beliefs and practices. However, if there are valid medical concerns, the nurse should communicate these to the patient in a respectful and culturally sensitive manner.
D. This is a common practice in many assisted living facilities and is not considered ethnocentric. However, the nurse should ensure that these activities do not exclude or marginalize residents of other faiths.

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The nurse wishes to participate in a community secondary prevention activity. Which activity does the nurse choose?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is discussing an older adult’s past marital history during the admission assessment. The nurse can best determine that the patient has a healthy ability to cope with emotional stressors when the patient states:

Correct Answer is A

Explanation

The nurse in an assisted living facility is practicing a form of cultural bias called ethnocentrism when:

Correct Answer is A

Explanation

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