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.
Advocate for laws that prohibit texting while driving.
Refer a client who is recovering from a substance use disorder to a social service program.
Provide a smoking cessation class.
The Correct Answer is C
The nurse should identify option C, "Refer a client who is recovering from a substance use disorder to a social service program," as a secondary prevention activity. This intervention focuses on early identification and intervention to prevent further harm or complications related to substance use disorder.
Option A is a primary prevention activity, as it focuses on preventing the development of complications through early intervention and education.
Option B is a tertiary prevention activity, as it focuses on reducing the impact of a disease or injury that has already occurred.
Option D is also a tertiary prevention activity, as it focuses on reducing the impact of a disease that has already occurred.
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Related Questions
Correct Answer is B
Explanation
The correct answer is choice B. Interviewing shelter residents to determine the effectiveness of coping behaviors.
Choice A rationale:
Providing age-appropriate activities for shelter residents is a form of primary prevention, aimed at promoting well-being and preventing stress-related issues. It does not directly address the immediate needs of assessing and managing the aftermath of a disaster.
Choice B rationale:
Interviewing shelter residents to determine the effectiveness of coping behaviors is a secondary prevention strategy. It focuses on identifying and addressing existing issues that may have arisen due to the disaster, such as stress, anxiety, or ineffective coping mechanisms. This helps in providing timely interventions to mitigate further psychological harm.
Choice C rationale:
Compiling resources available to transition individuals from shelters to a home is a tertiary prevention strategy. It aims at long-term recovery and rehabilitation, rather than addressing immediate or ongoing issues resulting from the disaster.
Choice D rationale:
Publishing a listing of shelter locations in local media sources is a primary prevention strategy. It helps in ensuring that individuals know where to go for safety during a disaster, but it does not address the needs of those who have already survived the disaster and are currently in shelters.
Correct Answer is B
Explanation
The client has documentation stating he has less than 12 months to live.
Hospice care is a type of palliative care that focuses on providing comfort and support to individuals who are in the end stages of a terminal illness. In order to qualify for hospice care, a client must have documentation from a physician stating that they have a life expectancy of six months or less if their illness follows its normal course.
The client's insurance coverage may vary, but it is not a determining factor in qualifying for hospice care.
The decision to decline life-prolonging treatments is a personal one that may align with a client's end-of-life goals, but it is not a requirement for hospice care.
Finally, the need for inpatient care due to a lack of caregiver support may be a factor in determining the most appropriate level of care, but it is not a requirement for hospice care.

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