A public health nurse is planning strategies to address substance use for clients in the community. Which of the following strategies are part of primary health promotion and prevention?
Providing a needle exchange program for community members.
Providing education to fifth graders about the risks of substance use.
Providing a list of outpatient substance use support services to give to clients who are discharged from inpatient treatment.
Providing education to pregnant clients in a sober living community about the fetal risks of substance use during pregnancy
None
None
The Correct Answer is B
A. Providing a needle exchange program is considered secondary prevention, as it reduces complications in those already using substances rather than preventing initial use.
B. Teaching fifth graders about the risks of substance use is primary prevention, because it aims to stop substance use before it begins.
C. Giving a list of outpatient support services to clients leaving inpatient treatment is tertiary prevention, since it helps prevent relapse in those already affected.
D. Educating pregnant clients who are already in a sober living community is also not primary prevention, because they have a history of substance use; this falls under secondary/tertiary prevention.
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Related Questions
Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"C"}
Explanation
The client presents with symptoms suggestive of severe preeclampsia, including headache, nausea, right upper quadrant pain, facial and dependent edema, rapid weight gain, and 3+ deep tendon reflexes (hyperreflexia). Hyperreflexia is a sign of central nervous system irritability, which can precede seizures (eclampsia) and increase the risk for placental abruption—a premature separation of the placenta from the uterine wall. This is a medical emergency that can result in fetal and maternal complications.
Correct Answer is D
Explanation
A. Naltrexone. This medication is used for opioid and alcohol use disorders. It helps reduce cravings and the pleasurable effects of those substances but is not indicated for smoking cessation.
B. Chlordiazepoxide. This is a benzodiazepine used to manage alcohol withdrawal symptoms, such as anxiety, tremors, and agitation. It is not appropriate for treating nicotine dependence.
C. Clonidine. Although primarily used for hypertension, clonidine has been used off-label to manage symptoms of opioid or nicotine withdrawal. However, it is not the first-line agent for smoking cessation.
D. Bupropion. This is an antidepressant also approved for smoking cessation. It helps reduce nicotine cravings and withdrawal symptoms and is often prescribed under the brand name Zyban for this purpose.
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