A nurse is implementing a secondary prevention intervention. ...

[Jkov05]

A nurse is implementing a secondary prevention intervention. Which of the following is most likely being completed?
 
  a. Developing policies and procedures for referral programs
  b. Designing protocols for lead screening
  c. Serving as a chair to organize a smallpox vaccination program
  d. Monitoring implementation of perfor-mance-improvement activities

Question 2

A nurse is implementing the consultation process. Which of the following actions would the nurse take first?
 
  a. Making initial contact with the client
  b. Negotiating for higher fees
  c. Applying interventions
  d. Collecting data

[Mholman93]

Answer to Question 1

ANS: B
Screening is performed at the secondary level of prevention. Developing policies and procedures for referral programs is at the primary level of prevention. Serving as a chair to organize a small-pox vaccination program and monitoring implementation of performance-improvement activities are at the tertiary level of prevention.

Answer to Question 2

ANS: A
The first step is the initial contact with the client. This is made when the client or someone in a family, group, agency, or community communicates with the nurse about a potential problem that requires intervention. After this has happened, a contract will be agreed upon that includes nego-tiating for fees as needed, collecting the data, and finally applying the interventions.