Answer to Question 1
C
Patients who are admitted to the hospital are usually admitted for tertiary prevention, which focuses on stopping the disease from progressing and helping to return the individual to pre-illness health. This is the type of care most often provided. Although the nurse delivers some primary health prevention when, for example, teaching patients about activity and healthy eating, this is not the type of care provided most often. Although the nurse delivers some secondary care, screening patients for disease and educating for detection of complications or problems in the early stages, this is not the level of care provided most often. Assessment is not a type of prevention, so does not fit this scenario.
Answer to Question 2
B
Rationale:
The nurse is providing secondary health prevention because the individuals are being taught to screen for existing disease. Primary prevention activities would be taken to prevent the occurrence of cancer; screening tests are not primary health prevention. Tertiary prevention would focus on halting the progress of the cancer. These individuals in the scenario are not receiving cancer treatment, so it is not a tertiary activity. Maintenance is a stage in the transtheoretical model of change, and is not a level of health prevention.
The nurse conducts the health history as the first step in the nursing assessment
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