A nurse providing care to a client with a confirmed case of tuberculosis is reviewing the client's understanding of the disease. Which of the following statements by the client indicates that the teaching has been effective?

The correct answer is Choice B because "Provide a smoking cessation class." Secondary prevention activities aim to detect and treat a disease in its early stages. In the case of smoking cessation classes, it is a secondary prevention activity because it aims to detect and treat the harmful effects of smoking before it progresses to a more serious condition such as lung cancer or chronic obstructive pulmonary disease.

Choice A is wrong because, "Advocate for laws that prohibit texting while driving," is not the correct answer because it is an example of primary prevention, which aims to prevent the onset of a disease or injury. Choice C is wrong because, "Refer a client who is recovering from a substance use disorder to a social service program," is an example of tertiary prevention, which aims to prevent complications or further progression of a disease. Choice D is wrong because, "Encourage a pregnant client to participate in prenatal care," is also an example of primary prevention, which focuses on preventing the onset of a disease or condition.

The correct answer is Choice D because, "State health departments report selected STIs to the National Institutes of Health." This is the correct answer because state health departments are responsible for reporting selected STIs to the National Institutes of Health, which is an important regulation regarding STIs.

Choice A is wrong because, "Clients who have STIs are legally required to provide a list of sexual partners," is

not the correct answer because while clients who have STIs are strongly encouraged to provide a list of sexual partners for partner notification and treatment purposes, there is no legal requirement for them to do so.

Choice B is wrong because, "Congress mandates the requirements for STI reporting," is not the correct answer because STI reporting requirements are set by public health agencies, not by Congress.

Choice C is wrong because, "Nurses should withhold the name of the client who has an STI during partner notification," is not the correct answer because while nurses are required to maintain confidentiality of their clients, they are also obligated to report certain communicable diseases, including STIs, to public health authorities, who may need to conduct partner notification and treatment efforts.