A community health nurse has been assigned to develop health promotion and disease prevention interventions for the local community. Which of the following is an example of a primary prevention?

Correct Answer: C

Rationale: Primary prevention aims to prevent the occurrence of a disease or injury before it occurs. Offering free breakfasts to school-age children is an example of primary prevention as it promotes healthy nutrition to prevent future health issues. This intervention addresses the root cause of potential health problems by promoting healthy eating habits early on. Incorrect Choices: A: Scheduling mammogram screenings for uninsured women is an example of secondary prevention as it aims to detect cancer early. B: Assessing medication adherence during home visits is an example of tertiary prevention as it focuses on managing existing conditions to prevent complications. D: Instructing clients with arthritis how to modify their home to decrease the risk of falls is an example of secondary prevention as it aims to reduce harm for those already at risk.

Correct Answer: A

Rationale: The correct answer is A because clarifying the potential risks and benefits of the mobile health app ensures the client makes an informed decision. This promotes autonomy and informed consent while considering the client's safety and well-being. Choice B is important but only addresses confidentiality, not the full scope of ethical and safe use. Choice C is incorrect as there are other ways to monitor medication regimens. Choice D is incorrect as the primary focus should be on the client's needs and safety, not the nurse's convenience.

Correct Answer: D

Rationale: The correct answer is D, allowing advanced practice nurses full practice authority in all 50 states. This action would improve healthcare access by increasing the availability of healthcare providers, especially in underserved areas. Advanced practice nurses are highly skilled and can provide a wide range of healthcare services, helping to meet the growing demand for healthcare. This would result in shorter wait times for patients, increased access to primary care services, and overall improved healthcare outcomes. A, shifting health care reimbursement models to focus on health promotion initiatives, may improve preventive care but does not directly address access to care. B, addressing health care provider burnout, is important for provider well-being but does not directly impact access for clients. C, expanding a team-based approach to health care, may improve coordination of care but does not necessarily increase access to healthcare providers.

Correct Answer: C

Rationale: The correct answer is C because social media is a powerful tool to reach teenagers and young adults, who are active users. Social media campaigns can engage the target population, provide interactive and engaging content, and create a sense of community support for quitting smoking. It is also cost-effective and can reach a large audience quickly. A: Distributing pamphlets may not be as engaging or effective in reaching the younger population who may not be as receptive to traditional forms of information dissemination. B: Hosting a community event is a good idea, but it may not be as effective in reaching the target population directly. Teenagers and young adults may not attend such events or may not engage actively. D: Providing financial incentives may not address the underlying reasons for smoking among teenagers and young adults. It may not lead to long-term behavior change and may not be sustainable in the long run.

Correct Answer: D

Rationale: Multiple bruises of different ages over the shins are common in active children and not necessarily indicative of abuse, whereas circular scars (e.g., cigarette burns), spiral fractures (twisting injuries), and femur fractures in non-ambulatory children are highly suggestive of inflicted trauma.