A school nurse is planning primary prevention activities for the new school year. Which of the following should the nurse include? (select all that apply)
Recommending a seating arrangement for a child in a body cast.
Lobbying for funding for health promotion efforts.
Creating a plan of care for children who have a diagnosis of diabetes mellitus.
Organizing a program to promote skateboard safety.
Teaching a class about risks of smoking cigarettes
Correct Answer : B,D,E
Choice A reason: Recommending a seating arrangement for a child in a body cast is not a primary prevention activity, but rather a tertiary prevention activity. Tertiary prevention aims to reduce the impact of a disability or chronic condition and improve the quality of life of the affected individual¹.
Choice B reason: Lobbying for funding for health promotion efforts is a primary prevention activity, as it can help support the implementation of programs and policies that prevent diseases and injuries before they occur².
Choice C reason: Creating a plan of care for children who have a diagnosis of diabetes mellitus is not a primary prevention activity, but rather a secondary prevention activity. Secondary prevention aims to detect and treat diseases or injuries early to prevent complications and progression¹.
Choice D reason: Organizing a program to promote skateboard safety is a primary prevention activity, as it can help prevent injuries and accidents among children who engage in this recreational activity³.
Choice E reason: Teaching a class about the risks of cigarette smoking is a primary prevention activity, as it can help prevent the initiation of tobacco use and its associated health consequences among children and adolescentsā“.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Teaching the client about appropriate food choices is an important action, but not the first one. The nurse should first assess the client's current eating habits and preferences before providing any education.
Choice B reason: Referring the client to a diabetes mellitus support group is a helpful action, but not the first one. The nurse should first establish a rapport with the client and assess their readiness to learn and cope with the diagnosis before making any referrals.
Choice C reason: Identifying the client's dietary preferences is the first action to take. The nurse should use a client-centered approach and respect the client's cultural and personal preferences when planning the nutritional program.
Choice D reason: Developing a nutritional program is a necessary action, but not the first one. The nurse should first collaborate with the client and other health care professionals to design a program that meets the client's needs and goals.
Correct Answer is B
Explanation
Choice A reason: This statement is not the first action, as it does not address the immediate needs of the students. Contacting the local health department may be necessary to report a potential outbreak or environmental hazard, but it is not a priority.
Choice B reason: This statement is the first action, as it addresses the immediate needs of the students. Establishing a triage area can help the nurse assess the severity of the symptoms, identify the possible cause, and provide appropriate interventions.
Choice C reason: This statement is not the first action, as it may not be appropriate for all students. Administering oxygen therapy may be necessary for some students who have severe respiratory distress, but it is not a universal intervention.
Choice D reason: This statement is not the first action, as it does not address the immediate needs of the students. Notifying the parents of the students may be necessary to inform them of the situation and obtain consent for treatment, but it is not a priority.
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