Which client would have been most likely to receive care from the Frontier Nursing Service?
A child with a broken femur
An injured soldier
A woman in labor
A homebound, elderly male
The Correct Answer is C
Choice A reason: A child with a broken femur needs orthopedic care, often hospital-based. Frontier Nursing Service focused on rural midwifery and primary care, not specialized trauma, making this less likely as their core mission targeted maternal and child health primarily and historically here.
Choice B reason: An injured soldier typically received military medical care, not civilian services like Frontier Nursing. This group, founded in 1925, served rural Appalachian families, especially women and children, not battlefield injuries, distinguishing their community focus clearly and consistently overall.
Choice C reason: Frontier Nursing Service, started by Mary Breckinridge, specialized in midwifery for rural women in labor. Delivering babies in remote areas was their hallmark, using nurse-midwives to reduce maternal mortality, making this their most likely client historically and operationally in practice fully.
Choice D reason: A homebound elderly male might receive general care, but Frontier Nursing prioritized maternal and infant health. Their focus on childbirth and family care in rural settings made laboring women their primary clients, not elderly chronic care, distinguishing their mission distinctly here.
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Correct Answer is D
Explanation
Choice A reason: Secondary prevention involves early detection, like STI screenings. Safe sex education aims to prevent infection before it occurs, not identify existing cases. It targets behavior to stop disease onset, distinguishing it from reactive measures addressing already-present conditions epidemiologically here fully.
Choice B reason: Policy development crafts rules, like condom distribution laws. Education is an action, not policy creation, though it may support it. This focuses on individual prevention, not systemic regulation, separating it from broader public health infrastructure changes distinctly and comprehensively overall.
Choice C reason: Tertiary prevention manages existing disease, like HIV treatment adherence. Safe sex education prevents initial infection, not complications. It’s proactive, targeting susceptibles before exposure, contrasting with efforts to reduce impact in already-affected individuals biologically and practically in scope here.
Choice D reason: Primary prevention stops disease before it starts, like safe sex education reducing STI risk. By teaching condom use, it builds immunity to exposure, a proactive step aligning with public health’s goal to lower incidence rates preemptively across populations effectively and clearly.
Correct Answer is B
Explanation
Choice A reason: Teaching about lead is primary; screening is secondary. This errors per prevention levels. It’s universally distinct, pre-exposure focus.
Choice B reason: Blood lead screening detects exposure early, a secondary strategy. This aligns with public health standards. It’s universally applied, distinctly accurate.
Choice C reason: Referral is tertiary, managing lead toxicity. Screening fits, per nursing. This errors in level. It’s universally distinct, treatment-based.
Choice D reason: Cleanup is primary prevention; screening catches issues. This misaligns with secondary focus. It’s universally distinct, not detection.
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