A nurse is implementing a tertiary prevention strategy related to pesticide exposure.
Which of the following activities would the nurse complete?

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 improving self-esteem can benefit the client, it does not address the immediate danger posed by an abusive relationship. Self-esteem-focused interventions are long-term and secondary to ensuring the client’s physical safety and security in abusive situations.

Choice B rationale

Teaching the client to avoid conflict places the burden of change on the victim, which is inappropriate in cases of domestic abuse. It does not reduce the risk of harm or address the perpetrator’s behavior, nor does it prioritize the client’s safety.

Choice C rationale

Couples counseling is contraindicated in cases of domestic violence as it can increase the risk of harm to the victim. Addressing abuse requires individual interventions and prioritizing the safety of the victim rather than joint sessions that might escalate tension or conflict.

Choice D rationale

Developing a safety plan is the first priority when dealing with cases of domestic violence. This plan includes identifying safe spaces, emergency contacts, and strategies to leave the abusive environment if necessary. It addresses the immediate risk and ensures the client’s physical safety.