A nurse is involved in primary prevention activities related to the promotion of respiratory health. The nurse is involved in which of the following activities? (Select All that Apply.)

A. Visiting a congressman representative to advocate for legislation on clean air: Advocating for environmental health policies that reduce air pollution supports disease prevention on a population level. This is a primary prevention activity because it aims to prevent the development of respiratory diseases before they occur. B. Referring individuals with respiratory disease to the pulmonology clinic at the hospital: Referrals for existing respiratory conditions represent tertiary prevention. This activity focuses on managing established disease and preventing further complications rather than preventing its onset. C. Promoting a smoking cessation program in the community: Educating and assisting individuals in quitting smoking helps prevent the occurrence of chronic respiratory conditions such as COPD and lung cancer. This proactive health promotion is a clear example of primary prevention. D. Organizing an influenza vaccination clinic: Vaccination prevents respiratory infections such as influenza, which can lead to serious complications in vulnerable populations. Immunization is a cornerstone of primary prevention by reducing disease incidence. E. Teaching individuals with COPD measures to maximize lung function: Education for individuals already diagnosed with COPD focuses on secondary or tertiary prevention. It aims to prevent disease progression and improve quality of life rather than preventing initial disease development.