The public health nurse is working with a homeless client. Which of the following statements made by the homeless client indicates an understanding of tertiary prevention?
"I will make sure that I use the sunscreen that I got for free on my face every day."
"I will make sure to work with my social worker on obtaining my medication for my depression."
"I will be certain to attend the health fair to get a free flu shot."
"I will go to the public health clinic and request a blood pressure screening."
The Correct Answer is B
Choice A reason: Sunscreen is primary prevention, not tertiary for existing issues. Medication fits tertiary. This errors per nursing standards. It’s universally distinct, preventive.
Choice B reason: Obtaining depression meds is tertiary, managing an existing condition. This aligns with public health standards. It’s universally distinct, showing tertiary understanding.
Choice C reason: Flu shots are primary prevention, not tertiary management. Medication is tertiary. This misaligns with nursing definitions. It’s universally distinct, not treatment.
Choice D reason: BP screening is secondary, not tertiary like managing depression. This errors per public health standards. It’s universally distinct, detection-focused.
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Correct Answer is C
Explanation
Choice A reason: Tertiary prevention treats obesity, not identifies it. Assessment spots issues. This errors per public health standards. It’s universally distinct, a later step.
Choice B reason: Policy development follows identification, not the spotting itself. Assessment fits. This misaligns with nursing core functions. It’s universally distinct, not first.
Choice C reason: Assessment identifies health problems like obesity in communities. This aligns with public health standards. It’s universally applied, distinctly the initial function here.
Choice D reason: Assurance ensures services, not problem identification. Assessment precedes it. This errors per nursing standards. It’s universally distinct, a subsequent action.
Correct Answer is D
Explanation
Choice A reason: Designing a game teaches healthy choices, a primary prevention. Weighing identifies obesity, per nursing standards. This errors as it’s not secondary. It’s universally distinct, focusing on prevention, not detection.
Choice B reason: Dieting after weight gain is tertiary, managing obesity. Weighing screens early, per public health. This misaligns with secondary prevention. It’s universally distinct, treatment-based.
Choice C reason: Exercise presentations are primary, preventing obesity onset. Weighing detects it, per nursing standards. This errors as it’s not secondary. It’s universally distinct, preemptive not screening.
Choice D reason: Weighing students screens for obesity, a secondary prevention strategy. This aligns with public health standards. It’s universally applied, distinctly identifying at-risk children effectively.
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