The nurse implements a tertiary prevention program for type 2 diabetes mellitus in a rural health clinic. Which outcome indicates that the program was effective?
Only 30% of clients did not attend self-management education sessions.
Average client scores improved on specific risk factor knowledge tests.
Clients who developed disease complications promptly received rehabilitation.
More than 50% of at-risk clients were diagnosed early in their disease process.
The Correct Answer is C
A. Only 30% of clients did not attend self-management education sessions: This outcome does not directly indicate the effectiveness of a tertiary prevention program, which focuses on managing disease complications and improving quality of life after diagnosis.
B. Average client scores improved on specific risk factor knowledge tests: Improved knowledge is important, but tertiary prevention aims more at managing and reducing the impact of complications in individuals who already have the disease.
C. Clients who developed disease complications promptly received rehabilitation: Tertiary prevention focuses on minimizing the impact of established disease and preventing further disability. Effective rehabilitation for clients with complications demonstrates successful tertiary prevention.
D. More than 50% of at-risk clients were diagnosed early in their disease process: Early diagnosis falls under secondary prevention, not tertiary. Secondary prevention aims to identify and treat disease early to prevent complications, not managing existing complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Names 3 home safety hazards to be resolved immediately: This addresses fall prevention, which is the most immediate and critical concern in osteoporosis due to the high risk of fractures from minimal trauma.
B. States 4 risk factors for the development of osteoporosis: While understanding risk factors is important for prevention, it is less urgent than addressing environmental hazards that could lead to injury.
C. Identifies 2 treatments for constipation due to immobility: Managing constipation is relevant for immobility but not a top priority compared to fall and fracture risk.
D. Lists 5 calcium-rich foods to be added to the daily diet: Dietary calcium supports long-term bone health but does not immediately reduce the risk of injury like eliminating hazards does.
Correct Answer is A
Explanation
A. Palpate the client's suprapubic area for distention: The symptoms suggest possible urinary retention, which could be a result of benign prostatic hyperplasia (BPH) or another obstruction. Palpating the suprapubic area for distention is important to assess for urinary retention and determine if the bladder is full.
B. Obtain a urine specimen for culture and sensitivity: Although a urinary tract infection can cause urinary symptoms, the client's presentation is more likely indicative of a physical obstruction such as BPH. A culture might be needed later if infection is suspected.
C. Instruct in effective techniques to cleanse the glans penis: Proper hygiene is important, especially in older adult men, but this is not the most relevant action for the symptoms described. The focus should be on assessing for possible urinary retention or obstruction.
D. Advise the client to maintain a voiding diary for one week: While a voiding diary may provide useful information for monitoring symptoms over time, the immediate priority is to assess for urinary retention and bladder distention.
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