Author Question: Using the tenets of secondary prevention, the committee seeks to establish an HIV/AIDS clinic. The ... (Read 67 times)

james · **on:** Jul 8, 2018

Using the tenets of secondary prevention, the committee seeks to establish an HIV/AIDS clinic. The nurse states that it is important for the location of the clinic to be associated with the local hospital.

The committee states that the cost of the clinic associated with the hospital is higher than one that is free standing. Which presents the best rationale for the nurse's suggestion?
A) Third-party insurance will reimburse the clinic visits only if the clinic is attached to the hospital.
B) The hospital can more easily implement programs of care for the clients.
C) The hospital will cover the clients only if the clinic is approved by the hospital governance board.
D) The hospital will have a vested interest in the success of the clinic.

Question 2

The nurse works in a facility that provides hospice care for clients with cancer diagnoses. The nurse recognizes that the care provided in this facility is tertiary in nature.

The nurse develops a plan for the clients that would include the tenets of tertiary prevention. The plan would include: (Select all that apply.)
A) Palliative care
B) Pain control
C) Isolation
D) Supportive spiritual development
E) Diminished involvement of significant others

joneynes · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

Ans: B
Feedback:
Clients diagnosed with HIV/AIDS need secondary prevention services. To screen effectively for the presence of this condition, a test should be backed by a healthcare infrastructure that can implement programs of care for people who have a verified risk of the disease or physical challenge. The other rationales for placement of the clinic are not based on the tenets of secondary prevention.

Answer to Question 2

Ans: A, B, D
Feedback:
Tertiary prevention includes rehabilitation and palliative care. Nurses providing this level of care assess disease progression, watch for opportunistic infections, and control pain or other side effects of treatment. Care also includes supporting life choices that bring emotional comfort to clients such as family involvement, decreased isolation, supportive spiritual development, and organized help from communities. Isolation and diminished involvement of significant others do not enhance the client's health and well-being and are not examples of tertiary prevention.