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Facing away from the direction of movement compromises control and increases the risk of injury. Proper transfer technique requires the nurse to face the direction of movement to maintain visual contact, ensure alignment, and coordinate actions with the client. Turning away can lead to awkward postures and poor body mechanics.

Using a narrow base of support reduces stability. A wide base—feet shoulder-width apart—is essential for maintaining balance and distributing weight evenly. A narrow stance makes the nurse more susceptible to losing balance, especially when managing a client’s weight during transfer.

Using only the arms for lifting is unsafe and inefficient. It places excessive strain on the upper body and increases the risk of injury. Proper technique involves engaging the leg muscles, maintaining a neutral spine, and using assistive devices when necessary. Arms should guide and support, not bear the full load.

The Affordable Care Act (ACA) does not aim to reduce private insurance coverage. In fact, it expands access to insurance through marketplaces and subsidies, allowing more individuals to purchase private plans. The ACA supports a mixed model of public and private insurance options.

The ACA does not address the frequency of satisfaction surveys. While patient experience is a component of healthcare quality metrics, the legislation focuses on systemic reforms rather than administrative survey practices.

The ACA expands Medicaid coverage for low-income individuals, not restricts it. One of its core provisions is to increase eligibility for Medicaid, especially in states that opted into the expansion, thereby improving access to care for vulnerable populations.

While nicotine withdrawal and irritability may affect comfort and emotional regulation, they do not pose an immediate threat to life or safety. This concern falls under physiological or psychological needs but is not the highest priority in terms of safety.

Loneliness relates to love and belonging needs in Maslow’s hierarchy. Although important for emotional well-being, it does not represent an urgent safety issue compared to threats of self-harm.

Concern about machine alarms may reflect anxiety or environmental discomfort. Unless the alarms indicate a malfunction affecting care, this is a lower priority than direct threats to life.

This statement is incorrect and misleading. Screening is intended for individuals who may not have symptoms, precisely to catch disease early. Waiting for symptoms often means the disease is already advanced, which reduces treatment effectiveness and increases complications.

While screening can identify cancer at various stages, its primary goal is early detection—ideally before symptoms appear or before cancer develops. Framing it as a tool for identifying advanced cancer may discourage participation and misrepresent its preventive value.

Colorectal cancer screening is specific to the colon and rectum. It is not used to diagnose other types of cancer. This statement is inaccurate and could confuse the client about the purpose and scope of the screening.

Primary prevention involves strategies to prevent the onset of disease, such as immunizations or lifestyle modifications. A seizure-alert dog does not prevent the disorder but helps manage its consequences.

Quaternary prevention refers to avoiding unnecessary medical interventions and protecting patients from overmedicalization. This does not apply to seizure-alert dogs, which are therapeutic aids rather than excessive interventions.

Primordial prevention focuses on preventing the emergence of risk factors themselves, often through societal or policy-level changes. It is not relevant to managing an existing seizure disorder.

Insurance is available for a wide range of services beyond hospitalization, including outpatient care, preventive services, and prescriptions. This statement does not reflect the main barrier to coverage.

While eligibility can be a barrier for some, especially in states without Medicaid expansion, it is not the most common reason overall. Many eligible individuals still cannot afford coverage.

Although plan selection can be complex, most individuals can find plans that meet basic needs. The issue is more often financial than logistical.

Psychosocial background includes external influences such as socioeconomic status, education, and social support, which are considered external variables.

Cultural background is an external variable that shapes beliefs, behaviors, and attitudes toward health but originates from outside the individual.

Family roles and organization are external social structures that influence health indirectly through support systems and caregiving dynamics.

Diet is a modifiable risk factor. Individuals can change their eating habits to reduce health risks such as obesity, cardiovascular disease, and diabetes.

Physical activity level is modifiable. Even older adults can improve their health outcomes by increasing mobility and exercise.

Alcohol consumption is a behavioral choice and therefore modifiable. Reducing or eliminating binge drinking can significantly lower health risks.

The number of liquor stores is influenced by local zoning and licensing laws, which are often managed at the municipal or county level rather than the state.

Anti-smoking campaigns may be national, state, or local, but they are not exclusively state-level strategies. Their scope varies depending on funding and jurisdiction.

The Clean Air Act is a federal law administered by the Environmental Protection Agency. It sets national standards for air quality and emissions, not state-specific initiatives.

Participation in diabetes self-management education is a valuable intervention, but it typically applies to individuals already diagnosed with diabetes. Therefore, it aligns more with secondary or tertiary prevention, not primary prevention, which aims to prevent disease before it occurs.

Decreased hospital admissions for diabetes-related complications is an indicator of improved disease management, which falls under tertiary prevention. It reflects better control of existing conditions rather than prevention of new cases.

Improved glycemic control is a clinical outcome for individuals already diagnosed with diabetes. This reflects secondary or tertiary prevention efforts, not primary prevention, which targets individuals before disease onset.