A nurse manager in a community health clinic is reviewing secondary prevention activities with a group of nurses during orientation. Which of the following activities should the nurse manager include as an example of secondary prevention?
Educate a client who has hypertension about exercises to reduce blood pressure.
Teach a group of school-age children about hand hygiene.
Provide nutrition counseling for an adolescent who is underweight.
Test a client who has a family history for diabetes mellitus.
The Correct Answer is D
The correct answer is Choice D because, "Test a client who has a family history for diabetes mellitus." Secondary prevention refers to early detection and intervention to prevent the progression of disease. Testing individuals who have a family history of diabetes mellitus is an example of secondary prevention as it allows for early detection and intervention to prevent or delay the onset of diabetes.
Choice A is wrong because, "Educate a client who has hypertension about exercises to reduce blood pressure," is not the correct answer as it is an example of primary prevention, which focuses on preventing the development of disease or injury in individuals who are at risk. Hypertension is a risk factor for cardiovascular disease, and educating individuals about lifestyle modifications, such as exercise, can prevent the development of hypertension and other comorbidities.
Choice B is wrong because, "Teach a group of school-age children about hand hygiene," is not the correct answer as it is an example of primary prevention, which aims to prevent the occurrence of disease or injury in populations that are at risk. Hand hygiene is an essential component of infection control, and teaching school-age children about it can prevent the spread of infectious diseases in schools.
Choice C is wrong because, "Provide nutrition counseling for an adolescent who is underweight," is not the correct answer as it is an example of tertiary prevention, which focuses on preventing complications and reducing the impact of established disease or injury. Nutrition counseling for an adolescent who is underweight aims to prevent complications related to malnutrition, such as growth delays, cognitive impairment, and increased susceptibility to infections.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is Choice D because, "State health departments report selected STIs to the National Institutes of Health." This is the correct answer because state health departments are responsible for reporting selected STIs to the National Institutes of Health, which is an important regulation regarding STIs.
Choice A is wrong because, "Clients who have STIs are legally required to provide a list of sexual partners," is
not the correct answer because while clients who have STIs are strongly encouraged to provide a list of sexual partners for partner notification and treatment purposes, there is no legal requirement for them to do so.
Choice B is wrong because, "Congress mandates the requirements for STI reporting," is not the correct answer because STI reporting requirements are set by public health agencies, not by Congress.
Choice C is wrong because, "Nurses should withhold the name of the client who has an STI during partner notification," is not the correct answer because while nurses are required to maintain confidentiality of their clients, they are also obligated to report certain communicable diseases, including STIs, to public health authorities, who may need to conduct partner notification and treatment efforts.
Correct Answer is A
Explanation
The correct answer is Choice A because, the test measures serum levels of HIV antibodies. Enzyme-linked immunosorbent assay (ELISA) testing is a screening test for HIV infection, which measures the presence of HIV antibodies in the blood.
Choice B is wrong because, the test monitors the progression of HIV, is incorrect as the ELISA test only indicates the presence of HIV antibodies in the blood, and does not monitor the progression of HIV. Choice C is wrong because, the test results are accurate 24 hr after HIV exposure, is incorrect as it takes at least 2-4 weeks for HIV antibodies to develop in the blood after exposure to the virus. Choice D is wrong because, a positive result indicates initiation of immunoglobulin administration, is incorrect as there is no treatment for HIV with immunoglobulin.
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