The public health nurse receives grant funding to implement primary prevention strategies for migrant farm workers and their families. Which action should the nurse plan to include?
Distribute brochures on measures to avoid pesticide exposure.
Ask a physical therapist to speak about managing low back pain.
Organize free community-wide tuberculosis screenings.
Teach a class in providing first aid for heat exhaustion.
The Correct Answer is A
Choice A reason: Primary prevention focuses on preventing disease before it occurs. Educating farm workers on how to avoid pesticide exposure addresses a major environmental hazard in agricultural settings and helps prevent acute and chronic illnesses such as respiratory conditions, neurological symptoms, and certain cancers. This action is proactive and aligns with the goals of primary prevention.
Choice B reason: Managing low back pain is a tertiary prevention strategy, aimed at reducing complications and improving quality of life after the condition has developed. It does not prevent the initial onset of disease or injury.
Choice C reason: Tuberculosis screening is a secondary prevention measure. It identifies disease early to initiate treatment, but it does not prevent initial exposure or infection.
Choice D reason: Teaching first aid for heat exhaustion is a secondary or tertiary intervention. It helps manage symptoms after exposure to heat stress but does not prevent the condition from occurring.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Reviewing medications may help identify causes of confusion or neglect, but it does not provide a full picture of the client’s current condition. It is a secondary step after direct assessment.
Choice B reason: Emergency placement may be necessary, but it should be based on a thorough assessment. Premature action without evaluation may violate the client’s rights or lead to inappropriate placement.
Choice C reason: A comprehensive physical and mental exam is essential to determine the cause of the client’s deterioration. It guides all subsequent decisions, including safety, medical needs, and potential referrals.
Choice D reason: Involving family may be helpful, but the nurse must first assess the client’s condition to determine the urgency and appropriateness of family involvement.
Correct Answer is D
Explanation
Choice A reason: This question explores trends over time but does not address the implications of the current demographic structure. It is useful for planning but does not reveal systemic gaps.
Choice B reason: Gender distribution may inform service design but does not identify economic or social burdens associated with a young population.
Choice C reason: Income level is relevant for assessing access to care but does not directly relate to the demographic impact on community resources.
Choice D reason: The dependency ratio reflects the proportion of dependents (youth and elderly) to the working-age population. A high percentage of youth increases the dependency burden, affecting healthcare, education, and economic planning. This question shows insight into systemic implications.
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