A 19 year old female client has come to the college health clinic for a pap test. It is her first visit. Which of the following interventions should the nurse perform first to determine the client's need for health promotion and disease prevention?

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BlackTom AI · Accepted Answer

The question asks which intervention the nurse should perform first to determine the client's need for health promotion and disease prevention during a first pap test visit.
Option 1: 'Instruct the client to use condoms for birth control' While condoms are important for STI prevention and contraception, giving instructions about condoms presupposes a specific risk assessment and does not by itself identify overall health promotion or disease prevention needs. It may be appropriate later, but it isn’t the first step to assess prevention needs.
Option 2: 'Determine the client's risk factors' This is the correct first step. Assessing risk factors (sexual activity, smoking, family history, vaccination status, prior screenings, immunity, etc.) helps tailor individualized health promotion and disease prevention plans. It establishes a baseline to identify what the client needs to prevent disease and promote health.
Option 3: 'Encourage the client to be screened for HIV' HIV screening is an important component of preventive care, especially in young adults, but it is a specific health promotion action rather than the initial assessment that identifies broader risk factors and needs. It should follow a general risk assessment.
Option 4: 'Measure the client's vital signs' Vital signs are part of a basic physical assessment and provide general health information, but they do not directly identify the client’s risk factors for preventive care needs. They are valuable data but not the primary method to determine health promotion and disease prevention needs in this context.
In summary, the most appropriate first action is to determine the client's risk factors so that subsequent counseling and interventions can be aligned with the individual’s specific prevention needs. The other options represent important preventive measures or data collection but do not address the initial step of assessing risk to guide a personalized plan.

A 19 year old female client has come to the college health clinic for a pap test. It is her first visit. Which of the following interventions should the nurse perform first to determine the client's need for health promotion and disease prevention?

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