Which of the following infectious disease interventions best represents the use of secondary prevention?
Clients with HIV infection are encouraged to use condoms to protect sexual partners.
Health care workers are required to have a tuberculosis skin test or chest X-ray.
Health care workers are encouraged to receive annual vaccinations for influenza.
Clients with HIV infection are given medications to improve immunological response.
The Correct Answer is B
A. Clients with HIV infection are encouraged to use condoms to protect sexual partners. This is an example of primary prevention, which aims to prevent disease transmission before it occurs.
B. Health care workers are required to have a tuberculosis skin test or chest X-ray. Secondary prevention involves early detection and screening to identify disease in its early stages before symptoms develop or to prevent progression. TB screening (skin tests or chest X-rays) allows for early identification and treatment, preventing further transmission and severe disease.
C. Health care workers are encouraged to receive annual vaccinations for influenza. This is also primary prevention because vaccinations help prevent initial infection.
D. Clients with HIV infection are given medications to improve immunological response. This represents tertiary prevention, which focuses on managing existing disease to prevent complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Veracity: Veracity refers to truthfulness and honesty. The nurse is ethically obligated to report medication errors, regardless of whether harm occurred. Failing to complete an incident report violates this principle.
B. Autonomy: Autonomy refers to respecting a client's right to make informed decisions. This situation involves an error in practice, not a violation of client autonomy.
C. Beneficence: Beneficence refers to promoting the well-being of clients. While not reporting the error may seem like an attempt to avoid unnecessary distress, it is more directly a violation of veracity.
D. Confidentiality: Confidentiality involves protecting a client’s private health information. The failure to report a medication error does not violate confidentiality but does compromise transparency and accountability.
Correct Answer is D
Explanation
A. Call the local hospital and arrange a referral: A referral does not immediately address the family’s communication needs. The nurse should first attempt to provide care with proper interpretation.
B. Attempt communication using an English-Spanish phrase book: A phrase book is inadequate for complex medical discussions and could lead to miscommunication.
C. Emphatically state, "No hablo Español" (I don't speak Spanish): This response is dismissive and does not help the family receive the care they need.
D. Obtain an interpreter to translate: The best practice is to use a professional interpreter to ensure accurate communication and avoid misunderstandings in medical care.
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