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. The Health Belief Model is illustrated here as the client’s motivation to get a mammogram is based on her belief in the severity of breast cancer and the benefits of early detection to prevent death.
B. Social Learning Theory involves learning through observation and imitation, which is not directly reflected in the client’s decision-making process described.
C. The Theory of Reasoned Action focuses on behavioral intentions based on attitudes and subjective norms, which is less relevant to the client’s belief about the severity of a health condition.
D. The Transtheoretical Model involves stages of change related to behavior modification, which is not directly illustrated by the client’s statement about her motivations for undergoing a mammogram.
Correct Answer is D
Explanation
A. Limited vision at night does not necessarily meet the criteria for being homebound; the focus is more on the overall inability to leave home without considerable effort.
B. Being bedridden and requiring assistance to get into a wheelchair could indicate severe mobility issues, but it does not alone determine homebound status.
C. Living alone with children nearby does not impact the assessment of being homebound; it is more about the client's ability to leave the home.
D. Requiring a taxing effort to leave the home for a prescribed event meets the criteria for being homebound, as it demonstrates significant difficulty in leaving the home without considerable effort or assistance.
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