Question

Difficulty: MediumHealth Promotion and Disease Prevention

A registered nurse in a university student health center is initiating a skin cancer primary prevention intervention for a newly enrolled young adult. In what order should the nurse implement the following actions? Arrange them from first to last.

  1. 1Assess the student's current outdoor activities, sunscreen usage, and tanning habits.
  2. 2Identify the client's specific learning needs and risk factors for melanoma.
  3. 3Collaborate with the student to establish realistic goals for integrating sun protection into their routine.
  4. 4Educate the student on the proper application and reapplication of broad-spectrum SPF sunscreen.
  5. 5Evaluate the student's comprehension of the prevention strategies using the teach-back method.

Answer

The correct sequence follows the nursing process (ADPIE): Assess current habits, identify learning needs (Diagnosis/Analysis), establish goals (Planning), educate the client (Implementation), and evaluate understanding (Evaluation).
When implementing any health promotion strategy, client teaching, or primary prevention plan, the registered nurse must follow the systematic approach of the nursing process. This ensures care is individualized, safe, and effective. The sequence must always be Assessment (gathering data on habits), Diagnosis/Analysis (identifying risks and learning needs), Planning (setting collaborative goals), Implementation (providing the actual education), and Evaluation (verifying understanding via teach-back).

Step-by-Step Solution

1
Place the assessment phase first.
Selected 'Assess the student's current outdoor activities...'
The nursing process always begins with data collection and assessing the client's baseline knowledge and current practices.
2
Place the diagnosis/analysis phase second.
Selected 'Identify the client's specific learning needs...'
Once data is collected, the nurse must analyze it to pinpoint the exact risks and educational deficits.
3
Place the planning phase third.
Selected 'Collaborate with the student to establish realistic goals...'
Before teaching begins, the nurse and client must establish clear, mutually agreeable goals.
4
Place the implementation phase fourth.
Selected 'Educate the student on the proper application...'
The actual teaching and intervention execution happens according to the plan.
5
Place the evaluation phase last.
Selected 'Evaluate the student's comprehension...'
The final step is always to verify that the education was effective using methods like teach-back.

Key Concept

Application of the Nursing Process in Health Promotion and Client Education
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