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Difficulty: MediumHealth Promotion and Disease Prevention

A practical nurse is assisting with health maintenance visits at a community wellness clinic. A 67-year-old client is establishing care for routine preventative services. Which of the following actions by the nurse support appropriate health promotion and disease prevention for this client? (Select all that apply)

  1. Administering the prescribed recombinant zoster vaccine to prevent viral reactivation.Answer
  2. Reinforcing the provider's instructions on how to collect a stool sample at home for colorectal cancer screening.Answer
  3. Inquiring about the client's traditional food preferences before reviewing a newly prescribed low-sodium diet.Answer
  4. D
    Administering the intranasal live attenuated influenza vaccine (LAIV) to provide seasonal protection.
  5. E
    Reassuring the accompanying family that the client's sudden onset of confusion this morning is an expected change of aging.
  6. F
    Providing a standardized meal plan for diabetes management without assessing for religious fasting practices.

Answer

The correct actions include administering the recombinant zoster vaccine, reinforcing instructions for home stool sample collection, and inquiring about traditional food preferences before diet teaching.
Appropriate health promotion for a 67-year-old includes administering age-indicated primary preventions (like the recombinant zoster vaccine for adults over 50), supporting secondary prevention (like at-home stool collection for cancer screening), and providing culturally competent care by assessing traditional food preferences before issuing diet modifications.

Step-by-Step Solution

1
Evaluate the client's age (67 years) and care context (preventative wellness visit).
Identify that the client requires age-appropriate primary and secondary prevention strategies, such as specific vaccinations and cancer screenings.
Health promotion for older adults focuses on preventing functional decline, avoiding preventable diseases, and early detection.
2
Analyze each intervention for safety, appropriateness, and alignment with the practical nursing scope of practice.
Determine that the zoster vaccine, colorectal screening instruction, and culturally sensitive dietary assessment are safe and appropriate. The live flu vaccine is contraindicated by age, and acute confusion requires immediate reporting.
Applying safe medication administration principles and recognizing acute physiological changes are core nursing responsibilities.
3
Select the options that represent correct, safe health promotion interventions.
Select the options regarding the zoster vaccine, stool collection instructions, and cultural food inquiry.
These choices actively support disease prevention while avoiding contraindications and clinical errors.

Key Concept

Health Promotion and Disease Prevention
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Topics

Health Promotion and Disease Prevention

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