The nurse is organizing care plans for the following clients. Which client will necessitate interventions focused on secondary prevention?

22-year-old male who works in a factory with exposure to dust and other environmental irritants.

13-year-old female who is to receive human papillomavirus (HPV) immunization.

18-year-old male who is attending safe driver classes after having a motor vehicle collision.

12-year-old female with an obvious curvature of the spine.

Answer and Explanation

The Correct Answer is D

A. The 22-year-old male is exposed to environmental risks but requires primary prevention measures to reduce the risk of disease or injury.
B. The 13-year-old female receiving HPV immunization is participating in primary prevention by receiving a vaccine to prevent future disease.
C. The 18-year-old male attending safe driver classes is engaged in primary prevention aimed at preventing future accidents.
D. The 12-year-old female with an obvious curvature of the spine requires secondary prevention through diagnostic and early intervention to address the condition and prevent progression.

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Correct Answer is B

Explanation

A. While creating personalized meal plans is an important task for a dietitian, it does not reflect the interprofessional collaboration often seen in community health settings, where multiple disciplines work together.
B. A team involving a nurse, social worker, and community health worker exemplifies effective interprofessional care, as it shows collaboration among different professionals to address a complex issue such as homelessness.
C. Medication counseling by a pharmacist is a key component of healthcare but is generally considered part of the pharmacist's role rather than interprofessional collaboration.
D. Blood pressure screenings by a nurse are valuable but represent an individual effort rather than a collaborative, interprofessional approach to community health.

A. 6-year-old child with acute myelocytic leukemia B. 5-month-old infant postoperative following a cleft lip repair C. 5-year-old child with cystic fibrosis D. 1-month-old infant with a ventricular septal defect

Correct Answer is A

Explanation

A. Pediatric palliative care services are appropriate for a 6-year-old with acute myelocytic leukemia, as the condition is serious and may benefit from symptom management and support.
B. A 5-month-old infant postoperative for cleft lip repair would typically not need palliative care unless complications arise, as this is a common procedure with expected recovery.
C. While cystic fibrosis is a serious condition, it does not automatically qualify for palliative care unless there are severe complications or end-of-life issues.
D. A 1-month-old infant with a ventricular septal defect may require specialized cardiology care but does not automatically need palliative care unless the condition is severe or life-threatening.

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The nurse is organizing care plans for the following clients. Which client will necessitate interventions focused on secondary prevention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which scenario demonstrates effective interprofessional care in a community health setting?

Correct Answer is B

Explanation

Which of the following clients would be appropriate for the nurse to recommend for pediatric palliative care services?

Correct Answer is A

Explanation

A case management nurse is arranging discharges for several clients. Which of the following interventions would the nurse recognize as suitable for non-skilled care?

The nurse is teaching a group of community health nurses about the practice to use when teaching clients about the "Ask Me 3" questions concept. Which question, if stated by the group as part of this concept, would indicate that the group needed additional instruction?

The nurse is teaching a client about general primary prevention strategies. The client is somewhat reluctant and asks, "Why should I know about this?" Which of the following statements would be most appropriate for the nurse to make?

A nurse is discussing telehealth with a group of state legislators. Which of the following statements pertinent to homebound clients should the nurse include in the discussion?

Which nursing action best demonstrates cultural competence in end-of-life care?

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The nurse is reviewing a health care proxy form with a client. The client asks the nurse, "Why should I have this?" Which of the following responses would be appropriate for the nurse to make?