The community health nurse addresses an outbreak of viral spinal meningitis in the community. Referring to Leavell and Clark's natural history of disease model, which example of tertiary prevention might the nurse consider in this situation?
A) Initiate vaccinations for all people who have not yet been infected.
B) Familiarize yourself with the signs and symptoms of the disease so that you can provide early diagnosis and treatment of it.
C) Encourage any who think they might have symptoms of the disease to come to the community health clinic to be assessed as soon as possible, to prevent associated disabilities.
D) Refer clients who have experienced neurological deficits because of the disease to a neurologist to begin rehabilitation.
Ans: D
Feedback:
Primary prevention measures specific to the disease can be implemented at this stage to prevent the onset in a population of well people. The period of pathogenesis begins when there are biological, psychological, or other responses within the host. Secondary prevention measures that focus on early diagnosis and prompt treatment, limiting resulting disabilities, are implemented during the early stages of the disease. Tertiary prevention follows with rehabilitation measures that enable the individual to function at his or her maximum capability.
You might also like to view...
A patient has been taking phentermine for the past month and a half
During the patient's most recent follow-up visit to the clinic, she tells the nurse, "The pills seemed to work wonders for me for the first few weeks, but now I feel like they don't really make much of a difference." The nurse should anticipate that the prescriber will take what action? A) Increasing the daily dosage of the drug by approximately 50% B) Ordering blood work to ascertain the serum level of phentermine C) Discontinuing the drug D) Changing the route and schedule of administration
A nurse manager on the OB unit is auditing patient charts. One record documents the care of a patient having a seizure. The record describes the time and length of the seizure, medications given, maternal and fetal vital signs, and outcome of treatment
Which action by the manager is best? A. Compare the chart with charts of similar patients. B. Educate the staff on better documentation practices. C. Have the nurse rewrite the documentation. D. No action is needed; continue with chart audits.
A client of Chinese heritage requests that a healer use acupuncture to treat back pain. What action should the nurse take?
1. Traditional remedies should be considered in conjunction with physician-prescribed treatments for their risks and benefits. 2. Traditional remedies are helpful and should be supported. 3. Some traditional remedies may be helpful and should be encouraged. 4. Traditional remedies are harmful and should be avoided.
A client who is suspected of urinary tract infection is asked to collect a 24-hour urine specimen for culture
Which of the following measures can the nurse suggest to the client that may help prevent the entire urine specimen from becoming contaminated? A) Collect the voided urine sample primarily before 5 AM. B) Refrigerate the specimen until it is taken to the laboratory. C) Use the same receptacle for voiding and defecation. D) Store the collected urine away from sunlight.