A nurse at a primary care provider's office is conducting a client history. Which of the following client actions should the nurse identify as a secondary prevention activity?

The client has stopped smoking cigars and now smokes a pipe.

The client increases their intake of St. John's wort to improve sleep.

The client applies sunscreen twice a day when working as a lifeguard.

The client attends a health seminar and has a cholesterol test.

Answer and Explanation

The Correct Answer is D

Choice A reason: Switching from smoking cigars to a pipe is not a prevention activity; it is merely substituting one form of tobacco use for another.

Choice B reason: Increasing the intake of St. John's wort to improve sleep is a complementary therapy, not a secondary prevention activity.

Choice C reason: Applying sunscreen is a primary prevention activity to prevent skin damage from sun exposure.

Choice D reason: Attending a health seminar and having a cholesterol test is a secondary prevention activity as it involves screening to detect diseases early in asymptomatic stages.

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Correct Answer is A

Explanation

Choice A reason: Gonorrhea is a nationally notifiable infectious disease, which means it is required by law to be reported to the CDC. This helps in tracking the incidence and prevalence of this sexually transmitted infection and aids in public health efforts to control and prevent its spread.

Choice B reason: Bacterial vaginosis is not a nationally notifiable disease, and while it is a common infection, it does not require reporting to the CDC.

Choice C reason: Human papillomavirus (HPV) is the most common sexually transmitted infection, but it is not a nationally notifiable disease and does not require reporting to the CDC.

Choice D reason: Genital herpes simplex virus is not a nationally notifiable disease and does not require reporting to the CDC.

A. Reassure the client's partner that it will get better. B. Express sympathy to the client's partner. C. Ask the client's partner if they need anything. D. Hug the client's partner.

Correct Answer is B

Explanation

Choice A reason: Reassurance can seem dismissive of the partner's feelings and may not be helpful during acute grief.

Choice B reason: Expressing sympathy acknowledges the partner's feelings and provides emotional support during a difficult time.

Choice C reason: Asking if they need anything is practical but does not address the immediate emotional need expressed by the partner.

Choice D reason: Physical comfort like a hug can be supportive, but it is important to first gauge the partner's comfort level with physical contact.

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A nurse at a primary care provider's office is conducting a client history. Which of the following client actions should the nurse identify as a secondary prevention activity?

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