NORCET 3 - 2022 (Shift-1)
Community Health Nursing
Easy
Screening of depression at community level is an example of?
Appeared in: NORCET 3 - 2022 (Shift-1)
Explanation
- Secondary prevention focuses on early detection and prompt treatment of a disease to halt its progress and prevent complications.
- Screening is a key strategy in secondary prevention, as it aims to identify diseases in their earliest, most treatable stages, often before the individual is aware of any symptoms.
- Screening for depression in the community allows healthcare providers to find cases early, initiate treatment sooner, and reduce the overall burden of the disease.
Why Other Options Were Wrong
- Option B: Primary prevention aims to stop the disease from ever occurring. Screening does not prevent the initial onset of depression; it detects it after it has begun.
- Option C: Tertiary prevention focuses on managing an established, often chronic, disease to reduce disability and prevent relapse. Screening is for early detection, not management of long-term illness.
- Option D: Primordial prevention targets the underlying social and economic conditions that give rise to risk factors. Screening is an individual-focused health service, not a broad societal policy.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Levels of Prevention in Community Health Nursing as background academic context rather than a clinical decision trigger.
- Community health nurses play a vital role in organizing and conducting screening programs for conditions like depression, hypertension, and diabetes.
- A positive screening result is not a diagnosis. It indicates the need for a referral to a qualified practitioner for a full diagnostic evaluation and treatment plan.
- What if? If the question described an activity like 'running a support group for individuals recovering from a major depressive episode,' the correct answer would be Tertiary Prevention, as the focus would be on rehabilitation and preventing relapse.
How to Approach the Question
- First, identify the key action in the question stem, which is 'screening'.
- Next, recall the definitions for the four levels of prevention: Primordial (preventing risk factors), Primary (preventing disease onset), Secondary (early detection/screening), and Tertiary (reducing disability from existing disease).
- Match the action 'screening' to its corresponding definition. Screening is the primary tool for early detection.
- Therefore, screening directly corresponds to Secondary Prevention.
- Eliminate the other options based on their definitions: Primary prevention happens before the disease, Tertiary happens after the disease is well-established, and Primordial addresses broad societal factors.
Concept Tested & Keywords
- Concept Tested: Levels of Prevention in Community Health Nursing
- Stem keywords: Screening, depression, community level
- Lead-in keywords: is an example of
- Clinical cues: The care setting changes urgency, monitoring level, and the expected nursing action.
- Negative lead-in flag: false
Question ID
QC04w5kPmO_uNfrO0SqowI
Reference Book
E6 Parks TextBook of Preventive & Social Medicine part 1 — Subpart A (pp 26-201 of 604) p. 33-35
Practise the full NORCET 3 - 2022 (Shift-1)
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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