The PMHNP starts a stress management class for anyone in the community who has had a loved one diagnosed with COVID-19. The goal is to help the community members avoid stressors and learn to cope with them more effectively. What type of prevention strategy is this?
Health promotion
Primary prevention
Secondary prevention
Tertiary prevention
The Correct Answer is B
Choice A reason: Health promotion involves general measures to encourage healthy behavior, but primary prevention specifically aims to prevent the development of stress-related disorders before they occur.
Choice B reason: Primary prevention targets individuals before symptoms develop to reduce risk factors, such as teaching coping skills to prevent chronic stress or mental health conditions. This aligns with the scenario.
Choice C reason: Secondary prevention involves early detection and intervention after symptoms appear. These participants are not yet diagnosed with stress-related disorders, so this does not apply.
Choice D reason: Tertiary prevention focuses on reducing complications in those already diagnosed, which is not the case here.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Hyperhidrosis is a known dose-dependent side effect of SSRIs, particularly paroxetine, making this statement correct.
Choice B reason: Age-related changes in drug metabolism and hormone levels may reduce SSRI efficacy in women over 50, making this statement accurate.
Choice C reason: This statement is not correct. While escitalopram may have a slightly lower risk of hyperhidrosis, switching without first evaluating dose adjustment or other interventions is not the standard first approach. The focus should be on managing side effects while maintaining therapeutic efficacy.
Choice D reason: Reducing the dose and considering adjunctive therapies while evaluating hormonal status is an appropriate, evidence-based approach to managing SSRI-induced hyperhidrosis in this patient population.
Correct Answer is A
Explanation
Choice A reason: This is correct. Rapid alternating movements (dysdiadochokinesia) and the finger-to-nose test assess cerebellar coordination and fine motor control, which are essential components in evaluating cerebellar function.
Choice B reason: Balancing and copying a polygon evaluate balance and visuospatial skills but are less specific for cerebellar dysfunction.
Choice C reason: Stereognosis assesses sensory function, not cerebellar function. The Romberg test evaluates proprioception rather than cerebellar coordination.
Choice D reason: The Romberg test assesses sensory input for balance, and the Weber test evaluates hearing. Neither is specific for cerebellar function.
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