which action demonstrates secondary prevention

ATI RN

ATI Community Health Nursing Ch 7

1. Which action demonstrates secondary prevention?

A. Screening for early signs of disease
B. Providing rehabilitation services
C. Administering medications
D. Providing health education

Correct answer: A

Rationale: The correct answer is A: Screening for early signs of disease. Secondary prevention involves activities that aim to detect health issues early to provide timely treatment. Screening for early signs of disease falls under secondary prevention as it helps identify diseases in their early stages, allowing for prompt intervention and management.

2. What factor is most likely to enhance the effectiveness of health education?

A. Using culturally relevant materials
B. Using medical jargon
C. Providing lengthy written materials
D. Distributing generic brochures

Correct answer: A

Rationale: The most effective factor to enhance health education is using culturally relevant materials. This approach makes the information more accessible and relatable to the target audience, leading to better understanding and engagement.

3. Which is a key component of the chronic care model?

A. Implementing community health education programs
B. Improving access to care for all individuals
C. Increasing funding for health care services
D. Coordinating care across different health care settings

Correct answer: A

Rationale: A key component of the chronic care model involves implementing community health education programs. These programs are essential for supporting self-management among individuals with chronic conditions and have been shown to improve health outcomes by empowering patients with the knowledge and skills needed to manage their conditions effectively.

4. Identifying that numerous factors influence chronic illnesses such as hypertension, which of the following would be an upstream factor to enhance health outcomes for adults with hypertension in the community?

A. Nutritional classes featuring low-fat and low-carb choices.
B. Motivational interviewing sessions for smoking cessation.
C. Working with the public health department to restrict smoking in public.
D. Initiating chair yoga classes for seniors in the community.

Correct answer: C

Rationale: Working with the public health department to restrict smoking in public is an upstream factor that focuses on implementing population-level interventions to prevent health issues such as hypertension. By creating policies to limit smoking in public spaces, it can help reduce the overall exposure to tobacco smoke, thereby positively impacting the health outcomes of adults with hypertension in the community.

5. The public health RN is working with a client who desires to quit smoking. The client says to the RN, 'I want to quit but I just don't think I have it in me to really make it happen.' According to the Health Belief Model, this response relates to which factor:

A. Susceptibility
B. Self-efficacy
C. Severity
D. Cue to action

Correct answer: B

Rationale: The correct answer is B, 'Self-efficacy.' In the Health Belief Model, self-efficacy refers to a person's belief in their capacity to execute behaviors necessary to achieve specific goals or outcomes. In this scenario, the client's statement reflects a lack of confidence in their ability to successfully quit smoking, indicating low self-efficacy. By addressing and enhancing the client's self-efficacy, the public health RN can help empower the client to take steps towards successful smoking cessation.