Question

Difficulty: HardHealth Promotion and Disease Prevention

A practical nurse is evaluating the understanding of several clients who recently received reinforced teaching regarding health promotion and disease prevention. Which client statement demonstrates a correct understanding of the health promotion instructions?

  1. A
    Since I am currently receiving chemotherapy, I will ask the clinic to give me the live-virus nasal flu vaccine instead of the regular injection.
  2. B
    If my older spouse suddenly becomes highly confused and starts hallucinating, I will let him rest because sudden confusion is a normal part of his aging process.
  3. I need to continue getting my regular mammograms and bone density scans as recommended by my provider, even though I currently feel perfectly healthy.Answer
  4. D
    Because my cultural traditions prohibit eating meat on certain days, I should independently stop taking my prescribed iron supplements on those days.

Answer

The statement indicating the client will continue regular screenings (mammograms and bone density scans) even when feeling healthy demonstrates a correct understanding.
Routine screenings such as mammograms and bone density scans are essential secondary prevention measures. They are specifically intended to detect diseases early in asymptomatic individuals, making the statement about continuing them while feeling healthy entirely correct.

Step-by-Step Solution

1
Analyze the stem to identify the goal.
The nurse must identify the client statement that reflects accurate knowledge of health promotion, disease prevention, and safety principles.
Evaluating understanding of reinforced teaching is a critical component of the practical nurse's role in health promotion.
2
Evaluate the statement regarding continued screenings despite feeling healthy.
This statement is clinically accurate. Screenings are secondary prevention strategies specifically designed to identify diseases in early, asymptomatic stages.
Health promotion requires clients to understand that absence of symptoms does not eliminate the need for age-appropriate preventive screenings.
3
Evaluate the remaining statements for misconceptions.
The other statements reveal critical misunderstandings regarding immunization safety (live vaccines during chemotherapy), recognizing acute illness (normalizing delirium in older adults), and medication compliance (altering prescriptions for dietary traditions).
Identifying these common errors ensures the nurse can correct dangerous behaviors and safeguard client health.

Key Concept

Secondary Prevention and Safety in Health Promotion
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