Primary, Secondary, Tertiary prevention and health promotion. Mental_Health_2020

TERTIARY Nursing Activities by Level of Health Promotion and Preventive Care:

Medication Medical therapy Surgical treatment Rehabilitation Physical therapy Occupational therapy Job training

A case manager is working with a parent whose child has schizophrenia. The parent reports sadness, frequent crying, and fatigue. The case manager works with the parent to establish some scheduled rest, relaxation, and respite from caring for the child. At which level of prevention is the case manager working with the parent? A)Rehabilitative B)Secondary C)Tertiary D)Primary

D)Primary The case manager is assisting the parent with health promotion needs in order to maintain the parent's current health status and prevent deterioration due to stressors in the parent's life.

SECONDARY Nursing Activities by Level of Health Promotion and Preventive Care:

Screenings (blood pressure, cholesterol, glaucoma, HIV, skin cancer) Pap smears Mammograms Testicular examinations Family counseling

PRIMARY Nursing Activities by Level of Health Promotion and Preventive Care:

Weight loss Diet Exercise Smoking cessation Reduced alcohol consumption Avoidance of illicit drugs Farm safety Seat belts and child safety seats Immunizations Water treatment Safer sex practices Effective parenting

A county in Florida was just devastated by a Category 4 hurricane. Community mental health nurses have been sent to the area to provide crisis intervention. What type of prevention strategy is this? a) Tertiary b) Secondary c) Interventional d) Primary

b) Secondary Secondary prevention focuses on interventions that identify mental health problems early and reduce the duration and prevalence of mental illness. Examples for community mental health nurses include conducting screening surveys that focus on identifying mental illness in people within schools or community, referring clients for mental health treatment, and providing crisis intervention to a community that has encountered a natural or man-made disaster.

The case manager makes a home visit to the client's household and finds that the client has become psychotic in the prior 3 days and has bolted himself in his room. The case manager works to encourage the client to come out and calls the ambulance to take the client to the ER. At what level of prevention is the case manager working? a) Tertiary b) Secondary c) Primary

b) Secondary The client is experiencing an acute exacerbation of the client's illness.

Primary level of prevention

-addresses needs of healthy clients, prevents disease ex: immunization programs, health ed in school, car seat education.

Secondary level of prevention

-conduction activities that help prevent a worsening health status -identifying disease, screening ex: early detection & treatment of type 2 diabetes

Tertiary level of prevention

-supports optimal functioning -prevents long term consequences of a chronic illness or disability ex: preventing pressure ulcer, promoting independence after brain injury

A nurse is teaching the importance of following a low-sodium diet to a patient with heart failure. What level of health promotion and illness prevention is this example of? A) Tertiary health promotion and illness prevention B) Secondary health promotion and illness prevention

A) Tertiary health promotion and illness prevention. Tertiary health promotion and illness prevention begins after an illness is diagnosed and treated, with the goal of reducing disability and helping rehabilitate the client to a maximum level of functioning. Nursing activities on a tertiary level include teaching a client with a heart failure the importance of adhering to a low-sodium diet. Secondary health promotion and illness prevention focus on screening for early detection of disease with prompt diagnosis and treatment of diseases found.

The nurse"s outreach class is giving a presentation on seat belts and child safety. Which level of promotion is this example of? A) primary B)secondary

A) primary Primary health promotion and illness prevention is directed toward promoting good health and preventing the development of disease process or injury. Primary-level activities include: immunization clinics, providing poison-control information, and education about seat belt and child-safety seat use. Secondary-level activities include screening programs and early identification of disease.

Which community activity is an example of tertiary prevention in a community that experienced a massive fire? A)Mental health professionals offered educational programs on effective coping strategies. B)A master plan was formulated for what to do in case of another fire. C)City officials installed warning signals in remote areas where no warning signals were heard. D)Hospital personnel reviewed their emergency response plans and made changes.

B)A master plan was formulated for what to do in case of another fire The development of a disaster preparedness plan is an example of primary prevention, in which the goal is to decrease the severity of a response to the event and prepare people to feel more control in handling it. Tertiary prevention aims at meeting the long-term needs of a community or individual after the initial effect of the disaster is resolved. Teaching coping skills is an effective tool to assist those who have experienced disaster to cope with the long-term effects of the disaster. Evaluation of the response to a disaster will increase the effectiveness of future responses and is a form of primary prevention. City officials installing warning signals in remote areas where no warning signals were heard will prepare the community for future emergencies but does not address the long-term needs of the community following its most recent disaster.

A client has had a knee replacement and is receiving care that includes learning to walk with a walker. What level of prevention is most applicable to this client? A) primary prevention B)secondary prevention C)tertiary prevention

C)tertiary prevention Tertiary prevention in health care deals with rehabilitation of the client. Teaching the client to walk with the walker is a tertiary prevention. Primary prevention refers to health promotion or illness prevention. Secondary prevention refers to screening and early detection of disease.

A case manager working with a parent whose child has schizophrenia . The parent reports sadness, frequent crying, and fatigue. The case manager works with the parent to establish some scheduled rest, relaxation, and respite from caring for the child. At what level of prevention is the case manager working with the parent? a) Tertiary b) Secondary c) Primary

a) Primary The CM is assisting the parent with health care promotion needs in order to maintain the parent's current health status and prevent deterioration due to stressors in the parent's life.

A patient scheduled to be released from prison in 1 month has been assigned a case manager and has been meeting with her 3 times a week. This is an example of which level of [prevention? a) Primary b) Secondary c) Tertiary

c) Tertiary Case management is an example of tertiary prevention in the forensic setting.