A nurse is caring for a client who was admitted for suspected abuse.
The client is quiet and withdrawn.
Which of the following actions should the nurse take to promote client communication?

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.

Choice A rationale

While family support can be crucial, assessing the teenage mother’s independent coping mechanisms provides a clearer picture of her ability to fulfill parental responsibilities.

Choice B rationale

A teenage mother must adapt to her developmental tasks alongside parental duties. Prioritizing her growth and resilience ensures she successfully balances personal development with childcare responsibilities.

Choice C rationale

Assessing the mother’s knowledge of infant growth and development is important, but developmental compatibility between the mother and her infant ensures healthy caregiving and addresses broader challenges.

Choice D rationale

Although paternal involvement is beneficial, its absence doesn’t inherently reflect maternal competency. Emphasis should be on the mother’s overall ability to manage and adapt.