The nurse is providing education about the levels of prevention in the Public Health Model to a group of clients. Which of the following statements made by the client indicates an understanding of secondary prevention?

Promoting rehabilitation directed toward achievement of each individual's maximum level of functioning.

Services aimed at reducing the residual defects that are associated with severe and persistent mental illness.

Services aimed at reducing the incidence of mental disorders within the population.

Interventions aimed at minimizing early symptoms of psychiatric illness and directed toward reducing the prevalence and duration of the illness.

Answer and Explanation

The Correct Answer is D

A. Promoting rehabilitation directed toward achievement of each individual's maximum level of functioning: This describes tertiary prevention, which focuses on reducing the impact of an ongoing illness that has lasting effects by helping people manage long-term, complex health problems.

B. Services aimed at reducing the residual defects that are associated with severe and persistent mental illness: This is also an aspect of tertiary prevention, which involves managing chronic conditions to prevent further deterioration.

C. Services aimed at reducing the incidence of mental disorders within the population: This describes primary prevention, which involves efforts to prevent the onset of illness before it occurs, typically through community health initiatives and education.

D. Interventions aimed at minimizing early symptoms of psychiatric illness and directed toward reducing the prevalence and duration of the illness: This correctly defines secondary prevention, which involves early detection and treatment of disease to halt progression and reduce the severity and duration of the condition.

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Correct Answer is C

Explanation

A. Amenorrhea: This is more commonly associated with anorexia nervosa rather than bulimia nervosa.

B. Hyperkalaemia: Bulimia nervosa is more likely to cause hypokalemia due to frequent vomiting, which leads to loss of potassium.

C. Dental decay: Frequent vomiting exposes teeth to stomach acid, leading to erosion of dental enamel and subsequent decay.

D. Lower than normal expected reference range of body weight: While some individuals with bulimia nervosa may have a low body weight, many maintain a normal weight or may even be overweight.

A. Paranoid personality disorder B. Schizotypal personality disorder C. Avoidant personality disorder D. Antisocial personality disorder

Correct Answer is B

Explanation

A. Paranoid personality disorder: Paranoid personality disorder is characterized by pervasive distrust and suspiciousness of others. Individuals with this disorder may have delusions of persecution but typically do not have bizarre or magical beliefs such as mind reading. Therefore, this choice is incorrect.

B. Schizotypal personality disorder: Schizotypal personality disorder is characterized by eccentric behavior, odd beliefs, and magical thinking, including ideas like being able to read minds. The client’s statement is indicative of the type of odd beliefs and thoughts associated with this disorder. This choice is correct.

C. Avoidant personality disorder: Avoidant personality disorder is marked by extreme shyness, fear of rejection, and social inhibition. Individuals with this disorder do not typically exhibit bizarre thoughts or delusions such as mind reading. Therefore, this choice is incorrect.

D. Antisocial personality disorder: Antisocial personality disorder is characterized by a disregard for the rights of others, deceitfulness, impulsivity, and a lack of remorse. It is not typically associated with delusional or magical thinking such as believing one can read minds. Therefore, this choice is incorrect.

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The nurse is providing education about the levels of prevention in the Public Health Model to a group of clients. Which of the following statements made by the client indicates an understanding of secondary prevention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a female client who has bulimia nervosa and reports frequent self-induced vomiting. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse is caring for a client who screams, "I can read your minds!" The nurse should identify this finding as a manifestation of which of the following personality disorders?

Correct Answer is B

Explanation

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