A nurse manager at a clinic is reviewing the preventative services offered to clients.
Which of the following activities should the nurse identify as a secondary prevention activity?
Provide a smoking cessation class.
Refer a client who is recovering from a substance use disorder to a social service program.
Encourage a pregnant client to participate in prenatal care.
Advocate for laws that prohibit texting while driving.
The Correct Answer is A
Choice A rationale
Providing a smoking cessation class is an example of secondary prevention. Secondary prevention aims to reduce the impact of a disease or injury that has already occurred. This is done by detecting and treating disease or injury as soon as possible to halt or slow its progress,
encouraging personal strategies to prevent reinjury or recurrence, and implementing programs to return people to their original health and function to prevent long-term problems. In this case, a smoking cessation class can help individuals who are already smoking to quit, thereby preventing further harm from the disease.
Choice B rationale
Referring a client who is recovering from a substance use disorder to a social service program is more aligned with tertiary prevention. Tertiary prevention aims to soften the impact of an ongoing illness or injury that has lasting effects. This is done by helping people manage long- term, often-complex health problems and injuries (e.g. chronic diseases, permanent impairments) in order to improve as much as possible their ability to function, their quality of life and their life expectancy.
Choice C rationale
Encouraging a pregnant client to participate in prenatal care is an example of primary prevention. Primary prevention aims to prevent disease or injury before it ever occurs. This is done by preventing exposures to hazards that cause disease or injury, altering unhealthy or unsafe behaviours that can lead to disease or injury, and increasing resistance to disease or injury should exposure occur.
Choice D rationale
Advocating for laws that prohibit texting while driving is an example of primary prevention. Primary prevention aims to prevent disease or injury before it ever occurs. This is done by preventing exposures to hazards that cause disease or injury, altering unhealthy or unsafe behaviours that can lead to disease or injury, and increasing resistance to disease or injury should exposure occur.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Storing used syringes in a biohazard bag before discarding is not the recommended method for disposal of insulin syringes. Used needles and other sharps are considered medical waste and should be placed in FDA-cleared sharps disposal containers.
Choice B rationale
This is the correct answer. Used syringes should be discarded in a hard, plastic container, such as a detergent bottle or a sharps container. These containers prevent needle-stick injuries during the disposal process.
Choice C rationale
Taking containers of used syringes to the local recycling center is not a safe or recommended method for disposal of insulin syringes. Used needles and other sharps are considered medical waste and should not be recycled.
Choice D rationale
While wearing gloves can provide an extra layer of protection when handling used syringes, it is not a sufficient method for safe disposal. Used syringes should be immediately placed in a hard, plastic container after use.
Correct Answer is B
Explanation
Choice A rationale
While the agency’s billing department does have access to a client’s medical record, it is not the primary information that should be shared when preparing a client to sign a HIPAA acknowledgement form. The billing department’s access is primarily for billing purposes and not for the broad sharing of health information.
Choice B rationale
This is the correct answer. Under the HIPAA Privacy Rule, healthcare providers are allowed to share a client’s current medical information with other providers who are involved in their care. This is done to ensure continuity of care and to provide the best possible treatment for
the client. It is important for the client to understand this as it is a key aspect of the HIPAA Privacy Rule.
Choice C rationale
While it is true that a healthcare provider can assist a client in making decisions about who to disclose their health information to, this is not the primary purpose of the HIPAA acknowledgement form. The form is more about informing the client of how their information may be used and shared, rather than assisting them in making disclosure decisions.
Choice D rationale
Assistive personnel do not have access to a client’s prior admission information unless it is necessary for them to carry out their job duties. This is a common misconception and it is important for clients to understand that their information is protected and only shared on a need-to-know basis.
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