50 Item Psychiatric Nursing Exam with Rationale

Photo of author

By nclexnursing

Psychiatric nursing exam. A 60-year-old post-CVA patient is taking TPA to treat his disease; according to the nurse, this is an example of what level of prevention?

A. Primary
B. Secondary
C. Tertiary
D. Nota

C is the correct answer. TPA stands for TRANSPLASMINOGEN ACTIVATOR, which are thrombolytics that dissolve clots that have formed in the brain’s blood vessels. We’re only trying to avoid complications here.

A female client has a mammogram every year. What kind of level of preventive is this?

A. Primary
B. Secondary
C. Tertiary
D. Nota

The correct answer is B. The client is never ill, but we notice the POSSIBILITY by performing an annual mammogram. Keep in mind that all types of testing, case findings, and therapy fall under the category of secondary prevention.

Following an unanticipated necrosis of the right leg, a diabetic patient’s limb was amputated, and he had BKA. After that, he received training on how to operate his new prosthetic limb. What kind of level of preventive is this?

A. Primary
B. Secondary
C. Tertiary
D. Nota

Rehabilitation is a part of tertiary prevention. The client is currently receiving assistance in performing ADLs at his highest level of performance. Remember that tertiary prevention encompasses all types of rehabilitative and palliative care.