Examkin

Question

Difficulty: HardHealth Promotion and Disease Prevention

During a busy morning at an ambulatory care center, a practical nurse reviews preventive care protocols with several assigned clients. Which statement by the nurse reflects an accurate application of disease prevention and health maintenance principles?

  1. Because you are 60 years old with a long history of smoking, I will review the provider's recommendation for an annual low-dose CT scan to screen for lung cancer.Answer
  2. B
    The live-attenuated nasal influenza vaccine is recommended to protect both you and your baby during your second trimester of pregnancy.
  3. C
    Sudden episodes of confusion are an expected part of the aging process for your 84-year-old parent, so focus on maintaining a safe home environment.
  4. D
    To prevent bone density loss, you should increase your intake of low-fat dairy products despite your strict adherence to a vegan lifestyle.

Answer

The statement reinforcing the provider's recommendation for an annual low-dose CT scan for lung cancer screening is the correct application of secondary disease prevention.
Reinforcing the provider's recommendation for an annual low-dose CT scan is an accurate secondary prevention strategy. Evidence-based guidelines recommend annual lung cancer screening with LDCT for high-risk adults (aged 50 to 80 years with a significant smoking history). Reviewing and reinforcing this recommendation with the client directly aligns with the practical nurse's role in health promotion.

Step-by-Step Solution

1
Analyze the clinical scenario and the specific goal of the question.
The question requires identifying the one nursing statement that correctly applies principles of health promotion, disease prevention, and safe practice across the lifespan.
Evaluating each option against established clinical guidelines and contraindications is necessary to determine the safe and accurate action.
2
Evaluate the statement regarding the low-dose CT (LDCT) scan.
This is an appropriate secondary prevention measure. The United States Preventive Services Task Force (USPSTF) recommends annual lung cancer screening with LDCT for adults aged 50 to 80 years who have a 20-pack-year smoking history. Reinforcing the provider's teaching is within the practical nurse's scope of practice.
Secondary prevention focuses on early disease detection in asymptomatic, at-risk individuals.
3
Evaluate the remaining statements for critical clinical errors.
The other statements demonstrate severe errors: administering a live vaccine during pregnancy, ignoring a client's strict dietary beliefs, and misidentifying a medical emergency (delirium) as a normal aging change.
Eliminating distractors based on specific safety and practice contraindications ensures the selection of the definitively correct answer.

Key Concept

Health Promotion and Secondary Prevention Screenings
Estimated Time:1m 30s
Rate this question

Topics

Health Promotion and Disease Prevention

More questions from this topic