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.

Answer and Explanation

The Correct Answer is C

Choice A rationale: Primary prevention: smoking cessation reduces risk before disease onset through behavior modification, nicotine dependence treatment, and health education. It does not involve screening or early detection characteristic of secondary prevention.

Choice B rationale: Tertiary prevention: referral aids rehabilitation, relapse prevention, and functional recovery after established disorder. Emphasizes reducing complications and improving life quality, not early detection or screening characteristic of secondary prevention measures.

Choice C rationale: Secondary prevention: prenatal care conducts screening and early detection of maternal–fetal complications, enabling interventions to limit progression and improve outcomes. This focuses on detection, not education typical of primary prevention.

Choice D rationale: Primary prevention: advocating anti-texting laws targets upstream determinants to prevent injuries before occurrence by reducing distracted driving risk. This is policy, not screening or early detection characteristic of secondary prevention.

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Correct Answer is D

Explanation

Choice A rationale

This statement indicates a concern about financial stability, which is a valid concern but does not necessarily indicate adaptation to the caregiver role.

Choice B rationale

While rearranging furniture to accommodate a walker is a positive step towards creating a safe environment for the client, it does not necessarily indicate that the caregiver has fully adapted to their new role. It shows an effort to modify the physical environment, but adaptation to the caregiver role involves more than just physical changes.

Choice C rationale

Apologizing for the dishes piling up in the kitchen sink may indicate feelings of overwhelm or stress, which are common in new caregivers. However, this statement does not necessarily indicate adaptation to the caregiver role.

Choice D rationale

This statement indicates that the caregiver is taking steps to maintain their own well-being while also caring for their loved one. By arranging for a neighbor to come over so they can take time for themselves, the caregiver is demonstrating an understanding of the importance of

self-care in their new role. This is a key aspect of adapting to the caregiver role.

A. Discuss the risks of being homeless with the client. B. Determine the client’s understanding of their living situation. C. Assist the client to develop goals for obtaining shelter. D. Develop client teaching using a variety of strategies.

Correct Answer is B

Explanation

Choice A rationale

Discussing the risks of being homeless with the client is an important part of understanding their situation, but it is not the nurse’s initial action when caring for a client who is homeless. The nurse’s initial action should be to establish trust and understand the client’s perspective.

Choice B rationale

This is the correct answer. Determining the client’s understanding of their living situation is the nurse’s initial action when caring for a client who is homeless. This helps the nurse to understand the client’s perspective and to tailor care to meet the client’s unique needs.

Choice C rationale

Assisting the client to develop goals for obtaining shelter is an important part of the care plan for a client who is homeless, but it is not the nurse’s initial action. The nurse’s initial action should be to establish trust and understand the client’s perspective.

Choice D rationale

Developing client teaching using a variety of strategies is an important part of nursing care, but it is not the nurse’s initial action when caring for a client who is homeless. The nurse’s initial action should be to establish trust and understand the client’s perspective.

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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?

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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?