A case management nurse is planning discharge teaching for a client. Which of the following interventions should the nurse plan to include for secondary prevention?
Teach the client about support groups in the community.
Inform the client about home health visits to monitor effectiveness of care.
Teach the client about modifications for activities of daily living skills.
Inform the client about ongoing screening for high risk conditions.
The Correct Answer is D
A. Teach the client about support groups in the community: This is an example of tertiary prevention because it aims to support clients in coping with an existing health condition and prevent further complications through emotional and social support.
B. Inform the client about home health visits to monitor effectiveness of care: This represents tertiary prevention, as it focuses on monitoring and managing a diagnosed condition to prevent further deterioration or readmission.
C. Teach the client about modifications for activities of daily living skills: This is tertiary prevention, targeting improved function and adaptation to chronic illness or disability and helping the client maintain independence.
D. Inform the client about ongoing screening for high-risk conditions: This is secondary prevention, as it involves early detection and prompt intervention for conditions like hypertension or diabetes, aiming to halt progression before complications develop.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Zoster: The zoster vaccine is recommended for older adults, typically starting at age 50 or 60 depending on the specific vaccine formulation (e.g., Shingrix), to prevent shingles and its complications. Older adults are at greater risk for shingles due to declining immunity with age.
B. Rotavirus: The rotavirus vaccine is given in infancy to prevent severe diarrhea caused by the virus. It is not indicated for older adults as they are not at high risk of contracting or being seriously affected by rotavirus.
C. Human papillomavirus: HPV vaccination is primarily recommended for adolescents and young adults, usually up to age 26. It may be considered up to age 45 based on risk, but it is not routinely recommended for older adults.
D. Inactivated poliovirus: The inactivated poliovirus vaccine is typically administered in childhood. Adults rarely need it unless they are traveling to areas where polio is endemic or are at occupational risk, making it unnecessary for routine older adult vaccination.
Correct Answer is D
Explanation
A. "I haven't had a migraine headache this month." Tea tree oil is not commonly associated with relief from migraine headaches. This response is more consistent with treatments involving peppermint oil, magnesium, or certain medications, making it less relevant to evaluating tea tree oil’s effectiveness.
B. "The pain in my back has decreased." While some essential oils are used for muscle or joint pain, tea tree oil is primarily recognized for its antimicrobial and antifungal properties. This symptom improvement would be more relevant to oils like eucalyptus or lavender.
C. "My sleeping has improved over the last 3 weeks." Improved sleep is more commonly linked to the use of calming essential oils such as lavender or chamomile. Tea tree oil is not known to aid with sleep or insomnia, so this statement does not reflect its typical use or expected benefit.
D. "My athlete's foot is almost gone." Tea tree oil is well-documented for its antifungal properties and is commonly used to treat fungal skin infections like athlete's foot. This response reflects a therapeutic effect aligned with the oil’s intended use and supports its effectiveness in this context.
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