The nurse is planning a program to promote Healthy People 2020 ...

[CharlieWard]

The nurse is planning a program to promote Healthy People 2020 focus areas relating to osteoporosis. Which program would appropriately serve as primary prevention?
 
  1. The development of a program to address available medication therapies for the individual with osteoporosis.
  2. Community screening programs to identify individuals who have early onset osteoporosis.
  3. Community education programs to discuss methods that can be implemented to reduce the chance of developing osteoporosis.
  4. The development of community support programs for individuals who have been diagnosed with osteoporosis.

Question 2

The nurse is caring for an older adult client. Which does the nurse suspect based on the client's age?
 
  1. No bone changes are associated with aging.
  2. Increased osteoblastic activity.
  3. Decreased calcium absorption.
  4. Increase in bone density.

[vkodali]

Answer to Question 1

Correct Answer: 3
Primary prevention seeks to provide education and reduce the incidence of disease. Secondary prevention seeks to promote early diagnosis of conditions. Tertiary prevention's goal is to manage existing conditions while seeking to prevent related complications. Programs to reduce the incidence of osteoporosis are an example of primary prevention. Secondary prevention activities would include screening programs to identify individuals with early onset osteoporosis. Programs seeking to discuss treatment options or to offer support for clients with the disorder are examples of tertiary prevention.

Answer to Question 2

Correct Answer: 3
As an individual ages, physiologic changes take place in the bones, muscles, connective tissue, and joints. These changes may affect the older client's mobility and endurance. Elderly persons who are housebound and immobile or whose dietary intake of calcium and vitamin D is low may also experience reduced bone mass and strength. During aging, bone resorption occurs more rapidly than new bone growth, resulting in the loss of bone density typical of osteoporosis. The entire skeleton is affected, but the vertebrae and long bones are especially impacted. The elderly client will experience decreased calcium absorption. Bone changes include decreased calcium absorption and reduced osteoblast production. Osteoblasts are the cells responsible for bone production. Osteoblast activity is reduced, not increased, with aging. Bone density decreases, not increases, in the elderly.

[CharlieWard]

Thanks for the timely response, appreciate it

[lkanara2]

Gracias!