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 D
Explanation
Choice A reason: A website updated every five years is not a reliable source for current information. Healthcare practices and guidelines can change rapidly, and resources need to be current to be useful.
Choice B reason: A website hosted by a dialysis equipment marketing group may have biased information aimed at promoting their products rather than providing unbiased, evidence-based information.
Choice C reason: A website sponsored by a healthcare political action committee may also present information with a particular agenda, which might not be solely focused on patient care or evidence-based practice.
Choice D reason: A website that provides a peer review process for publishing information is likely to offer high-quality, reliable, and evidence-based information. Peer review is a critical component of scholarly publishing that ensures the credibility and accuracy of the content.
Correct Answer is C
Explanation
Choice A reason: Chronic obstructive pulmonary disease (COPD) can increase the risk of falls due to shortness of breath and general weakness. However, it is not the most significant risk factor compared to the musculoskeletal impact of osteoarthritis.
Choice B reason: Chronic kidney disease may contribute to an overall decline in health and can be associated with anemia or bone mineral disorders, which could indirectly increase fall risk. Nonetheless, it does not directly affect the musculoskeletal system as osteoarthritis does.
Choice C reason: Osteoarthritis is the correct answer because it directly affects the joints, leading to pain, stiffness, and reduced mobility. These symptoms can impair balance and coordination, significantly increasing the risk of falls in clients.
Choice D reason: Wide-angle glaucoma primarily affects vision. While visual impairment is a risk factor for falls, osteoarthritis has a more direct impact on the risk of falling due to its effect on joint function and stability.
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