A home health nurse is performing a home safety evaluation for a newly admitted client. Which of the following findings requires action by the nurse? (Select all that apply.)

The correct answer is Choice C because, "Refer clients to the appropriate community agency if signs of abuse are evident." This is the correct answer because it is an appropriate secondary prevention strategy related to violence and abuse. By referring clients to the appropriate community agency, the nurse is providing a proactive measure to prevent further harm and ensure that the client receives appropriate care.

Choice Ais wrong because, "Teach a parenting skills class at a child development center," is not the correct answer because it is a primary prevention strategy and not related to violence and abuse.

Choice Bis wrong because, "Assess clients for withdrawal and passivity during home health visits," is not the correct answer because it is a secondary prevention strategy related to depression, not violence and abuse.

Choice Dis wrong because, "Coordinate a personal defense program at a local agency," is not the correct answer because it is a tertiary prevention strategy and not related to violence and abuse.

The correct answer is Choice B because, don personal protective equipment. The nurse should protect herself first by putting on personal protective equipment to prevent contamination and further spread of the suspected bioterrorism agent.

Choice A is wrong because, report the client's condition to the Federal Bureau of Investigation, is incorrect as this is not the primary role of the nurse, and the client's condition should be reported to the local public health department. Choice C is wrong because, disinfect contaminated areas of skin with isopropyl alcohol, is incorrect as this is not a recommended treatment for bioterrorism-related illnesses, and the nurse should avoid touching the client or any contaminated items. Choice D is wrong because, move the client to a quarantine area, is incorrect as the nurse should not move the client, but instead limit contact with the client and follow established infection control protocols.