Which nursing intervention best exemplifies primary prevention?

Referring a client with hypertension to a nutritionist for dietary counseling.

Educating adolescents about the dangers of substance abuse.

Teaching a diabetic patient about foot care and regular check-ups.

Administering antibiotics to a patient with an upper respiratory infection.

Answer and Explanation

The Correct Answer is B

A. Referring a client with hypertension to a nutritionist is a secondary prevention intervention, aimed at managing an existing risk.
B. Educating adolescents about the dangers of substance abuse is a primary prevention intervention, aimed at preventing the onset of substance abuse.
C. Teaching a diabetic patient about foot care and regular check-ups is a secondary prevention measure focused on managing existing disease.
D. Administering antibiotics is a tertiary prevention measure aimed at treating an existing infection.

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Correct Answer is A

Explanation

A. The ecological model of health care focuses on multiple levels of influence, including individual, interpersonal, organizational, community, and societal factors. A 35-year-old male with a family history of prostate cancer is a primary target because early intervention and prevention strategies can be tailored based on genetic and lifestyle factors.
B. A client with chronic hepatitis A would benefit from management within a clinical setting rather than an ecological model, which is more preventive and community-focused.
C. A client with established diabetes mellitus might be managed through medical treatment and lifestyle changes, which are typically individual-focused rather than ecological.
D. A client with HIV would require specialized care and management, which is more focused on medical and individual needs rather than the broader ecological approach.

A. Slippery bathroom surfaces without grab bars B. Clutter-free pathways and floors C. Adequate lighting in hallways and staircases D. Securely fastened area rugs on hardwood floors

Correct Answer is A

Explanation

A. Slippery bathroom surfaces without grab bars are a significant risk factor for falls, as they can lead to slips and lack of support while moving.
B. Clutter-free pathways and floors reduce the risk of tripping hazards, which is beneficial for fall prevention.
C. Adequate lighting helps in reducing the risk of falls by making it easier to see potential hazards.
D. Securely fastened area rugs do not pose a risk; rather, they prevent tripping hazards associated with loose rugs.

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Which nursing intervention best exemplifies primary prevention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching a group of nurses about the ecological model of health care. Which of the following clients would be the primary target for this model?

Correct Answer is A

Explanation

A case management nurse is conducting a home assessment for an elderly client who sustained a recent fall. The case management nurse identifies which of the following environmental factors as posing the highest risk for future falls?

Correct Answer is A

Explanation

A hospice nurse educator is instructing nursing staff on providing fundamental care and comfort for hospice clients. The educator would recognize effective staff if they correctly identify which of the following interventions as essential for comfort and care?

A nurse developing a community health program is determining barriers to community resource referrals. Which of the following factors should the nurse include as an example of a resource barrier?

The nurse is discussing the Health Belief Model as it relates to health promotion and wellness. Which of the following strategies is a typical component of this model?

A nurse is providing diet education to children who are attending a health fair. This is an example of which of the following levels of disease prevention?

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A primary care nurse is assessing a patient with advanced heart failure who is experiencing frequent hospitalizations and worsening symptoms despite optimal management. Which action by the nurse best demonstrates an understanding of recommending the patient for palliative care services?