A clinic nurse is providing care for a 65-year-old woman diagnosed with chronic heart failure. Despite receiving optimal medical treatment, the client frequently experiences exacerbations that result in hospitalizations. During a routine clinic visit, the nurse emphasizes the significance of tertiary prevention strategies with the client. Which intervention demonstrates tertiary prevention and would offer the most benefit for managing the client's condition?
Teaching the client's family about the signs of worsening heart failure and when to contact the healthcare provider
Educating the client about medication side effects
Administering the influenza vaccine to the client
Educating the client about dietary modifications to manage heart failure symptoms
The Correct Answer is A
A. Teaching the client’s family about recognizing signs of worsening heart failure and when to seek help is a tertiary prevention strategy aimed at managing and reducing complications of an existing condition.
B. Educating about medication side effects is important for managing treatment but is not specifically focused on preventing complications or managing disease progression.
C. Administering the influenza vaccine is a primary prevention strategy to prevent illness rather than managing an existing condition.
D. Educating about dietary modifications helps manage symptoms but does not directly address the prevention of complications in the context of tertiary prevention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "A general systems approach that considers the multiple components, such as socioeconomics, environmental and cultural aspects of community." This is correct. The social ecological model takes into account various levels of influence, including individual, interpersonal, community, and societal factors, to address health issues comprehensively.
B. "An experimental approach that considers the various community characteristics to compare individuals in different settings." This is incorrect. The social ecological model is not experimental; it is more focused on understanding the interplay between different levels of influence.
C. "A long-term cohort approach that is used to document the health of a community over many years in terms of community characteristics." This is incorrect. The social ecological model does not specifically involve long-term cohort studies but rather a multi-level approach to understanding health impacts.
D. "A hierarchical approach that focuses on the ability of the population in the community to implement successful health promotion activities." This is incorrect. The social ecological model does not follow a hierarchical approach but rather considers various levels of influence simultaneously.
Correct Answer is ["A","C","D"]
Explanation
A. Medicare home care services require that the client has skilled care needs, such as nursing or therapy.
B. Living alone is not a Medicare criterion for home care qualification.
C. A defined plan of care is necessary for Medicare home care to ensure that the care provided meets specific needs.
D. Being homebound is a key criterion for qualifying for Medicare home care, meaning the individual is unable to leave the home without significant difficulty.
E. Supplemental insurance is not a criterion for Medicare home care eligibility, though it may cover additional costs.
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