An occupational health nurse in the clinic of an industrial plant is developing a guidebook for clinic workers. Which of the following actions should the nurse include as a secondary prevention strategy?

Choice A reason: The inability to take risks is not a quality of an effective nurse leader, as it may limit the leader's potential for growth, innovation, and improvement. Effective nurse leaders are willing to take calculated risks that are based on evidence, experience, and intuition. They are also able to learn from their mistakes and failures and use them as opportunities for development.

Choice B reason: Never consider being a follower is not a quality of an effective nurse leader, as it may indicate a lack of flexibility, collaboration, and respect for others. Effective nurse leaders are able to adapt to different situations and roles, depending on the needs and goals of the team. They are also able to recognize the strengths and contributions of their followers and empower them to achieve their full potential.

Choice C reason: The ability to set priorities is a quality of an effective nurse leader, as it helps the leader to focus on the most important and urgent tasks and goals. Effective nurse leaders are able to identify the needs and expectations of their clients, staff, and organization, and allocate their time, resources, and energy accordingly. They are also able to delegate tasks appropriately and efficiently.

Choice D reason: Integrity is a quality of an effective nurse leader, as it reflects the leader's honesty, trustworthiness, and ethical standards. Effective nurse leaders are able to act in accordance with their values and principles, and uphold the professional code of conduct. They are also able to communicate openly and transparently, and accept responsibility and accountability for their actions and decisions.

Choice E reason: Critical care certification is not a quality of an effective nurse leader, as it is not a requirement or a guarantee for leadership success. Critical care certification is a credential that demonstrates the nurse's knowledge and competence in providing care to critically ill patients. While it may enhance the nurse's clinical skills and confidence, it does not necessarily reflect the nurse's leadership skills or abilities. Effective nurse leaders can come from various backgrounds and specialties, as long as they have the necessary qualities and attributes that enable them to lead others effectively.

Choice A: Collaborate with a physical therapist to develop programs for injured employees to return to work. This is incorrect because this is a tertiary prevention strategy, not a secondary prevention strategy. Tertiary prevention aims to restore function and prevent disability or complications after an injury or illness has occurred.

Choice B: Help plant workers identify signs of carpal tunnel syndrome. This is correct because this is a secondary prevention strategy. Secondary prevention aims to detect and treat health problems early before they become more serious or chronic. Carpal tunnel syndrome is a common occupational health problem that can cause pain, numbness, and weakness in the hand and wrist. Early identification and treatment can prevent permanent nerve damage and disability.

Choice C: Organize an influenza immunization campaign. This is incorrect because this is a primary prevention strategy, not a secondary prevention strategy. Primary prevention aims to prevent disease or injury from occurring in the first place, by reducing exposure or risk factors. Influenza immunization can protect plant workers from getting infected by the flu virus and reduce the spread of the disease.

Choice D: Teach plant workers about proper lifting techniques. This is incorrect because this is also a primary prevention strategy, not a secondary prevention strategy. Proper lifting techniques can prevent musculoskeletal injuries such as sprains, strains, and herniated discs, by avoiding excessive stress on the spine and joints.