which action represents a primary prevention strategy

ATI RN

ATI Community Health Nursing Ch 7

1. Which action represents a primary prevention strategy?

A. Educating children on the importance of handwashing
B. Administering vaccines to prevent disease
C. Screening for early signs of disease
D. Providing treatment for acute illnesses

Correct answer: B

Rationale: Administering vaccines is a primary prevention strategy because it aims to prevent diseases before they occur by providing immunity against specific pathogens. Educating children on handwashing is important for preventing infections but falls under health promotion rather than primary prevention. Screening for early signs of disease and providing treatment for acute illnesses are considered secondary and tertiary prevention strategies, respectively, as they aim to detect and treat diseases that have already developed to prevent further complications.

2. You are preparing a patient for surgery and completing the preoperative checklist. Which of the following is not typically part of the preoperative checklist?

A. Assessing for allergies
B. Conducting the Time Out
C. Ensuring that informed consent is signed
D. Ensuring that the history and physical examination have been completed

Correct answer: B

Rationale: Conducting the Time Out is a crucial safety step that occurs immediately before the start of the procedure, but it is not usually part of the preoperative checklist. The Time Out involves verifying patient identity, correct procedure, correct site, and addressing any concerns or questions with the surgical team before proceeding. The other options, such as assessing for allergies, ensuring informed consent, and completing the history and physical examination, are typically included in the preoperative checklist to ensure patient safety and readiness for surgery.

3. Which is an example of a secondary prevention strategy?

A. Administering immunizations to prevent disease
B. Conducting health screenings to detect early signs of disease
C. Providing rehabilitation services to prevent complications
D. Educating the public about healthy lifestyle choices

Correct answer: B

Rationale: Conducting health screenings to detect early signs of disease is an example of secondary prevention. This strategy focuses on early detection and intervention to prevent the progression of a disease or health issue. By identifying potential health problems at an early stage, individuals can receive timely treatment and management, thereby reducing the risk of complications and improving health outcomes.

4. During the assessment phase of the nursing process, a community health nurse conducted research to identify the distribution pattern of breast cancer within a population and the associated risk factors. This is called

A. Statistical analysis.
B. Needs assessment.
C. Census collection.
D. Epidemiology.

Correct answer: D

Rationale: Epidemiology is the study of the distribution and determinants of health-related states within a population. In this scenario, the nurse is investigating the distribution pattern of breast cancer and its associated risk factors, which aligns with the principles of epidemiology.

5. Which statement is incorrect regarding an informed consent signed by a patient?

A. The nurse is responsible for obtaining the consent for surgery
B. Patients under 18 years of age may need a parent or legal guardian to sign a consent form
C. The nurse can witness the client signing the consent form
D. It is the nurse's responsibility to ensure the patient has been educated by the physician about the procedure before informed consent is obtained

Correct answer: A

Rationale: The statement 'The nurse is responsible for obtaining the consent for surgery' is incorrect. The responsibility of obtaining informed consent for surgery lies with the physician or surgeon performing the procedure. Nurses can assist in the process by witnessing the client signing the consent form, ensuring the patient is educated about the procedure by the physician, and verifying that the consent process is voluntary and informed. For patients under 18 years of age, a parent or legal guardian typically needs to sign the consent form on behalf of the minor, as they are not legally able to provide consent themselves.