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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Correct Answer is B
Explanation
Referring clients to the appropriate community agency if signs of abuse are evident is an example of secondary prevention. Secondary prevention aims to detect and treat a disease or condition early on to prevent it from progressing. In this case, referring clients to an agency that can provide support and resources for individuals experiencing abuse can prevent the abuse from escalating or becoming more severe.
Option Ais an example of tertiary prevention, which aims to minimize the impact of an already established disease or condition by maximizing function and preventing complications.
Option Cis an example of primary prevention and health promotion, which aims to improve overall health and well-being.
Option Dis an example of primary prevention, which aims to prevent a disease or condition from occurring in the first place.
Correct Answer is D
Explanation
When educating a client about end-of-life directives, it is important for the nurse to provide accurate information to ensure the client's wishes are respected.
A living will is a legal document that outlines a person's wishes for medical treatment in the event they are unable to communicate their desires themselves. It is not a contract between the client and the provider, but rather a tool to guide medical decision-making.
A do-not-resuscitate order can be revoked by the client or their legal representative, but not by the client's family alone. In most states, the designation of a healthcare proxy must be done in writing and signed by the client.
It is not necessary for two nurses to witness the designation, although the client may choose to have witnesses present. Finally, the client can choose anyone they trust to be their designated power of attorney, regardless of whether they are a family member or not.
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