A community health nurse is providing teaching to a client about primary prevention methods for sexually transmitted infections. The nurse should identify that the teaching reflects which of the following stages of the natural history of disease model?
Incubation period
Stage of clinical illness
Stage of recovery, disability, or death
Stage of susceptibility
The Correct Answer is D
Choice A: Incubation Period
The incubation period refers to the time between exposure to an infectious agent and the appearance of symptoms. During this stage, the pathogen is multiplying within the host, but there are no visible signs or symptoms of the disease. Primary prevention methods, such as education about safe sex practices and vaccination, are not typically associated with this stage because they aim to prevent the initial exposure to the pathogen.
Choice B: Stage of Clinical Illness
The stage of clinical illness is when the disease manifests with recognizable symptoms and signs. At this point, the focus is often on secondary prevention (early detection and treatment) and tertiary prevention (managing symptoms and preventing complications). Primary prevention methods are less relevant during this stage because the goal is to prevent the disease from occurring in the first place, rather than managing it after symptoms appear.
Choice C: Stage of Recovery, Disability, or Death
This stage represents the outcomes of the disease, where the individual either recovers, experiences long-term disability, or dies. Interventions at this stage are typically tertiary prevention measures, aimed at rehabilitation and reducing the impact of the disease. Primary prevention methods are not applicable here, as they are intended to prevent the disease from occurring initially.
Choice D: Stage of Susceptibility
The stage of susceptibility is the period before the disease process begins, where individuals are at risk of developing the disease. Primary prevention methods are most effective during this stage, as they aim to reduce the risk of exposure to the pathogen and enhance the individual's resistance to infection. Examples include education on safe sex practices, vaccination, and promoting healthy behaviors to prevent sexually transmitted infections⁴⁵.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A: Crime Statistics
Crime statistics are an example of secondary data. Secondary data refers to information that has been collected by someone else for a different purpose but is being utilized by the nurse for community assessment. Crime statistics are typically gathered by law enforcement agencies and other governmental bodies and can provide valuable insights into the safety and social environment of a community.
Choice B: Direct Observation
Direct observation is a method of collecting primary data. Primary data is gathered firsthand by the researcher through direct methods such as surveys, interviews, or observations. In this case, the nurse would be directly observing the community to gather information, making it a primary data collection method.
Choice C: Community Informant Interviews
Community informant interviews are another example of primary data collection. These interviews involve speaking directly with community members or key informants to gather firsthand information about the community's health needs, resources, and concerns. This method provides qualitative data that can be used to understand the community's perspective.
Choice D: Windshield Survey
A windshield survey is a primary data collection method where the nurse drives through the community to observe various aspects such as housing conditions, availability of services, and general environmental conditions. This type of survey provides firsthand observational data about the community.
Correct Answer is A
Explanation
Choice A: Make a Report to Child Protective Services (CPS)
This is the correct action for the nurse to take. Nurses are mandated reporters, meaning they are legally required to report any suspected cases of child abuse or neglect to the appropriate authorities. Child Protective Services (CPS) is the agency responsible for investigating reports of child abuse and ensuring the safety and well-being of children. Reporting to CPS ensures that the case is handled by professionals trained to investigate and intervene in such situations.
Choice B: Call the Police and Report the Suspected Abuse
While calling the police may seem like a logical step, it is not the primary action a nurse should take in this situation. The police may become involved later in the process, especially if there is an immediate threat to the child's safety. However, the initial report should be made to CPS, as they are the designated agency for handling child abuse cases.
Choice C: Call the Child's Guardian to Have the Child's Pediatrician Confirm the Suspected Abuse
This action is not appropriate because it could potentially place the child in further danger. If the guardian is the abuser, notifying them could lead to retaliation against the child or attempts to cover up the abuse. Additionally, it is not the role of the pediatrician to confirm abuse; this is the responsibility of CPS and law enforcement.
Choice D: Alert the School Principal of the Situation
While it is important to keep school officials informed, the nurse's primary responsibility is to report the suspected abuse to CPS. The school principal can be informed after the report has been made, but the immediate priority is to ensure the child's safety by contacting the appropriate authorities.
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