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?
Encourage a pregnant client to participate in prenatal care.
Provide a smoking cessation class.
Refer a client who is recovering from a substance use disorder to a social service program.
Advocate for laws that prohibit texting while driving.
The Correct Answer is A
A. Prenatal care is considered a secondary prevention activity because it involves early detection and intervention to prevent complications during pregnancy. Secondary prevention focuses on identifying and treating existing conditions in their early stages to prevent progression.
B. Smoking cessation meets the definition of primary prevention by reducing the risk of morbidity and premature mortality in asymptomatic people.
C. Referring a client who is already recovering from a substance use disorder is an example of tertiary prevention. Tertiary prevention focuses on helping individuals manage and rehabilitate after an illness or injury to prevent further deterioration and to improve their quality of life.
D. Advocating for laws to prevent texting while driving is a form of primary prevention, as it aims to prevent injuries and accidents before they occur by reducing a risk factor (distracted driving).
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Related Questions
Correct Answer is B
Explanation
. Engage the family in informal conversation. The first step in caring for a client with dementia is to establish a relationship of trust and comfort with the client and their family. Engaging the family in informal conversation can help the nurse gain insight into the family's needs and concerns, as well as provide an opportunity to establish rapport. Encouraging the family to join a support group, providing information about respite care, and educating the family regarding the progression of dementia are important steps in caring for a client with dementia, but they should follow the initial step of engaging the family in informal conversation.
Correct Answer is C
Explanation
The correct answer is choice C, "An increase in client falls at home." A quality improvement committee is responsible for identifying and addressing areas in need of improvement in client care. Among home health clients, falls are a common cause of injury, which can lead to hospitalizations or even death. Therefore, it is essential to address this issue by examining the data and identifying trends to establish interventions to prevent falls. The committee can evaluate whether proper assessments have been completed, including a home safety evaluation, medication review, and the use of mobility aids, to prevent falls. The committee can also review the use of interventions, such as physical therapy or occupational therapy, to improve mobility and strength, and education for clients, caregivers, and family members to promote safety in the home environment. By addressing the increase in client falls, the committee can improve the quality of care provided to home health clients and reduce the risk of falls and injuries.
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