A school nurse is planning primary prevention activities for the school year. Which of the following actions should the nurse plan to take?
Provide referrals for students who have asthma.
Provide first aid for injured students.
Monitor the immunization status of students.
Schedule hearing screenings for each grade level.
The Correct Answer is C
Primary prevention activities aim to prevent the onset of disease or injury. Monitoring the immunization status of students is a primary prevention activity because it helps to prevent the spread of infectious diseases that can cause serious illness and even death. By monitoring the immunization status of students, the school nurse can ensure that students are up-to-date on their vaccinations and can provide education and resources to parents and guardians who may have questions or concerns about immunizations.
Providing referrals for students who have asthma (A) and providing first aid for injured students (B) are both important activities that the school nurse should be prepared to do, but they are not primary prevention activities. These activities are considered secondary prevention because they aim to identify and treat health problems early before they become more severe.
Scheduling hearing screenings for each grade level (D) is a tertiary prevention activity because it aims to prevent complications and disability resulting from existing hearing problems.

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Correct Answer is D
Explanation
This statement is open-ended and allows the family to discuss their beliefs and values related to their health and healing. It also allows the nurse to gain a better understanding of the family's cultural practices and provide culturally sensitive care.
Option A is incorrect because it is judgmental and can negatively impact the therapeutic relationship between the nurse and the family.
Option B is incorrect because it is dismissive of the family's beliefs and values and does not show respect for their cultural practices.
Option C is incorrect because it does not address the family's current health care needs or their beliefs about healing.
Correct Answer is C
Explanation
Regular exercise is an essential component of health promotion for older adults. Exercise helps to maintain and improve physical function, mobility, and independence, reduces the risk of falls, and helps to prevent chronic conditions such as diabetes, cardiovascular disease, and osteoporosis. Exercise also has mental health benefits, such as reducing depression and anxiety.
Scheduling annual dental examinations for the clients (A) is important but is not the best health promotion strategy for older adults at an assisted living facility. While dental health is important, exercise is a more comprehensive strategy that addresses multiple aspects of health.
Providing the clients with a low-fat diet (B) is also important for health promotion, but it is not as effective as exercise in promoting physical and mental health.
Immunizing the clients against influenza (D) is important to prevent infection, but it is not a health promotion strategy that addresses overall health and wellbeing.
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