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 D because, "Test a client who has a family history for diabetes mellitus." Secondary prevention refers to early detection and intervention to prevent the progression of disease. Testing individuals who have a family history of diabetes mellitus is an example of secondary prevention as it allows for early detection and intervention to prevent or delay the onset of diabetes.

Choice A is wrong because, "Educate a client who has hypertension about exercises to reduce blood pressure," is not the correct answer as it is an example of primary prevention, which focuses on preventing the development of disease or injury in individuals who are at risk. Hypertension is a risk factor for cardiovascular disease, and educating individuals about lifestyle modifications, such as exercise, can prevent the development of hypertension and other comorbidities.

Choice B is wrong because, "Teach a group of school-age children about hand hygiene," is not the correct answer as it is an example of primary prevention, which aims to prevent the occurrence of disease or injury in populations that are at risk. Hand hygiene is an essential component of infection control, and teaching school-age children about it can prevent the spread of infectious diseases in schools.

Choice C is wrong because, "Provide nutrition counseling for an adolescent who is underweight," is not the correct answer as it is an example of tertiary prevention, which focuses on preventing complications and reducing the impact of established disease or injury. Nutrition counseling for an adolescent who is underweight aims to prevent complications related to malnutrition, such as growth delays, cognitive impairment, and increased susceptibility to infections.

The correct answer is Choice A because, "Describe the place where you are currently living." Asking the client to describe their living situation will provide the case manager with information about the client's home environment and help identify any potential barriers to safe care. This information can then be used to develop a safe and effective discharge plan, which may include arranging for a special bed at home.

Choice B is wrong because, "Apply moisture barrier ointment three times a day," is not the correct answer because it focuses on a specific aspect of the client's care, rather than considering the broader context of their living situation. Choice C is wrong because, "Eat a balanced diet with high-protein snacks," is not the correct answer as it also focuses on the client's care, rather than their living situation. Choice D is wrong because, "A social worker can help you with the cost of supplies," is not the correct answer as it may not be the most pressing concern at the time of discharge planning.