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Which of the following are examples of a nurse participating in primary care activities? Select all that apply

A.

Providing prenatal teaching on nutrition to a pregnant woman during the first trimester

B.

Assessing the nutritional status of older adults who come to the community center for lunch

C.

Working with patients in a cardiac rehabilitation program

D.

Providing home wound care to a patient

E.

Teaching a class to parents at the local elementary school about the importance of immunizations

Answer and Explanation

Correct Answer : A,B,E

Primary care focuses on health promotion, disease prevention, and early intervention. It is often the first point of contact for individuals in the healthcare system and includes patient education, screenings, and preventive services.

Rationale for correct answers:

A. Providing prenatal teaching on nutrition to a pregnant woman during the first trimester: This is preventive care, promoting maternal and fetal health early in pregnancy.

B. Assessing the nutritional status of older adults who come to the community center for lunch: Early assessment in a community setting helps identify risks before illness develops.

E. Teaching a class to parents at the local elementary school about the importance of immunizations: Immunization education is a primary prevention activity.

Rationale for incorrect answers:

C. Working with patients in a cardiac rehabilitation program: This is tertiary care, focusing on restoring health after a serious illness.

D. Providing home wound care to a patient: This is secondary or tertiary care, aimed at treatment and recovery rather than prevention.

Take home points:

  • Primary care activities are preventive, educational, and community-focused.
  • Differentiating between primary, secondary, and tertiary care is essential for correct nursing care planning.


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Related Questions

Correct Answer is A

Explanation

Respite care is designed to support family or informal caregivers by giving them temporary relief from caregiving duties, helping prevent burnout and improving the quality of care for the patient.

Rationale for correct answers:

A. “A service that allows time away for caregivers” This definition matches respite care’s purpose: temporary relief for caregivers.

Rationale for incorrect answers:

B. “A special service for the terminally ill and their family” This describes hospice care.

C. “Direct care provided to individuals in nursing homes” This could describe long-term or skilled nursing care, not respite services specifically.

D. “Living units for people without regular shelter” This refers to homeless shelters, unrelated to respite care.

Take home points:

  • Respite care is temporary relief for caregivers, often in home or facility settings.
  • It helps reduce caregiver stress and sustain long-term caregiving capacity

Correct Answer is B

Explanation

Healthcare delivery has shifted significantly toward community and home-based models due to rising costs, technology improvements, and the desire to keep patients in familiar environments. Nurses need to be aware of trends to prepare for evolving practice demands.

Rationale for correct answers:

B. Home care: Advances in medical technology and insurance coverage have expanded home health services, making it the fastest-growing sector.

Rationale for incorrect answers:

A. Hospitals: Hospitals remain central but are not the fastest-growing area; inpatient admissions have declined in many places.

B. Nursing homes: While essential for long-term care, growth has been slower compared to home-based services.

D. Parish nursing: Parish nursing is a niche, community-based specialty and not the fastest-growing area overall.

Take home points:

  • Home care is expanding rapidly due to patient preference and cost-effectiveness.
  • Nurses should develop community and home health skills to meet this demand.

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