A nurse is caring for a client who states, "I did not take my medication because my partner forgot to remind me." The nurse should identify that the client is demonstrating which of the following defense mechanisms?

Choice A reason: Administering a vaccine to a well child is an example of the RN working in a health promotion role through primary prevention. Primary prevention is the level of prevention that aims to prevent disease or injury before it occurs. It involves reducing exposure to risk factors and enhancing protective factors. Vaccination is a primary prevention strategy that protects the child from contracting or spreading infectious diseases, such as measles, polio, or tetanus.

Choice B reason: Obtaining a blood glucose level on a client with hypoglycemia (low blood sugar) is not an example of the RN working in a health promotion role through primary prevention. This is an example of the RN working in a disease management role through tertiary prevention. Tertiary prevention is the level of prevention that aims to reduce the complications and disability associated with chronic or irreversible diseases or injuries. It involves providing treatment, rehabilitation, and support services. Obtaining a blood glucose level on a client with hypoglycemia is a tertiary prevention strategy that monitors the client's condition and prevents further deterioration or complications, such as coma or seizures.

Choice C reason: Educating a patient on wound care is not an example of the RN working in a health promotion role through primary prevention. This is an example of the RN working in a disease management role through secondary prevention. Secondary prevention is the level of prevention that aims to detect and treat diseases or injuries early, before they become more serious or chronic. It involves screening, diagnosis, and intervention. Educating a patient on wound care is a secondary prevention strategy that helps the patient to prevent infection, promote healing, and avoid complications, such as scarring or gangrene.

Choice D reason: Administering a nebulizer treatment to a client with asthma is not an example of the RN working in a health promotion role through primary prevention. This is an example of the RN working in a disease management role through tertiary prevention. Tertiary prevention is the level of prevention that aims to reduce the complications and disability associated with chronic or irreversible diseases or injuries. It involves providing treatment, rehabilitation, and support services. Administering a nebulizer treatment to a client with asthma is a tertiary prevention strategy that helps the client to relieve symptoms, improve lung function, and prevent exacerbations, such as asthma attacks.

Choice A reason: White rice is not a food that can cause diarrhea, as it is a bland and starchy food that can help bind the stool and reduce the frequency of bowel movements.

Choice B reason: Ripe bananas are not a food that can cause diarrhea, as they are rich in potassium, which can help replenish the electrolytes lost due to diarrhea. They also contain pectin, a soluble fiber that can help firm up the stool.

Choice C reason: Low-fiber cereal is not a food that can cause diarrhea, as it is easy to digest and does not irritate the intestinal lining. It can also provide some energy and nutrients for the body.

Choice D reason: Prunes are a food that can cause diarrhea, as they are high in sorbitol, a sugar alcohol that can have a laxative effect and draw water into the colon. They also contain insoluble fiber, which can increase the bulk and speed of the stool.