A mother confides to the nurse that her live-in boyfriend knocked down her 2-year-old child because he was crying too much.
She begs the nurse not to tell anyone because her boyfriend has agreed to take anger management classes.
Which of the following actions should be taken by the nurse?

Arrange for counseling for the boyfriend at the earliest possible availability.

Encourage the mother to take the child and find alternate housing right away.

Report the incident to child protective services or other appropriate legal authority.

Abide by the mother's wishes because this information was provided in confidence.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Counseling for the boyfriend does not address the immediate safety risks to the child, who may remain vulnerable to further harm in the current environment.

Choice B rationale

While alternate housing might protect the child, it delays mandatory reporting, which is a legal obligation for healthcare providers in suspected abuse cases to ensure child welfare.

Choice C rationale

Reporting to child protective services is legally required and ensures the safety of the child while allowing investigation into the abuse for appropriate intervention and support.

Choice D rationale

Maintaining confidentiality is not applicable in cases of suspected child abuse, as healthcare providers are mandated reporters and must prioritize the child's safety over privacy.

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Correct Answer is B

Explanation

Choice A rationale

Avoiding legal complications aligns with primary prevention, but the nurse’s focus is reducing health risks associated with drug use, especially blood-borne diseases from shared needles.

Choice B rationale

Tertiary prevention minimizes harm like disease transmission. Providing sterilization education addresses risks from ongoing drug use, emphasizing reduction of complications rather than complete cessation.

Choice C rationale

Secondary prevention detects or prevents complications early. While sterilizing needles helps, the focus here is ongoing harm reduction rather than immediate risk identification or complication prevention.

Choice D rationale

Educating about safe injections promotes harm reduction but does not focus on primary prevention. Tertiary prevention is the appropriate classification for reducing ongoing drug use risks. .

A. Primary prevention. B. Secondary prevention. C. Primary and secondary prevention. D. Tertiary prevention.

Correct Answer is B

Explanation

Choice A rationale

Primary prevention involves actions like immunizations and education to prevent diseases or issues before they occur. Drug screening is not aimed at preventing drug use but detecting it early.

Choice B rationale

Secondary prevention focuses on early detection and intervention to reduce the progression of disease or complications. Drug screening detects drug use early to prevent worsening outcomes, making this action a secondary prevention method.

Choice C rationale

Combining primary and secondary prevention involves overlapping strategies to prevent diseases and detect them early. Drug screening alone does not include primary preventive measures, so it cannot be classified as both.

Choice D rationale

Tertiary prevention is aimed at minimizing the impact of ongoing disease or injury, focusing on rehabilitation or management. Drug screening does not involve rehabilitating or managing drug-related complications.

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A mother confides to the nurse that her live-in boyfriend knocked down her 2-year-old child because he was crying too much.She begs the nurse not to tell anyone because her boyfriend has agreed to take anger management classes.Which of the following actions should be taken by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A confirmed drug abuser admits to the nurse he has no desire to stop using drugs.Rather than lecture the individual on the dangers of drug addiction, the nurse provides information on how to sterilize his needles.Which of the following prevention efforts is the nurse attempting to achieve?

Correct Answer is B

Explanation

A school health nurse is conducting drug screening to detect drug use by students before serious problems develop.Which of the following levels of prevention does this action represent?

Correct Answer is B

Explanation

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A mother confides to the nurse that her live-in boyfriend knocked down her 2-year-old child because he was crying too much.
She begs the nurse not to tell anyone because her boyfriend has agreed to take anger management classes.
Which of the following actions should be taken by the nurse?