A nurse and a community health team are wrapping up their plan for community implementation. They have been using the Strategic Prevention Framework. Which of the following is true about the Strategic Prevention Framework?

Choice A: "True Positives are Represented in the Table Cell that Indicates the Person Does Not Have the Disease and the Test Indicates Disease."
This statement is incorrect. In a two-by-two table used to evaluate diagnostic tests, the cell representing true positives is where both the test result and the actual disease status are positive. This cell indicates that the test correctly identified individuals who have the disease. The statement here describes a false positive, where the test indicates disease, but the person does not actually have it.

Choice B: "True Positives are Represented in the Table Cell that Indicates the Person Has the Disease and the Test Indicates the Person Has the Disease."
This statement is correct. True positives are indeed represented in the cell where both the test result and the actual disease status are positive. This means the test has correctly identified individuals who have the disease. This cell is crucial for calculating the sensitivity of the test, which measures the proportion of actual positives correctly identified by the test.

Choice C: "True Positives are Represented in the Table Cell that Indicates the Person Has the Disease and the Test Does Not Indicate Disease."
This statement describes a false negative, where the person has the disease, but the test fails to detect it. This cell is used to calculate the test's sensitivity, but it does not represent true positives. False negatives are critical to understand because they indicate cases where the test missed the disease.

Choice D: "True Positives are Represented in the Table Cell that Indicates the Person Does Not Have the Disease and the Test Does Not Indicate Disease."
This statement describes true negatives, where the test correctly identifies individuals who do not have the disease. While true negatives are important for calculating the specificity of the test, they do not represent true positives. Specificity measures the proportion of actual negatives correctly identified by the test.

Choice A reason: Working with the floor manager to decide on some light duty work for a nurse aide who is recovering from a broken ankle
This intervention is an example of tertiary prevention. Tertiary prevention aims to manage and rehabilitate individuals with existing health conditions to prevent further complications and improve their quality of life. By arranging light duty work, the nurse helps the aide continue working while accommodating their recovery, thus preventing further injury and promoting rehabilitation.

Choice B reason: Conducting an in-service on using the new patient lift device to prevent back injuries in the nursing staff
This intervention is an example of primary prevention. Primary prevention aims to prevent diseases or injuries before they occur by reducing exposure to hazards. Conducting training on using patient lift devices helps prevent back injuries among the nursing staff by promoting safe handling techniques.

Choice C reason: Screening the staff for Tuberculosis (TB) exposure
This intervention is an example of secondary prevention. Secondary prevention aims to detect and treat diseases early to halt their progression. Screening for TB exposure helps identify infected individuals early, allowing for timely treatment and preventing the spread of the disease.

Choice D reason: Administering the annual flu vaccine to the employees
This intervention is also an example of primary prevention. Administering flu vaccines helps prevent the onset of influenza by boosting the immune system's ability to fight the virus. Vaccination is a proactive measure to reduce the incidence of flu among employees.