A nurse is caring for an adolescent who has been subjected to abuse and neglect since early childhood. This is an example of which type of trauma?

Choice A rationale
Clean drinking water is indeed crucial for preventing many diseases, especially those transmitted through the fecal-oral route or waterborne diseases such as cholera, typhoid, and hepatitis A1. However, it is not specifically targeted at diseases that are transmitted directly from person to person. Directly transmitted diseases are often spread through direct contact, such as person-to-person contact or droplet spread. Therefore, while clean drinking water is an essential aspect of public health, it is not the most effective method for preventing diseases that are transmitted directly.
Choice B rationale
Pest control is an important measure for preventing diseases transmitted by vectors, such as mosquitoes, ticks, and fleas. Diseases like malaria, dengue, Lyme disease, and plague are examples of vector-borne diseases. However, these diseases are not considered directly transmitted diseases. Direct transmission occurs when an infectious agent is transferred from a reservoir to a susceptible host by direct contact or droplet spread. Therefore, pest control, while important, is not the primary prevention method for diseases that are transmitted directly.
Choice C rationale

Isolation is one of the most effective methods for preventing the spread of directly transmitted diseases. When a person is isolated, they are separated from others to prevent the spread of communicable diseases. Isolation is used in healthcare settings to prevent the spread of infectious diseases that can be transmitted directly from person to person, such as tuberculosis, influenza, and COVID-191. Therefore, isolation is a key prevention method for diseases that are transmitted directly.
Choice D rationale
Proper sanitation, like clean drinking water, is crucial for preventing many diseases, particularly those transmitted through the fecal-oral route. Proper sanitation involves safely managing human waste and maintaining hygienic conditions through services such as garbage collection and wastewater disposal. While it is an essential aspect of public health, proper sanitation is not the most effective method for preventing diseases that are transmitted directly from person to person.

Choice A rationale
Anticipatory grief occurs before death. It is grief that occurs leading up to a death. It may be felt by the person dying or person’s family. When a patient experiences distress, pain, and medical complications, it can add to anticipatory grief.
Choice B rationale
Complicated grief lasts longer than normal grief. It is characterized by the length of time and intensity of grief symptoms. This type of grief can occur when a person has a difficult time

accepting the death, experiences intense and persistent longing for the deceased, or has difficulty moving on with life.
Choice C rationale
Disenfranchised grief refers to a loss that is not or cannot be openly acknowledged, socially sanctioned, or publicly mourned. It is not typically associated with the death of a terminally ill patient.
Choice D rationale
Traumatic grief generally refers to grief resulting from a sudden, unexpected, or violent death. The death of a terminally ill patient, while deeply sad, is typically not categorized as traumatic.