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Nursing QUESTION #9221
Question 1
A Charge Nurse applies Leavell and Clark's Levels of Prevention framework. Administering hepatitis B vaccine to nursing staff represents which level?
  • Primordial prevention
  • Primary prevention✔️
  • Secondary prevention
  • Tertiary prevention
Correct Answer Explanation
Correct Answer: B — Primary prevention

Levels of Prevention (Leavell & Clark):
LevelGoalExamples
PrimordialPrevent risk factors from emergingHealth policies, societal change
PrimaryPrevent disease before it occursVaccination, health education, sanitation
SecondaryEarly detection and prompt treatmentScreening tests, early diagnosis (e.g., mammography, TB skin test)
TertiaryReduce disability; rehabilitationPhysiotherapy, chronic disease management, support groups
Hepatitis B vaccination prevents disease before exposure occurs — this is primary prevention (health protection). Note: Secondary prevention would be testing nurses for hepatitis B exposure after a needlestick injury.