Which is an example of primordial prevention?
Improving access to safe walking trails in urban areas to promote physical activity.
Educating an older adult about healthy eating habits.
Developing a to-do checklist routine for diabetic foot care.
Handing out flyers for free mammograms at a rural public fair.
The Correct Answer is A
Choice A reason: Primordial prevention refers to interventions that prevent the emergence of risk factors themselves, often through environmental or policy-level changes. Improving access to safe walking trails promotes physical activity before sedentary behavior becomes a risk factor, thereby preventing the development of chronic diseases like obesity, diabetes, and cardiovascular conditions. This aligns with the upstream approach of modifying social and environmental determinants of health.
Choice B reason: Educating an older adult about healthy eating habits is an example of primary prevention. It targets individuals who may already be at risk and aims to prevent the onset of disease through behavioral changes, not the creation of a health-promoting environment.
Choice C reason: Developing a checklist for diabetic foot care is a tertiary prevention strategy. It focuses on managing and preventing complications in individuals who already have a diagnosed condition—in this case, diabetes.
Choice D reason: Handing out flyers for free mammograms is a form of secondary prevention. It aims to detect disease early (breast cancer) through screening and prompt intervention, not to prevent the development of risk factors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Safety is the second foundational level in Maslow’s hierarchy, immediately following physiological needs. For a client experiencing domestic violence, ensuring physical safety is paramount before addressing legal, emotional, or social needs. Securing confidential housing removes the client from immediate harm and provides a stable environment where other needs can be addressed. Without safety, the client cannot effectively engage in legal processes or emotional healing.
Choice B reason: While legal advice is important for long-term protection and justice, it does not address the immediate threat to the client’s physical safety. Legal processes can be lengthy and may not provide immediate relief from danger. This action aligns more with higher-level needs such as security and autonomy, which are secondary to basic safety.
Choice C reason: Support groups are valuable for emotional healing and social connection, which fall under Maslow’s third level—love and belonging. However, these needs cannot be prioritized until the client’s safety is secured. Attending a support group while still in a dangerous environment may expose the client to further risk.
Choice D reason: Providing clothing addresses physiological needs, but it is not the most urgent priority in this context. While clothing is essential, the threat of violence poses a more immediate risk to life and well-being. Safety must be ensured before other physiological needs are addressed.
Correct Answer is A
Explanation
Choice A reason: Promoting access to mental health services for underserved populations is a key objective of Healthy People 2030. It aims to reduce disparities, improve access to care, and enhance mental health outcomes across diverse communities.
Choice B reason: Removing mental health services from schools contradicts Healthy People 2030 goals, which support integrated care and early intervention, especially in youth populations.
Choice C reason: Limiting crisis hotline availability would reduce access to emergency mental health support, which goes against the initiative’s emphasis on expanding resources and improving responsiveness.
Choice D reason: Discouraging mental health screenings in older adults undermines preventive care and early detection, which are central to Healthy People 2030’s objectives for aging populations.
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