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Difficulty: HardHealth Promotion and Disease Prevention

During an interdisciplinary case conference at a primary care clinic, a practical nurse is presenting health maintenance updates for a panel of clients. Which statement by the practical nurse demonstrates sound clinical judgment regarding health promotion and disease prevention?

  1. A
    I reassured the parents of a 12-month-old infant that the child's inability to sit without support is a normal finding and will improve with time.
  2. B
    The 82-year-old client's family reported the client developed sudden, acute disorientation this morning, which I documented as a normal manifestation of the aging process.
  3. I provided the 65-year-old female client with educational materials regarding her upcoming bone mineral density scan, emphasizing its importance for the early detection of osteoporosis.Answer
  4. D
    To assist our 50-year-old devout Hindu client with weight management, I will provide a diet plan that emphasizes baked chicken and turkey as primary protein sources.

Answer

The statement demonstrating sound clinical judgment is providing the 65-year-old female client with educational materials about the upcoming bone mineral density scan for the early detection of osteoporosis.
The recommendation for a 65-year-old female to undergo a bone mineral density scan is an evidence-based secondary prevention measure. Secondary prevention focuses on the early detection and treatment of asymptomatic diseases to halt their progression. Since routine osteoporosis screening is recommended for all women beginning at age 65, the nurse's action demonstrates excellent clinical judgment and health promotion knowledge.

Step-by-Step Solution

1
Analyze the scenario to identify the nurse's role in evaluating health promotion and disease prevention actions across different client populations.
Recognize that the question requires evaluating four distinct clinical actions for accuracy and appropriateness.
This is a synthesis-level question requiring the application of multiple nursing concepts.
2
Evaluate the developmental milestone intervention.
Determine that a 12-month-old infant who cannot sit without support has a significant developmental delay.
Sitting without support is typically mastered by 8 months. Reassuring parents instead of referring for evaluation delays necessary care.
3
Evaluate the geriatric assessment intervention.
Determine that sudden, acute disorientation in an 82-year-old is a critical finding, not normal aging.
Acute cognitive changes indicate delirium, which is a medical emergency often triggered by an underlying infection or physiologic stressor.
4
Evaluate the osteoporosis screening intervention.
Identify that a bone mineral density scan for a 65-year-old female is a correct, evidence-based secondary prevention measure.
Routine screening for osteoporosis is universally recommended for women starting at age 65 to enable early detection and management.
5
Evaluate the cultural dietary intervention.
Determine that recommending poultry to a devout Hindu client is culturally insensitive.
Many practicing Hindus adhere to a strict lacto-vegetarian diet. Recommending meat violates these cultural and religious principles.

Key Concept

Applying evidence-based secondary prevention strategies while recognizing critical deviations from normal lifespan health patterns.
Estimated Time:1m 15s
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Topics

Health Promotion and Disease Prevention

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