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Prevention isn’t just about stopping disasters—it’s about mitigating impact. Primary, secondary, tertiary—what’s the difference?

YES! YOU! CAN! MASTER YOUR NURSING LICENSURE EXAM:
Disaster Management & Emergency Prep Series
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This comprehensive series is your go-to guide for mastering disaster management and emergency preparedness to crush your NCLEX exam and excel in real-world nursing! Learn how to handle critical situations with confidence and make a difference when disaster strikes

This series equips you with the knowledge to prepare for any emergency, promoting wellness and protecting communities while getting you ready for success on your NCLEX exam.

B. Floore is a 17-year healthcare veteran with a Master of Science in Nursing Clinical Education from Jacksonville University (2018). He has served as the Code White (natural disaster – hurricanes) point person for the largest hospital system in Northeast Florida.

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Next Gen NCLEX-style
Question 1. Case Study – Multiple Response (Select all that apply)
Scenario: A community health nurse is developing a disaster preparedness plan for a coastal town at high risk for hurricanes. The nurse implements several interventions. Which of the following actions represent primary prevention? (Select all that apply.)
A) Administering tetanus shots to residents after a hurricane
B) Conducting an emergency evacuation drill for residents
C) Establishing a support group for hurricane survivors
D) Educating residents on assembling a disaster preparedness kit
E) Providing crisis counseling for displaced families
Answer: B, DRationale:
Primary prevention focuses on preventing the disaster's impact before it happens. Drills (B) and education on preparedness kits (D) help reduce harm before an event occurs.
Tetanus shots (A) and counseling (E) occur after a disaster, making them tertiary prevention strategies.
Support groups (C) also address long-term recovery, classifying them as tertiary prevention.


2. Bowtie Question – Applying Levels of Prevention
Scenario: A nurse is working in a community clinic after a major flood. The nurse must prioritize appropriate interventions based on the levels of prevention.
Choose the correct methodology under each prevention type. :
Primary Prevention:
⬜ Distribute bottled water and educate on avoiding contaminated floodwater
⬜ Provide antibiotics to those with flood-related infections
Secondary Prevention:
⬜ Screen residents for signs of waterborne illnesses
⬜ Offer counseling for flood survivors struggling with PTSD
Tertiary Prevention:
⬜ Set up rehabilitation services for those with long-term flood-related injuries
⬜ Conduct disease outbreak surveillance and quarantine infected individuals
Correct Answers:
✅ Primary Prevention: Distribute bottled water and educate on avoiding contaminated floodwater
✅ Secondary Prevention: Screen residents for signs of waterborne illnesses
✅ Tertiary Prevention: Set up rehabilitation services for those with long-term flood-related injuries
Rationale:
Primary prevention = Preventing illness/injury before it happens (safe water distribution, education). In this case, you are preventing water-borne illness secondary to flooding, not the flood itself.
Secondary prevention = Early detection and intervention (screening).
Tertiary prevention = Managing long-term effects (rehabilitation).