Nokea
Which of the following represents a method of secondary prevention?
- A. Self-breast examination education
- B. Yearly mammograms
- C. Chemotherapy for advanced breast cancer
- D. Complete mastectomy for breast cancer
Correct Answer: B
Rationale: Secondary prevention includes screening for early disease detection, such as mammograms for breast cancer.
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A community health nurse most effectively preserves the health of a person with tuberculosis (TB) and the community by:
- A. Administering and reading the purified protein derivative (PPD) of all close contacts
- B. Providing direct observed therapy (DOT) for the individual with TB
- C. Isolating the person because it is likely drug resistant
- D. Telling the person to wear a mask when leaving the home
Correct Answer: B
Rationale: Direct observed therapy (DOT) ensures the patient takes the full course of medication, preventing the spread of TB.
A parish nurse is concerned about the number of parishioners who smoke. How would the parish nurse best address this issue?
- A. Ban smoking on parish property
- B. Invite local experts to participate in a health fair at the parish
- C. Find literature about smoking cessation
- D. Hand out free nicotine-replacement systems
Correct Answer: B
Rationale: The nurse should invite experts to educate the parish on smoking cessation and foster health promotion through community events.
A client who is 36 weeks of gestation is at her prenatal visit. The nurse tells the client that she will be screened for group B Streptococcus during today’s visit. Which of the following statements would be made by the nurse when providing client education about this screening test?
- A. “Screening for group B Streptococcus is necessary as this infection can cause complications with pregnancy and to the unborn infant.”
- B. “This screening will help us to determine if your unborn infant will be susceptible to respiratory distress when he or she is born.”
- C. “Screening for group B Streptococcus will help us identify if you have been exposed to this or any other infections during your pregnancy.”
- D. “This screening is necessary to determine if there is any Rh blood group incompatibility between you and your unborn child.”
Correct Answer: A
Rationale: Group B Streptococcus screening is important as this infection can lead to severe complications for the infant.
The client who is taking prescribed medication would require preconception management to minimize the potential for drug-related birth defects.
- A. Antiemetics
- B. Antiepileptics
- C. Iron
- D. Non-narcotic analgesics
Correct Answer: B
Rationale: Antiepileptic drugs can pose risks for birth defects, requiring careful preconception management.
Two working adults do not have access to health insurance for their family from their employers and do not meet the financial criteria for Medicaid. For which of the following federal programs may the children in this family be eligible?
- A. Medicare
- B. Civilian Health Medical Program for Uniformed Services (CHAMPUS)
- C. State Children’s Health Insurance Program (SCHIP)
- D. Veteran’s Administration Program
Correct Answer: C
Rationale: SCHIP provides health insurance to children whose families cannot afford private coverage but do not qualify for Medicaid.