Which tertiary prevention measure is included in the plan of care for a patient newly
diagnosed with asthma?
A) Cholesterol screening
B) Eliminating allergens
C) Glaucoma screening
D) Safe sex practices Correct Ans-B) Eliminating allergens
Eliminating allergens is considered a tertiary prevention measure, or one that minimizes the
problems with asthma and potential responses to environmental triggers, effects of asthma
disease and disability. Cholesterol screening is considered a form of secondary screening,
which involves measures designed to identify individuals in an early stage of a disease process
so that prompt treatment can be started. Glaucoma screening is also considered a form of
secondary screening. Safe sex practices are considered a form of primary prevention, or
strategies aimed at optimizing health and disease prevention in general and not linked to a
single disease entity.
A nurse is presenting a program to workers in a factory covering safety topics, including the
wearing of hearing protectors when workers are in the factory. Which level of prevention is
the nurse practicing?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
, Health Promotion - NURS 299 Questions and Answers
D) Quaternary prevention Correct Ans-A) Primary prevention
Primary prevention is aimed at health promotion and includes health education programs,
immunizations, and physical and nutritional fitness activities. It can be provided to an
individual and includes activities that focus on maintaining or improving the general health of
individuals, families, and communities. It also includes specific protection such as hearing
protection in occupational settings.
A patient had surgery for a total knee replacement a week ago and is currently participating in
daily physical rehabilitation sessions at the surgeon's office. In what level of prevention is the
patient participating?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Quaternary prevention Correct Ans-C) Tertiary prevention
Tertiary prevention involves minimizing the effects of long-term disease or disability by
interventions directed at preventing complications and deterioration following surgery.
Tertiary prevention activities are directed at rehabilitation rather than diagnosis and
treatment. Care at this level aims to help patients achieve as high a level of functioning as
possible, despite the limitations caused by illness or impairment. This level of care is called
preventive care because it involves preventing further disability or reduced functioning.
Based on the transtheoretical model of change, what is the most appropriate response to a
patient who states: "Me, stop smoking? I've been smoking since I was 16!"