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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The Health Belief Model is illustrated here as the client’s motivation to get a mammogram is based on her belief in the severity of breast cancer and the benefits of early detection to prevent death.
B. Social Learning Theory involves learning through observation and imitation, which is not directly reflected in the client’s decision-making process described.
C. The Theory of Reasoned Action focuses on behavioral intentions based on attitudes and subjective norms, which is less relevant to the client’s belief about the severity of a health condition.
D. The Transtheoretical Model involves stages of change related to behavior modification, which is not directly illustrated by the client’s statement about her motivations for undergoing a mammogram.
Correct Answer is C
Explanation
A. "An individual must qualify for disability insurance under Medicare." This is incorrect as Medicare coverage for hospice care does not depend on disability insurance; it is based on the diagnosis and eligibility for hospice care.
B. "The cost of the home hospice care does involve a copay with Medicare." This is incorrect because Medicare generally covers hospice care with minimal costs, including no copay for hospice care itself, though there may be small charges for some items or services.
C. "The cost of the home hospice care is covered under Medicare Part A." This is correct. Medicare Part A covers hospice care if the client meets eligibility requirements for terminal illness and hospice care.
D. "An individual must have supplemental insurance along with Medicare." This is incorrect as Medicare Part A provides coverage for hospice care, and supplemental insurance is not required for this specific coverage.
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