A nurse is working with a community health care team to devise strategies for preventing violence in the community. Which of the following Interventions is an example of tertiary prevention?

A. "I really hope that I can live another 2 weeks, so I can see my child graduate high school." This statement expresses a hopeful and realistic goal reflecting emotional coping with the terminal illness. It does not necessarily indicate a need for social work referral.

B. "I don't have health insurance, and now I am leaving my family with such a mess." Concerns about financial issues and lack of health insurance suggest the client may need assistance with resources, financial planning, or accessing support services, which falls within the social worker’s role.

C. "I am so proud of my child who promised to step up and help my spouse after I am gone." This statement reflects pride and positive family support, indicating emotional coping rather than a need for social work referral.

D. "I am angry and cannot believe this is happening to me at such a young age." Expressing anger is a common emotional response to terminal illness and can be addressed through nursing support and counseling; it does not automatically require social work involvement.

A. Refer the clients for financial assistance to receive medications: While financial support is important for accessing treatment, it is not the immediate priority during an active outbreak. The nurse must first assess the scope and potential cause of the diarrhea to prevent further spread and guide appropriate interventions.

B. Arrange for the clients to see a health care provider: Medical evaluation is essential, especially if symptoms worsen or complications arise. However, this step should follow a thorough assessment of exposure to identify patterns, potential sources, and the need for urgent containment or broader screening efforts.

C. Provide teaching about hand washing for the clients: Hand hygiene is critical in preventing the transmission of infectious diarrhea. However, client education should come after identifying the exposure route to ensure teaching is targeted and effective in addressing the specific mode of transmission.

D. Obtain an individual client exposure history: The nurse’s first priority should be to gather detailed information about each client's symptoms, recent meals, travel, and contacts. This assessment helps identify common exposures, guides immediate containment efforts, and directs appropriate medical or public health responses to control a potential outbreak.